A former total loss representative is at the center of an alleged insurance fraud scheme that led to the issuance of over 120 fraudulent checks totaling nearly $150,000. The activity, which reportedly took place over a seven-month period in 2022, was uncovered after investigators with Georgia’s Office of Commissioner of Insurance and Safety Fire flagged irregularities.
The scheme involved the rep leveraging his internal access to generate 126 checks, of which 123 were successfully cashed or deposited, resulting in over $141,000 in fraudulent losses. A co-conspirator, who is also a family member, was accused of depositing some of the checks into her personal account. Arrests were made in both Coffee and Lowndes counties, though both individuals are currently out on bond.
For claims adjusters, this case underscores the critical importance of auditing internal transactions and monitoring personnel with access to settlement systems. It also highlights the potential for collusion when relatives or close associates are involved, emphasizing the need for strong internal controls and fraud detection protocols. With the insurer’s response still pending, this case may offer broader lessons on how detection systems failed—or succeeded—in catching suspicious activity.