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Insurance Fraud

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NEWS
June 16, 2011
Two Pennsylvania men have been charged with conspiracy, theft by deception, and insurance fraud on allegations that they damaged homes in South Jersey after persuading owners to report hail damage to insurance companies, authorities said Wednesday. Marcin Gradziel, 32, of Norristown, and Dominik Sadowski, 34, of Sellersville, were responsible for more than $69,000 worth of damage to at least five homes in Burlington, Camden, Gloucester, and Mercer Counties, according to Ronald Chillemi, acting insurance-fraud prosecutor.
NEWS
October 22, 1998 | By Thomas Ginsberg, INQUIRER TRENTON BUREAU
Eliot Ness he's not. With a grayish beard and unassuming demeanor, Ed Neafsey looks more like a college professor than the man who would put away the ringleaders of auto insurance fraud in New Jersey. But Neafsey, who is expected to be confirmed today by the state Senate as New Jersey's first insurance-fraud prosecutor, does have one thing in common with the "Untouchable" Ness who fought the mob in the 1930s: Neafsey is about to take what he describes as a "hot seat" in one of the most volatile crime issues of his day. Auto insurance has been a problem in New Jersey since the 1970s, partly because of fraud, which has helped give the state the country's highest average rates for a decade.
NEWS
June 22, 2006 | By Stephanie L. Arnold INQUIRER STAFF WRITER
A Philadelphia man yesterday was sentenced to up to six years in prison for using another man's identity to receive medical care at several hospitals. Daniel Sullivan, 52, of the 5000 block of F Street, pleaded guilty to insurance fraud, identity theft and forgery after investigators discovered that he ran up $146,000 in medical bills on David Richardson's health plan. Investigators for Attorney General Tom Corbett's office said Sullivan posed as Richardson on medical insurance forms and other documentation without Richardson's permission or knowledge.
NEWS
January 4, 1995 | By Linda Loyd, INQUIRER STAFF WRITER
Unscrupulous lawyers, doctors, clinics, claims adjusters, auto mechanics and greedy ordinary people who engage in insurance scams beware! District Attorney Lynne M. Abraham announced yesterday that her office would be coming after violators, thanks to new legislation that gives local law-enforcement agencies and the state attorney general $12 million annually to investigate and prosecute insurance schemes. The funds will come solely from the Pennsylvania insurance industry.
NEWS
January 7, 1991 | By Emilie Lounsberry, Inquirer Staff Writer
For the last nine months, lawyer Robert B. Burke has been a central figure in the investigation of the slaying of Donna Willard, a Southwest Philadelphia hairdresser who was saying good night to her three children when a knock on the door brought her downstairs to a lone gunman and death. Just 10 days ago, two men, including a Burke client named James D. Louie, were charged with killing Willard on March 6 to prevent her from testifying before the federal grand jury that was investigating Burke and others for insurance fraud.
NEWS
January 18, 2002 | By Jacqueline Soteropoulos INQUIRER STAFF WRITER
Statements made by former Police Capt. James J. Brady and Capt. Joseph J. DiLacqua to police investigators may not be used against the pair if they are brought to trial for orchestrating a cover-up of an automobile accident by Brady, according to lawyers involved in the case. And that could prove beneficial for their defense, if it can be shown that the statements were used to gather evidence against them. In that instance - which Brady's lawyer contends is the case - that evidence would be inadmissible in court, the lawyers say. Brady, once the popular commander of the homicide unit, and DiLacqua were charged Wednesday with orchestrating the cover-up of Brady's police-car crash after he spent a night drinking Feb. 12, 1998.
NEWS
December 20, 1995 | By Russell Gold, INQUIRER CORRESPONDENT
Charles Doneson, 40, was arrested yesterday by agents of the state Office of the Attorney General and charged with submitting fraudulent medical insurance claims. Doneson, of Doylestown Township, said he injured his neck and back in a 1992 accident in his two-story Colonial house, according to Kevin Harley, spokesman for the attorney general. He later submitted a claim for $9,791 to Independence Blue Cross for three months of physical therapy at Atlantic Rehab Associates in Bensalem, authorities charged.
NEWS
February 7, 2009 | By Joseph A. Slobodzian INQUIRER STAFF WRITER
A veteran Center City personal-injury lawyer who portrayed himself as champion of poor people injured in falls and car crashes - and who prosecutors called the "CEO of a thiefdom" - was convicted of insurance fraud yesterday. H. Allen Litt, 59, grimaced and then frowned as the Common Pleas Court jury returned verdicts against him on a charge of dealing in the proceeds of illegal activity, six counts of insurance fraud, nine counts of theft by deception, and two counts of attempted theft by deception.
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NEWS
April 9, 2015 | By Ben Finley, Inquirer Staff Writer
Over three months, Claire Risoldi's jewelry collection - and its insurance policy - ballooned from a couple of pieces worth $100,000 to 52 items worth about $11 million. Weeks later, the Risoldi family's Bucks County mansion caught fire for the third time in three years. The collection disappeared, and Risoldi allegedly claimed that firefighters were to blame. Testifying for the second day in a Bucks County courtroom on Tuesday, insurance adjuster James O'Keefe noted the insurance policy's rapid increase and said insurer AIG would eventually deny the $11 million claim under the belief it was fraudulent.
