California Employees’ Comp Legal professional Arrested for $310Okay Fraud Scheme

California Workers’ Comp Attorney Arrested for $310K Fraud Scheme

Moses Luna, 73, of Newport Beach, Calif., Was arrested this week for 20 insurance fraud offenses after allegedly charging 20 different insurance companies for translation and interpreting services to collect employee compensation fees of over $ 310,000.

An investigation by the California Department of Insurance and the Orange County Attorney’s Office found that Luna, an employee representation attorney, founded Adelante Interpreting Inc., a translation and interpreting company, and subsequently fraudulently billed 20 separate insurance carriers for translation and interpreting services.

Luna reportedly referred its own comp customers solely to Adelante Interpreters for fraudulent collection of over $ 311,220 in employee comp fees. The fees Luna received related to translation and interpreting services provided to eligible workers during dismissal and medical appointments. Insurance companies paid the fees based on Luna’s recommendations as the services were required to process the claims.

Luna reportedly failed to disclose his legally required financial stake in the company and used his daughter’s name on company records to hide his ownership of the company. Although his daughter’s name was used for the records, Luna controlled all aspects of Adelante interpreters including, but not limited to: administrative logs, employee logs, independent contractor logs, and billing and collections logs.

Victim insurance companies include: ACM, AIG, Amtrust, BHHC, CompWest, Employers, ESIS, Farmers, Hartford, ICW, Liberty Mutual, Markel, Matrix, Midwest, Sedgwick, SCIF, Sentry, Travelers, York and Zurich.

Luna is slated to return to court on January 19, 2021. The case is being prosecuted by the Orange County Attorney’s Office.

The most important insurance news in your inbox every working day.

Get the insurance industry’s trusted newsletter