For Immediate Release: January 17, 2014
NCDOI Arrests Raleigh Woman for Alleged Health Insurance Scheme
RALEIGH -- Insurance Commissioner Wayne Goodwin today announced the arrest of Sunia Wilson-Smith, 35, of 509 Dacian Road, Raleigh; she was charged with 12 counts each of obtaining property by false pretense and insurance fraud.
Department of Insurance criminal investigators allege that between March 15, 2012, and Sept. 28, 2012, Wilson-Smith filed 12 fraudulent insurance claims for cancer wellness screenings that she did not receive. AFLAC was in the process of paying Wilson-Smith for the claims when representatives were notified by the health provider that she had not received any screenings.
Wilson-Smith was arrested in Wake County on Jan. 16 and placed under a $30,000 bond.
The Department of Insurance employs 20 sworn state law enforcement officers dedicated to investigating and prosecuting claims of insurance and bail bonding fraud. Since Insurance Commissioner Wayne Goodwin took office in 2009, criminal investigators have made more than 800 arrests, resulting in more than 430 criminal convictions. These efforts have delivered more than $55 million in restitution and recoveries for victims.
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.