NEWS
April 1, 2015 | By Mari A. Schaefer, Inquirer Staff Writer
The body-shop owner allegedly drove cars into poles and damaged them with forklifts - right across the street from the Darby Borough police station - in a scam to collect inflated claims from insurance companies. On Monday, Delaware County District Attorney Jack Whelan announced charges in a four-year investigation into the elaborate scheme that cost companies at least $85,000 and involved 11 individuals. Whelan said he expected to uncover further instances in the fraud scheme, adding, "We'd be naive to think this is the only amount of activity.
NEWS
March 30, 2015 | By Chris Palmer, Inquirer Staff Writer
Glittering jewelry with hundreds of diamonds. A mansion towering over farmland near New Hope. More than 30 luxury cars - Ferraris, Rolls-Royces, Bentleys. Extravagant trappings were a fixture for the Risoldis, the politically connected Bucks County clan charged with duping insurers out of millions of dollars, according to filings from prosecutors and defense attorneys. What remains unclear is how a family whose members include a lawyer, a turnpike employee, a retired sheriff's deputy, and a matriarch who works as a receptionist afforded such a lifestyle.
NEWS
March 14, 2015 | By Joseph A. Slobodzian, Inquirer Staff Writer
A North Philadelphia woman who pleaded guilty in the drowning death of a 7-year-old boy who attended her improperly licensed day care center will be on 10 years' probation after her release from federal prison, where she is serving a five-year term for fraud. That was the most that Philadelphia Common Pleas Court Judge Jeffrey P. Minehart could sentence Tianna Edwards to Thursday in the June 2012 drowning of Isear Jeffcoat. She has already served 22 months since her arrest. "Horrible negligence" is what Minehart called Edwards' conduct in the death of Isear, whose body was found after nine hours searching in six feet of murky water in a pool at Edwards' mother's house.
NEWS
March 4, 2015 | By Chris Palmer, Inquirer Staff Writer
A judge ruled Monday that members of a politically connected Bucks County family charged with $20 million in insurance fraud will have a preliminary hearing - a step that prosecutors had sought to skip. The Attorney General's Office had argued that the grand jury investigation and presentment unveiled last month could eliminate the need for a hearing. But Senior Judge Thomas G. Gavin of Chester County, who is overseeing the case after all Bucks County judges were recused, agreed with attorneys for the Risoldi family and their alleged coconspirators, who said they had a right to the hearing to determine whether they should be tried on all charges.
NEWS
January 26, 2015 | By Chris Palmer and Ben Finley, Inquirer Staff Writers
For Bucks County Republicans and power brokers, the parties at Claire Risoldi's extravagant mansion near New Hope were unforgettable affairs. Risoldi would book bands. Occasionally she brought in performers to impersonate celebrities including Frank Sinatra or Cher. The Mummers made at least one appearance. She even held her own wedding in front of a crowd that had paid for tickets to a fund-raiser for Rep. Mike Fitzpatrick. "Claire's larger than life," said District Attorney David Heckler, a Republican who had at least one soiree thrown in his honor at Risoldi's estate, a 10-acre property known as Clairemont.
NEWS
January 24, 2015 | By Ben Finley and Chris Palmer, Inquirer Staff Writers
The Risoldi family calls its white-columned mansion "Clairemont. " Surrounded by 10 acres of rolling farmland outside New Hope, Bucks County, it boasts a swimming pool, six bedrooms, and a ceiling mural of family members dressed in flowing robes, looking down from the heavens. The manse has caught fire three times in five years - and the Risoldis could not have been more lucky, state prosecutors said. Receiving $20 million in insurance payouts from the blazes of undetermined origin, the Risoldis allegedly bought six Ferraris and two Rolls-Royces, $1.2 million worth of jewelry, and another house while spending millions to renovate the damaged one. Matriarch Claire Risoldi, 67, a prominent Republican donor and fund-raiser, was charged Thursday on a slew of felony charges, including insurance fraud and corruption.
NEWS
December 19, 2014 | By Jason Laughlin, Inquirer Staff Writer
    A Media internist was charged Wednesday with illegally dispensing prescription drugs, including Adderall, Percocet and Oxycodone, to two undercover detectives for three months this year. The Delaware County District Attorney's Office charged Lawrence Wean, 60, with insurance fraud and illegal drug distribution. He was ordered held in the county jail in lieu of $500,000 bail. Wean, who practices in an office in the 600 block of Baltimore Pike, saw the two undercover county detectives as patients from July to October of this year, according to the affidavit of probable cause.
NEWS
November 14, 2014 | By Jeremy Roebuck, Inquirer Staff Writer
    By now, Tianna Edwards, the North Philadelphia day-care operator awaiting trial for her role in the drowning of a 7-year-old in her care, knows her way around a sentencing hearing. Her record includes convictions for shoplifting, gun charges, and insurance fraud as well as probation stints in Pennsylvania, New Jersey and Maryland. But on Thursday, Edwards received her stiffest sentence yet - five years and three months in a federal detention center for using her sister-in-law's identity to obtain a state child care license that her criminal past would otherwise have prevented her from obtaining.
NEWS
November 14, 2014 | BY JULIE SHAW, Daily News Staff Writer shawj@phillynews.com, 215-854-2592
A FORMER day-care-center operator, who faces an involuntary-manslaughter trial in the 2012 death of a 7-year-old boy, was sentenced yesterday to five years, three months behind bars in a separate federal case for defrauding the state Department of Public Welfare of nearly $1.5 million. Tianna Edwards, 32, opened two Tianna's Terrific Tots day-care centers: in 2008 on Germantown Avenue near Juniata Street in Nicetown, and in 2009 on Rising Sun Avenue near 13th Street in North Philly.
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