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Thursday, December 26, 2024

2 Jacksonville Aetna healthcare employees arrested for falsifying claims, leading to $1.14 million in fraud - WJXT News4JAX

DUVAL COUNTY, Fla. – The Chief Financial Officer of Duval County announced the arrests of two women from Jacksonville who submitted at least 42 fraudulent insurance claims, resulting in a total collection of $1.14 million.

The employees of the healthcare company Aetna allegedly submitted false insurance claims and uploaded false documentation to support their claims. The scheme took place from 2019-2023 and resulted in one employee receiving more than $408,000 and one employee receiving more than $736,000 from their false claims, according to the Florida Department of Financial Services (DFS) and Criminal Investigations Division (CID).

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The release stated both women became familiar with processing claims for hospitals, accidents, and critical voluntary supplemental plans in which they uploaded fake medical invoices and...



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