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Saturday, October 31, 2015

Facebook Link Helps Break insurance Fraud Case

The value of analytics as a fraud tool has become well accepted.   The concept has been borrowed from social media platforms like Facebook where users can reach out to past friends who share similar characteristics such as attending the same school, summer camp or workplaces.  The case below illustrates that even without sophisticated analytics, social connections can help identify potential fraud cases.

Four Sacramento women are suspected of working together to defraud auto insurers of more than $37,000, according to the California Department of Insurance (CDI).

CDI spokesman Dave Althausen said Susan Lee, 24; Angelique Jones, 20; Angela Medeiros, 40; and, Krystelmaree Marquez, 23 denied knowing each other but investigators obtained Facebook records and determined the foursome did know each other as "friends" on the social media website.

CDI spokesman Dave Althausen  said according to detectives, 23-year-old Krystelmaree Marquez rented a U-Haul truck Dec. 11, 2011 and purchased extra insurance protection. She was driving the truck the next day when she was involved in a collision with a Toyota Yaris drivien by 40-year-old Angela Medeiros with 24-year-old Susan Lee and 20-year-old Angelique Jones as passengers. The women all claimed crash-related injuries. Althausen also said Medeiros denied knowing the other involved parties to insurance company representatives and the other three women said they didn't know Medeiros.

However, Althausen said investigators obtained Facebook account records and determined the foursome did know each other as "friends" on the social media website.

Medeiros, Lee and Jones were arrested on suspicion of three fraud charges including providing false statements in support of an insurance claim and participating in a vehicle collision for the purpose of submitting a false insurance claim. Marquez, who faces the same allegations, hasn't been located.

Althausen said if convicted of all charges, the suspects face two to five years in state prison and/or a $50,000 fine.

source

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