Raeford Woman Pleads Guilty to Defrauding Insurance Company of More Than $4.5 Million

GREENSBORO, NC – Sandra J. Hairston, United States Attorney for the Middle District of North Carolina (MDNC), announced today that KRIS WILLIAMS-FALCON, of Raeford, pleaded guilty to defrauding a victim insurance company out of over $4.5 million.

According to publicly filed court documents, WILLIAMS-FALCON was a Certified Alcohol and Drug Counselor (CADC) in North Carolina. In April 2021, WILLIAMS-FALCON’s CADC license was revoked by the licensing board, and she did not hold any other licenses to provide treatment or counseling. Between April 2021 and January 2023, WILLIAMS-FALCON submitted millions of dollars in claims to the victim insurance company for services that she either did not provide or was not licensed to provide. Among other fraudulent claims, WILLIAMS-FALCON submitted claims for services that she alleged to have provided to herself and family members.

As a result of WILLIAMS-FALCON’s claim submissions, the victim company approved and paid out approximately $4.7 million in reimbursements of which WILLIAMS-FALCON received $4,532,119.

During the course of this investigation, law enforcement traced proceeds of the scheme and seized a 2022 Dodge Charger, a 2022 Land Rover Range Rover Evoque, and a total of approximately $492,000 from bank accounts controlled by the defendant.  Administrative forfeiture is pending as to these items.  In addition, civil forfeiture is pending against two parcels of real property in Mecklenburg County purchased with a total of approximately $1.5 million in proceeds from the scheme. WILLIAMS-FALCON has not opposed any of the forfeiture actions.

Sentencing is scheduled to take place on November 14, 2023, at 2:30 p.m. in Winston-Salem, North Carolina, courtroom number 2, before United States District Court Judge Thomas D. Schroeder. At sentencing, WILLIAMS-FALCON faces a maximum sentence of ten years in prison, a period of supervised release of up to three years, and monetary penalties.

The case is being investigated by the Federal Bureau of Investigation and the North Carolina Department of Insurance and prosecuted by Assistant United States Attorney Ashley Waid.

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