Authorities say surveillance video shows 57-year-old Alexander Goldinsky filling a cup with ice, tossing the cubes on the floor and pretending to slip and fall.
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Goldinsky, of Randolph, was working as a subcontractor at a company in Woodbridge and was in the snack room at the time.
Officials say he waited on the floor until he was discovered and then filed a false insurance claim, not just for ambulance service but also treatment he received at a local hospital for his alleged injuries.
He was arrested back on January 15 and is now charged with insurance fraud and theft by deception.
He made a brief court appearance Thursday, entered his plea, and was ordered back to court on March 8.
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The entire appearance took about a minute, and he spent much of the hearing trying to cover his face with a notebook because of the media presence inside.
He was eventually ordered to put that notebook down, which he did reluctantly, and continued to turn away from reporters inside.