Nine Southern Californians arrested in $24 million fraudulent billing scheme
News: 2015 Press Release
LOS ANGELES, Calif. - Today detectives with the California Department of Insurance arrested nine individuals involved in a complex scheme allegedly targeting more than 230 workers' compensation insurers and self-insured employers. Siblings Francisco Javier Gomez, Jr., 32, and Angela Rehmann, 38, owners of G&G Interpreting Services, allegedly fraudulently billed more than $24.6 million for interpreting services for injured workers with Latino surnames.
According to Department of Insurance detectives, over a four year period G&G Interpreting allegedly billed for translation services provided to clinics where the majority of the clinic staff spoke Spanish and there was no need for translation services. In other cases, the company billed for services to clinics where 13 treating physicians spoke fluent Spanish-and again-there was no need for translation.
"People often make the mistake of thinking insurance fraud is a victimless crime-it is not," said Insurance Commissioner Dave Jones. "When those providing services to injured workers line their pockets by ripping-off workers' compensation insurers through fraudulent overbilling practices and charging for services that never occurred, we all end up paying."
G&G Interpreting had a substantial operation providing Spanish-language interpreting services across the Los Angeles Basin and Southern California for injured workers receiving healthcare services through the workers' compensation system.
The investigation revealed that 83,411 interpreting service events exceeded 12 hours in a day-more hours than the clinics were actually open. Detectives also discovered that G&G Interpreting billed workers' compensation insurers more than $422,000 for the services of an interpreter who was actually incarcerated in state prison during the time the company claimed she was providing interpreting services; in fact, she is still in state prison.
The arrest operation was conducted by the Department of Insurance with assistance from the California Highway Patrol and the Riverside County District Attorney's Office and San Bernardino District Attorney's Office. The case is being prosecuted by the Los Angeles County District Attorney's Office. This investigation is ongoing.
- Suspects arrested:
- Francisco Javier Gomez, Jr., 32
- Angela Rehmann,37
- Cynthia Gomez,30
- Melissa Navarro, 28
- Gloria Sandoval, 41
- Arnulfo Reyes III, 22
- Amber Anguiano, 28
- Crystal Garcia, 21
- Jamilett Ortega, 33
- Fraudulent billing occurred in San Diego, Riverside, San Bernardino, Orange, Los Angeles, Ventura and Santa Barbara Counties.
- Arrest photos can be found on CDI's Flickr site: https://www.flickr.com/photos/ca_dept_insurance/albums/72157662450590216
- Sample list of victims.
- G&G Interpreting Services changed their company name to American Liberty Interpreting in August 2012.
- G&G Interpreting is family owned and operated. Francisco Javier Gomez, Jr., Angela Rehmann, Cynthia Gomez, Gloria Sandoval, Arnulfo Reyes III, Crystal Garcia, and Jamilett Ortega are related.
The California Department of Insurance, established in 1868, is the largest consumer protection agency in California. Insurers collect $289 billion in premiums annually in California. Since 2011 the California Department of Insurance received more than 1,000,000 calls from consumers and helped recover over $469 million in claims and premiums. Please visit the Department of Insurance web site at www.insurance.ca.gov. Non-media inquiries should be directed to the Consumer Hotline at 800.927.HELP or 213.897.8921. Telecommunications Devices for the Deaf (TDD), please dial 800.482.4833.