DUVAL COUNTY, Fla. – The Chief Financial Officer of Duval County announced the arrests of two women from Jacksonville who submitted at least 42 fraudulent insurance claims, resulting in a total collection of $1.14 million.
The employees of the healthcare company Aetna allegedly submitted false insurance claims and uploaded false documentation to support their claims. The scheme took place from 2019-2023 and resulted in one employee receiving more than $408,000 and one employee receiving more than $736,000 from their false claims, according to the Florida Department of Financial Services (DFS) and Criminal Investigations Division (CID).
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The release stated both women became familiar with processing claims for hospitals, accidents, and critical voluntary supplemental plans in which they uploaded fake medical invoices and explanations of benefits for procedures that did not occur and the patients never received treatment.
“It’s amazing the lengths bad actors will go to commit fraud and scam the system to make a quick buck,” Patronis said. “Kudos to my Insurance Fraud detectives for arresting these fraudsters and placing them behind bars where they belong. Insurance fraud drives up rates for hardworking Floridians, and as long as I’m your CFO, we will continue to reduce fraud and hold criminals accountable. If you or someone you know is suspicious of fraud, please report it immediately at FraudFreeFlorida.com.”
Patronis announced both individuals were charged with one count of false insurance claims and one count of scheme to defraud. If convicted, each faces a maximum of 30 years.