Coral Springs woman sentenced to federal prison for insurance fraud • Coral Springs Talk
By Kevin Deutsch
A Coral Springs woman was sentenced to 30 months in federal prison this week and ordered to pay nearly $500,000 in restitution following her wire fraud conviction, prosecutors said.
Between May 2011 and September 2016, Maria Caceres, 56, who lives in Ramblewood East Condominiums, prepared and submitted 30 fraudulent insurance claims to Seven Corners—the travel insurance company that employed him in Carmel, Indiana—totaling more than $650,000, according to the Department of Justice.
As part of the fraudulent scheme, Caceres and his accomplices created fictitious names under which they purchased insurance policies from Seven Corners, according to court records.
Prosecutors said they also created fake email addresses in the name of a hospital in Venezuela and then submitted claims to Seven Corners for alleged emergency medical treatment given to fictitious people while traveling internationally.
According to the DOJ, none of the expenses were genuine, but Caceres created fake customer accounts and documents to support the fraudulent claims.
As a result of the fraud, the victim company paid more than $588,000 into accounts controlled by Caceres’ accomplices.
According to court documents, Caceres was hired by Seven Corners in 1998. She eventually became director of a department that handled insurance claims and assisted clients receiving emergency health care overseas.
Caceres worked with associates to create the fictitious clients, purchase insurance policies under their fake names and file fraudulent claims later paid for by his employer, records show. Prosecutors said she also scoured news articles and medical documents to help obtain information about the fraudulent claims.
Most of the false claims were paid by Seven Corners to financial accounts controlled by a person identified in court documents as RC, “an individual with whom Caceres is known to have a personal relationship.” RC claimed to represent the Venezuelan hospital Caceres, and his accomplices claimed to have provided emergency care, prosecutors said.
The program ended in December 2016 when Seven Corners’ director of customer service raised the issue of Caceres’ claims with the company’s chief operating officer. Caceres was fired the same month, according to records.
According to the Indiana Business Journal, Caceres was the third Seven Corners employee to face fraud charges in two years. The employees were involved in separate criminal cases in which prosecutors alleged more than $3.5 million in fraud.
Caceres, who previously pleaded guilty in his case, will be supervised by the US Probation Office for a year after his release from federal prison.
She was also ordered to pay more than $496,000 in restitution.
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Kevin Deutsch is an award-winning crime reporter and author. A graduate of Florida International University, Kevin has worked on the staff of the Miami Herald, New York Daily News and Palm Beach Post.