Thirteen Indicted in a $100 Million Auto Insurance Scam Out of New York (2024)

Thirteen Indicted in a $100 Million Auto Insurance Scam Out of New York (1)

According to Jim Sams of Insurance Journal and U.S. Attorney for the Southern District of New York, Damian Williams, thirteen individuals have officially been charged in two indictments for their alleged roles in a $100 million auto insurance fraud scam which involved bribing 911 operators among others to obtain motor vehicle accident records and direct patients to corrupt doctors. Of those thirteen individuals, one is a New York City police officer, one is an attorney, and four are physicians.

Here is a list of the thirteen individuals and their alleged involvement:

1. Bradley Pierre

“Prosecutors say a fraud ring headed by Bradley Pierre took $70 million from no-fault insurers in a scam dating back to 2008. Pierre allegedly spearheaded the scheme out of the law office of an unidentified family member who paid $4 million for accident-victim referrals.

The indictment says Pierre controlled five ‘no-fault facilities’ that were ostensibly owned by licensed physicians.

A Linkedin page in the name of Bradley Pierre says he is owner of Medical Reimbursem*nt Consultants Inc. in New York. A business in that name was first registered in Nassau County in 2008, which is when prosecutors say the fraud scheme began.”

2. Marvin Moy

“Moy is a doctor licensed by New Jersey who practices in New York City, according to state records. He allegedly conducted 'unnecessary and painful' electrodiagnostic testing on patients.”

3. William Weiner

“Weiner is a doctor of osteopathic medicine licensed by New York who practices in East Rockaway. He falsified findings of injuries in magnetic-resonance imaging scans to boost patient referrals, according to the indictment.”

4. Arthur Bogoraz

Bogoraz is a paralegal and manager at a personal injury law firm in New York City who, in conjunction with a “runner” (named next), bribed 911 operators for patient/client referrals to the law firms and Pierre’s clinics.

5. Andrew Prime

The aforementioned “runner,” also bribed 911 operators for patient/client referrals to the law firms and Pierre’s clinics.

6. Alexander Gulkarov, AKA “Little Alex”

Gulkarov is accused of “fraudulently owning and controlling more than a dozen medical professional organizations. The scheme allegedly took $30 million from insurers since 2014.”

7. Robert Wisnicki

Wisnicki, an attorney and “the founding partner of two New York-based law firms, is accused of laundering part of the proceeds of Gulkarov’s scheme. He concealed money transfers by fabricating retainer agreements, lied to law enforcement and committed perjury before a federal grand jury, the indictment alleges.”

8. Roman Israilov

Israilov is one of two other individuals who “are accused of working with Gulkarov to operate the fraud scheme. They allegedly bribed 911 operators, hospital workers and others for motor vehicle accident victim information. Runners contacted the victims and lied to persuade them to seek treatment at clinics that Gukarov and his partners controlled, the indictment says.”

9. Peter Khaimov

Khaimov is one of two other individuals who “are accused of working with Gulkarov to operate the fraud scheme. They allegedly bribed 911 operators, hospital workers and others for motor vehicle accident victim information. Runners contacted the victims and lied to persuade them to seek treatment at clinics that Gukarov and his partners controlled, the indictment says.”

10. Anthony DiPietro

DiPietro is one of two other individuals who “are accused of working with Gulkarov to operate the fraud scheme. They allegedly bribed 911 operators, hospital workers and others for motor vehicle accident victim information. Runners contacted the victims and lied to persuade them to seek treatment at clinics that Gukarov and his partners controlled, the indictment says.”

11. Albert Aronov

Aronov is a New York City police officer “accused of logging into NYPD computers during off hours to search for confidential accident reports. He took photos of the records and used a pre-paid ‘burner’ phone to transmit them using an encrypted messaging application, the indictment says.”

12. Dr. Rolando Chumaceiro

Chumaceiro and another physician (named next) are listed as co-conspirators, who “allegedly prescribed unnecessary and excessive medical treatments and overbilled insurance carriers.”

13. Dr. Marcelo Quiroga

Quiroga is listed as a co-conspirator with Chumaceiro, who “allegedly prescribed unnecessary and excessive medical treatments and overbilled insurance carriers.”

According to Sams, Damian Williams, U.S. Attorney for the Southern District of New York, stated that this “is one of the largest no-fault insurance fraud takedowns in history, one that his office started investigating in 2017.”

All are presumed innocent until proven guilty by a court of law.

Thirteen Indicted in a $100 Million Auto Insurance Scam Out of New York (2024)

FAQs

What is the most common crime committed by insurance agents? ›

Premium Theft

The theft of insurance premiums is the most prevalent type of misconduct in the agent/broker arena.

How many false insurance claims are there? ›

An estimated 20% of insurance claims are fraudulent. Fraud is the second-most costly white-collar crime in America, after tax evasion. Insurance fraud results in higher premiums for consumers, as well as higher taxes and inflation on consumer goods.

What is churning in insurance? ›

Churning in insurance is when a producer replaces a client's coverage with one from the same carrier that has similar or worse benefits.

Who has the worst crime rates? ›

The article explores the 10 most dangerous cities in the United States for the year 2024 based on data analysis of violent crime rates, including homicide, robbery, and assault. Detroit, Michigan, tops the list with a staggering violent crime rate, followed by cities like Memphis, Tennessee, and Baltimore, Maryland.

Which insurance company denies the most claims? ›

Claim denial rates by insurance company
CompanyClaim denials
UnitedHealthcare32%
Anthem23%
Aetna20%
CareSource20%
1 more row
May 15, 2024

What is the most common false claims investigation? ›

Billing and coding violations are easily among the most common allegations in False Claims Act investigations targeting legitimate healthcare providers.

What is the most serious type of misrepresentation in insurance? ›

For example, if a policyholder falsely denies prior insurance claims on their application. Fraudulent misrepresentation is the most severe form and can lead to harsh consequences, including legal repercussions.

What are the top 5 most common crimes? ›

By far the most common form of property crime in 2022 was larceny/theft, followed by motor vehicle theft and burglary. Among violent crimes, aggravated assault was the most common offense, followed by robbery, rape, and murder/nonnegligent manslaughter.

What is the most common type of financial crime? ›

The main types of financial crimes HSI investigates include the following: Money laundering. Money laundering occurs when one or more criminals conceal the origin of illegally obtained money. This often involves transfers between banks and legitimate businesses.

What is the most commonly prosecuted crime? ›

Drug Trafficking (21 U.S.C.

Drug trafficking is one of the most prosecuted federal crimes, encompassing the manufacturing, distribution, and dispensing of controlled substances illegally.

What is the biggest risk of an insurance company? ›

6 insurance industry risk factors
  1. Compliance changes. Regulatory dynamics in the insurance sector are never static. ...
  2. Cybersecurity threats. ...
  3. Technology changes. ...
  4. Climate change & other environmental factors. ...
  5. Talent shortage. ...
  6. Financial risks.
Mar 21, 2024

Top Articles
Latest Posts
Article information

Author: Chrissy Homenick

Last Updated:

Views: 6059

Rating: 4.3 / 5 (74 voted)

Reviews: 81% of readers found this page helpful

Author information

Name: Chrissy Homenick

Birthday: 2001-10-22

Address: 611 Kuhn Oval, Feltonbury, NY 02783-3818

Phone: +96619177651654

Job: Mining Representative

Hobby: amateur radio, Sculling, Knife making, Gardening, Watching movies, Gunsmithing, Video gaming

Introduction: My name is Chrissy Homenick, I am a tender, funny, determined, tender, glorious, fancy, enthusiastic person who loves writing and wants to share my knowledge and understanding with you.