For Immediate Release: March 24, 2011
Former Healthcare Worker Pleads Guilty to Insurance Fraud
RALEIGH -- Insurance Commissioner Wayne Goodwin today announced the conviction and sentencing of Keiansha Fletcher, formerly of Charlotte; she pleaded guilty to 12 counts of obtaining property by false pretenses and one count of attempting to obtain property by false pretenses in Mecklenburg County Superior Court on March 21.
Department of Insurance criminal investigators arrested Fletcher on Sept. 16, 2010. She was accused of altering medical documents between June 2008 and June 2009 while working at OrthoCarolina, then submitting the altered documents to Colonial Life and Accident Insurance Company to collect more than $34,000 in insurance benefits to which she was not entitled.
Investigators found that Fletcher altered patients' medical records to show her own name and the names of her children while she was working as a processor at OrthoCarolina to make the false claims.
The charges were consolidated to two counts; for each, Fletcher received an intermediate suspended sentence of six to eight months, and she was ordered to pay $34,425.00 in restitution to Colonial Life.
The Department of Insurance employs 21 sworn law enforcement officers dedicated to investigating claims of insurance fraud. In 2010, these criminal investigators successfully closed 402 cases and made 126 arrests, leading to 88 criminal convictions. These resulted in more than $21.1 million in restitution and recoveries-more than double the dollar amount from the previous year and a record for NCDOI.
An estimated 10 cents of every dollar paid in premiums goes toward the payment of fraudulent claims. To report suspected fraud, contact the Department of Insurance Criminal Investigations Division at 919-807-6840. Callers may remain anonymous. Information is also available at www.ncdoi.com.