Thursday, April 19, 2018


 

Celebrating Over 30 Years (1987 - 2018)

of Superior Service to our Valued Clients

 
   
Press Release

Fraud Division’s Criminal Investigation Results in Conviction

10/23/2017

 On October 17th, 2017, 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. K. Xu.  In this particular case, the claimant was alleging to have sustained a continuous trauma from August 15th, 2009 thru June 6th, 2016, as a result of his daily activities and conditions at work.  The claimant’s injuries included his back, neck, wrists, hands and arms.  A subsequent surveillance level investigation by the RJN SIU performed over multiple days, found the claimant to be engaged in significant outside activity which included building a brick wall around the front of his house while showing no sign of hesitation or restrictions.  At the claimant’s deposition taken after the subrosa video evidence was obtained, the claimant denied performing any of the type of activities that were captured on subrosa videotape.  The case was then submitted by the RJN SIU to the California Department of Insurance Fraud Division as well as to the Los Angeles County District Attorney’s Office.  After an extensive investigation performed by the Department of Insurance Fraud Division, the claimant was arrested and charged with one felony count in violation of Insurance Code Section 1871.4(a)(2) and one felony count in violation of Penal Code Section 664-118.  After several hearings, the claimant agreed to enter into a plea bargaining agreement.  As part of the agreement, the claimant was sentenced to 200 hours community service and was ordered to pay restitution to the employer in the amount of $9,504.50.  The claimant was also sentenced to three years formal probation.

 

 

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 165 convictions for workers’ compensation insurance fraud in California.  

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