Ohio Division of Insurance coverage director Judith L. French introduced that former legal professional Anthony Fusco, of Youngstown, was sentenced on October 7 within the Mahoning County Courtroom of Widespread Pleas to 18 months in jail for felony insurance coverage fraud. Fusco was taken into custody after the sentencing listening to.
A division investigation revealed that Fusco altered and inflated shopper medical payments to defraud insurance coverage firms of almost $1 million. A telecommunications fraud cost was dropped as a part of a responsible plea settlement.
Fusco, a pre-litigation legal professional who labored for Kisling, Nestico & Redick, knowingly submitted inflated medical payments as a part of bodily harm insurance coverage declare settlements submitted to insurance coverage firms. Knowingly submitting a false or misleading assertion as a part of an software for insurance coverage or insurance coverage declare is a violation of Ohio regulation.
An audit of roughly 1,400 declare settlements Fusco dealt with between March 2017 and September 2019 revealed inflated medical payments had been included in 399 shopper claims submitted to 62 insurance coverage firms. The medical payments have been inflated by $859,464.44.
Fusco resigned from his place with Kisling, Nestico & Redick in October 2019. He joined the agency in December of 2015, roughly one month after admittance to the follow of regulation. In keeping with the Ohio Supreme Courtroom web site, Fusco’s regulation license is inactive.
Fusco was indicted in January 2022.
SOURCE: Ohio Division of Insurance coverage
Matters
Fraud
Ohio
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