Ohio Man Sentenced in $229K Insurance coverage Fraud Scheme

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Ohio Man Sentenced in 9K Insurance coverage Fraud Scheme

An Ohio man was sentenced to 5 years in jail and ordered to pay restitution for submitting 24 fraudulent claims with a number of insurance coverage corporations, totaling greater than $229,000, the Ohio Division of Insurance coverage introduced.

Justin Mack, a local of Buffalo, New York, and a resident of Cleveland, Ohio, was sentenced on Nov. 25 within the Cuyahoga County Courtroom of Frequent Pleas.

An intensive investigation uncovered Mack’s sample of submitting altered documentation, falsified claims, and utilizing different individuals’s identities to fraudulently safe payouts from a number of insurance coverage corporations:

  • American Strategic Insurance coverage Declare: In April 2022, Mack filed a fraudulent declare alleging $42,134.14 in private property harm and theft following an alleged condo vandalism. An investigation revealed no such incident occurred. Mack fabricated possession documentation and pictures, altered receipts, and altered a police report back to help his narrative.
  • Lemonade Insurance coverage Declare: In April 2022, Mack submitted a fraudulent $17,960.00 declare for stolen property associated to a rental automotive. The investigation decided the automotive was not stolen and no property was within the car. Mack fraudulently used one other particular person’s identification, recycled gadgets beforehand reported as broken or stolen within the American Strategic Insurance coverage declare, and submitted falsified receipts together with an altered police report back to help his declare.
  • Aetna Insurance coverage Claims: Between November 2022 and October 2023, Mack filed 21 fraudulent claims as an worker of Aetna. He obtained $162,150.00 for false hospitalizations, accidents, and a fabricated most cancers prognosis. It was confirmed the claims have been supported by altered medical data and that Mack deposited the funds throughout eight monetary establishments.
  • Liberty Mutual Pet Insurance coverage Declare: In November 2023, Mack submitted a fraudulent $7,288.05 declare with altered documentation for intensive veterinary providers, together with hospitalization, for his canine. It was confirmed the precise expenses have been $214.60 for a primary seek the advice of and prescription medicine.

Mack pleaded responsible to 13 felony counts for insurance coverage fraud, telecommunications fraud, tampering with data, identification fraud, forgery, and tried theft.

Supply: Ohio Division of Insurance coverage

Subjects
Fraud
Ohio

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