California DA Charges 53 Body Shop Employees with Insurance Fraud in Sting Operation - BodyShop Business

California DA Charges 53 Body Shop Employees with Insurance Fraud in Sting Operation

The Orange County, Calif., District Attorney’s Office (OCDA) has charged 53 defendants in Operation Straight Body following a five-month undercover sting by the OCDA Automobile Insurance Fraud Unit targeting auto body repair facilities engaging in insurance fraud.

Between January and May 2010, the OCDA conducted 152 undercover operations throughout Orange County. The targets for this operation were identified through the Bureau of Automotive Repair (BAR), which provided the OCDA with a list of 141 auto body repair facilities that have had consumer complaints within the past three years. The additional targets were identified through referrals by the National Insurance Crime Bureau (NICB) and independent auto repair facilities that were not registered with the BAR.

Investigators arrested the defendants on felony insurance fraud charges on June 2 and 3. The defendants each have been charged with one felony count of insurance fraud and face maximum sentences of five years in state prison if convicted.

The in-custody defendants who have not posted the $30,000 bail were arraigned last week.

Operation Straight Body was conducted as follows:

Ford Expedition Cases

The OCDA obtained a 2001 Ford Expedition that had been totaled by an insurance company after sustaining rear-end damage in a collision. The rear bumper was completely missing and the rear frame rails were bent. After the primary collision, the Ford was backed into a telephone pole, causing an indentation in the rear hatch.

An undercover OCDA investigator went to auto body repair facilities with the Ford and asked for an estimate to repair the damage. The undercover investigator explained that he had purchased the vehicle without a bumper. Upon inspection, the estimators would inform the undercover investigator that the vehicle also had frame damage.

The investigator would ask if both the bumper and frame damage could be repaired under the same insurance claim, even though the bumper was missing at the time of purchase. The defendants charged with insurance fraud are accused of agreeing to include the damages under the same insurance estimate.

The majority of the estimators complied with the law and stated that the damages would require separate insurance claims and refused to file a claim, advising the undercover investigator that such an action would be insurance fraud.

Mercedes-Benz Cases

The OCDA obtained a 1999 Mercedes-Benz E430 that had been totaled by an insurance company after sustaining rear-end damage in a collision. The left side bumper wasn’t attached and was hanging slightly from the vehicle. The Mercedes also had a large dent in the front fender on the passenger side.

An undercover OCDA investigator went to auto body repair facilities with the Mercedes and asked for an estimate to repair the damage. In some cases, the undercover investigator explained that the rear-end damage had been caused in a collision and asked if the front fender damage, which was unrelated to the collision, could be repaired at the same time under the same insurance estimate. The defendants charged with insurance fraud are accused of agreeing to include both the front and rear damage on the same insurance estimate or increase the estimate from the rear-end collision to cover the extra cost of repairing the front fender.

The majority of the estimators complied with the law and stated that the damages would require separate insurance claims.

In other cases, the undercover investigator explained that he had purchased the Mercedes at an auction with pre-existing front- and rear-end damage. The undercover investigator asked to repair the pre-existing damage by filing a claim under a new insurance policy taken out after the purchase of the vehicle. Insurance claims cannot be filed under new insurance policies for damage sustained to a vehicle prior to the issuance of the policy.

The investigator asked for an estimate to have all damage repaired to submit to his insurance company, and most estimators refused, advising that filing such a claim is insurance fraud. The defendants charged with insurance fraud are accused of agreeing to provide an estimate with the knowledge that the estimate would be used to commit insurance fraud.

The BAR, California Highway Patrol, Department of Insurance, NICB, Automobile Club of Southern California, GEICO Insurance, Hartford Insurance, Infinity Insurance, Mendota Insurance, Mercury Insurance and Progressive Insurance Companies all assisted with the investigation, the OCDA said.

“Insurance fraud hurts every Orange County family because insurance companies pass on the cost of fraud to their customers. In a down economy, having affordable insurance is vital to families on a budget,” said Orange County District Attorney Tony Rackauckas. “In Southern California, having cars and car insurance are not a luxury, but a necessity. I think consumers have the right to know which of the auto repair shops are conducting straight businesses and which are not.”

This and other automobile insurance fraud investigations by the OCDA are ongoing. Deputy District Attorneys Jan Christie, Jimmie Harris and Demetra Lewis of the Insurance Fraud Unit are prosecuting these cases.

You May Also Like

Protect Your Shop from Cyber Crimes with Mark Riddell

Micki Woods interviews Mark Riddell of m3 Networks Limited on what auto body shops can do to protect themselves from a cyber attack.

Micki Woods, master marketer for collision repair shops and owner of Micki Woods Marketing, has released the latest episode of "Body Bangin'," the video podcast that is taking the industry by storm!

In this episode, Woods interviews Mark Riddell, managing director of m3 Networks Limited, about how auto body shops are looked at as small businesses and easy prey for cyber attackers and what they can do to protect themselves and their customers' data.

Body Bangin’: The Disengagement Epidemic with Kevin Wolfe

Micki Woods interviews Leaders Way Owner Kevin Wolfe on why 73% of work professionals are disengaged today and what we can do about it.

Body Bangin’: I Thought We Were Doing It Right with Josh Piccione

Micki Woods interviews Josh Piccione on repairing vehicles correctly — according to manufacturer guidelines.

Body Bangin’: Be a Star Not a Hamster with Robert Snook

Micki Woods interviews popular keynote speaker Robert Snook on how to differentiate and grow your business.

Body Bangin’: Know Me, Know My Car with Mike Anderson

Micki Woods interviews Mike Anderson on the importance of building an emotional connection with your customers.

Other Posts

Body Bangin’: Fighting for Consumer Safety with Burl Richards

Micki Woods interviews Burl Richards on his personal mission to fight for consumers’ rights and safety.

Body Bangin’: The Employer-Student Disconnect

Micki Woods interviews Raven Hartkopf, lead collision instructor at Collin College in Texas, on what students want from a shop employer.

Body Bangin’: Why Follow OEM Repair Procedures?

Micki Woods interviews Logan Payne of Payne & Sons Paint & Body Shop on the importance of following OEM repair procedures.

Body Bangin’: Getting Paid for Calibrations

Micki Woods interviews Andy Hipwell and James Rodis of OEM Calibration on how to get started doing ADAS calibrations.