Insurance Fraud NEWS
Attorney falsely bills Texas comp system more than $400K
June 20, 2018, Lewisville, TX
Workers’ compensation insurer, Texas Mutual Insurance Co. reported that a Travis County grand jury has indicted attorney Leslie Casaubon of Lewisville, Texas, on three counts of workers’ compensation fraud-related charges
The indictment alleges that, from 2010 to 2014, Casaubon billed her clients for services not rendered, with the intent to defraud and harm workers’ compensation claimants.
The indictment further alleges that Casaubon submitted false attorney hours to the Texas Department of Insurance Division of Workers’ Compensation through its electronic system. Based on the hours submitted, the Division of Workers’ Compensation ordered workers’ compensation carriers to deduct up to 25 percent from her clients’ benefit checks to pay her fees. As a result, more than $400,000 was unfairly ordered to be taken from injured employees’ benefit payments.
The indictment is the result of a multi-year investigation conducted by Texas Mutual and referred to the Texas Department of Insurance Division of Workers’ Compensation. Texas Mutual maintains three teams of investigators permanently assigned to investigate suspected fraud.
Texas Mutual, a policyholder-owned company, provides coverage to 43 percent of the market, representing 70,000 companies, many of which are small businesses
Source: Insurance Journal