Insurance coverage claims adjuster sentenced to jail time

Insurance coverage claims adjuster sentenced to jail time | Insurance coverage Enterprise America

He labored as a claims adjuster for Allstate between 2015 and 2019

Insurance claims adjuster sentenced to prison time

Insurance coverage Information


A Raleigh man has been sentenced to a couple of 12 months of jail time after pleading responsible to accusations of wire fraud and cash laundering. Other than jail time, Massey was additionally ordered to finish three years of supervised launch and to pay over $860,000 in restitution.

In keeping with federal prosecutors, Paul Richard Massey, 51 years of age and a resident of Shady Spring, admitted to issuing fraudulent funds as an insurance coverage claims adjuster and utilizing the cash to fund a powersports enterprise he owns.

Fraudulent transactions and actions admitted

Massey labored as a claims adjuster for Allstate Insurance coverage Firm between 2015 and June 2019, and through his employment was routinely assigned declare recordsdata to analyze when Allstate prospects filed claims underneath their insurance coverage insurance policies.

Allstate had supplied Massey with the authority to analyze assigned claims in addition to decide protection and work with insured prospects and different stakeholders to resolve the disputed claims. Amongst different issues he was entrusted was issuing settlement verify funds to policyholders and companies.

The federal prosecutors stated Massey admitted to authorizing and issuing a verify on Dec. 26, 2018 amounting to greater than $15,000 on behalf of Allstate to a enterprise referred to as American Mitigation Companies LLC, often known as AMS Cleansing. The verify issued for AMS Cleansing was allegedly for work carried out and thus deposited into AMS Cleansing’s checking account. Massey admitted it was fraudulent as AMC Cleansing accomplished no work to justify the fee.

Massey additionally admitted that he had a enterprise relationship with AMS Cleansing and was a certified signer on the enterprise’ checking account.

Among the many issues Massey admitted was authorizing and issuing 68 fraudulent declare fee checks on behalf of Allstate amounting as much as over $850,000 to AMS Cleansing between January 2018 and June 2019, federal prosecutors stated.

Massey had tried to cowl the fraudulent nature of among the checks by creating fraudulent receipts and paperwork. He additionally used the fraudulent claims funds deposited in AMS Cleansing’s checking account to fund Massey Powersports LLC, which he owned and operated.

The investigations revealed Massey routinely wrote checks from AMS Cleansing’s checking account to fund Massey Powersports, together with funds for workers and buying stock in addition to paying for recurring payments.

Massey additionally admitted that in December 2018, he wired greater than $100,000 from AMS Cleansing’s checking account to a North Carolina enterprise in a fraudulent transaction to prepay for tractors supposed for Massey Powersports, federal prosecutors stated.

In addition they Massey tried to hide his scheme from investigators by falsely stating that he had no monetary curiosity in AMS Cleansing. They stated he had additionally supplied the FBI particular brokers with an in depth, false story about this fraudulent story.

In response to a federal grand jury subpoena, Massey created and submitted a fictitious $1 million contract to supposedly present AMS Cleansing was offered to a fictitious firm previous to his scheme.

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