Thursday, February 22, 2018


 

Celebrating Over 30 Years (1987 - 2018)

of Superior Service to our Valued Clients

 
   
Press Release

Los Angeles Superior Court Judge Orders Claimant to Pay $ 36,366.00 in Restitution to His Employer

1/29/2018

 On January 29th, 2018, the Special Investigative Unit of RJN Investigations, Inc. was formally notified by the Los Angeles County District Attorney’s Office regarding the successful prosecution in the case of People of California vs. M. De Castro.  This case involved a full time pest control exterminator who reportedly sustained a sprain/strain to his neck in February, 2014.  Medical treatment benefits were initially provided. Subsequent evidence secured during an AOE/COE level investigation discovered the incident never occurred.  A surveillance level investigation had established that the claimant had opened his own pest control business and was working without any restrictions.  In June, 2015, the claimant provided testimony at the WCAB trial revealing that he had not been truthful during his former deposition testimony.  On June 13th, 2016, the WCAB judge subsequently issued a “Take Nothing” based upon the evidence reviewed.  The case was then formally referred by the RJN SIU to the California Department of Insurance Fraud Division and to the Los Angeles County District Attorney’s Office.  Upon completion of their criminal investigation, the claimant was formally charged with one felony count in violation of Insurance Code Section 1871.4(a)(1) and one felony count in violation of Penal Code Section 664-118(a).  After attending several hearings, the claimant agreed subsequently pled guilty to Penal Code Section 664-118 as a felony.  He was then sentenced to 3 years formal probation and 100 hours of community service.  In addition, the Superior Court Judge ordered the claimant to pay $ 36,366.92 in restitution back to his employer.

 

 

ABOUT R.J.N. SIU:

 

Formed in 1996, the SIU Division was created to assist California employers, small size insurance carriers and TPA firms in securing professional assistance so as to detect, investigate and prosecute insurance fraud.  To date, the unit has trained well over 2,750 examiners and the documented referrals by this unit have resulted in over 170 convictions for workers’ compensation insurance fraud in California.  

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