Private investigators have been hired to conduct an internal investigation at Waukegan High School, following the arrest of two security guards in January for alleged pay irregularities.
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The employment status of both a Huron firefighter and police officer are expected to be determined next week, city manager Andy White said.

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Insurance companies should be careful they only employ private investigators that operate to high standards and within the law, says the Association of British insurers.

The ABI has worked with the Information Commissioner’s Office and the private investigator (PI) industry to publish guidelines on the use of PIs by insurers when investigating potentially fraudulent claims.
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A New Jersey doctor pleaded guilty Thursday to falsifying medical records and insurance claims.

Dr. Farouk Al-Salihi, of Jersey City, admitted making the fraudulent claims in January and February 2006. The patient whose papers Al-Salihi forged turned out to be an undercover investigator from the New Jersey Office of Insurance Fraud.

Al-Salihi will appear before Hudson County Judge Vazquez on June 15 for sentencing. He faces up to 18 months in prison and a $10,000 fine.

An insurance adjuster who embezzled more than $45,000 from the Woodland Hills company where he worked pleaded guilty to conspiracy and fraud charges and was sentenced to a year in county jail and five years probation, a prosecutor said Thursday.

Van Nuys Superior Court Judge Michael Kellogg also ordered Jacinto Antonio Barrientos to pay $45,199 in restitution to Unitrin Insurance Co., where the San Fernando Valley man, 35, committed the crimes over a 13-month period beginning in June 2005, prosecutor Loren Naiman said.

More than 60 men and women have been swept up in a five-county dragnet across the Central Valley on insurance fraud and related charges.

“Today’s arrests have dealt a death blow to these elaborately organized schemes. By working together, we’ve crippled their ability to continue their concerted rip-off of the system,” says California Insurance Commissioner Steve Poizner.

The arrests were made in Kern, Kings, Tulare, Fresno and Merced counties.

Every day someone in California gets away with insurance fraud, in part because the funding system for the state’s anti-fraud unit hasn’t changed substantially in 34 years.

California Department of Insurance’s Sacramento regional anti-fraud unit, which covers San Joaquin County, said it would have needed 174 extra agents to handle all the cases brought to them last year.

They operate in triage mode, choosing only the most serious crimes.

One out of every four investigator jobs at the Department of Insurance is unfilled; Insurance Commissioner Steve Poizner says he’s lacked the revenue to hire them.

A backhoe operator works 14 hours on a repair project for a utility company, but someone in the company office records it as 140 hours.

You own the small business where the repair takes place and are handed the inflated bill. You turn it over to your insurance company, which pays it and that’s the end, right? If the insurance company has to take a hit on that egregious billing error, oh well, that’s its problem.

That is until next year’s insurance premium bill arrives, and it’s so high, it threatens the health of your business. The high cost of that utility repair has been passed down, but you didn’t think you had any recourse after the bill came.

After all, you’re not a utility expert and you don’t know what went into that bill. Neither does your insurance company.

A Plainfield police detective was sentenced Friday to a year of probation for filing false police reports as part of an insurance fraud scheme involving a Roselle auto body shop.

Samad Abdel, 42, of Roselle, must leave his job and pay a $5,000 fine, Superior Court Judge James C. Heimlich ruled. Abdel is barred from holding any law enforcement position or public employment.

Maryland became only the second state to make staging an car accident to steal insurance money a specific crime when Gov. Martin O’Malley signed a bill into law last week.

According to the Coalition Against Insurance Fraud, the new law (HB 1409) also would limit access by outsiders to police accident reports, thus making it harder to recruit real crash victims into insurance schemes involving fake injury claims.

The law takes effect October 1, and was sponsored by Del. Dereck E. Davis (D-District 25-Prince George’s County).

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