Tuesday, August 22, 2017


 

Celebrating 30 Years (1987 - 2017)

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Press Release

Former Costa Mesa Police Department Officer Convicted Of Committing Insurance Fraud Against City Of Costa Mesa

2/27/2017

 On February 17th, 2017, the Special Investigative Unit of RJN Investigations, Inc. was formally notified by the Orange County District Attorney’s Office regarding the successful prosecution in the case of People of California vs. R. Natividad.   

 

In this particular case, the claims examiner detected contradictory information regarding the AOE/COE aspects of the claim.  The examiner proactively assigned RJN SIU to conduct investigative measures.  In the course of that investigation, which entailed interviews and analyzing CCTV video footage, evidence was obtained that directly contradicted the claimant’s allegations of a work related injury.  In accordance with regulations set forth by the California Department of Insurance Fraud Division and upon the completion of the SIU level investigation, the case was formally referred to that agency as well as the Orange County District Attorney’s Office.  Upon completion of a joint criminal investigation, the claimant was formally charged with one felony count in violation of Penal Code Section 550(a)(1) as well as one felony count of insurance fraud in violation of Insurance Code Section 1871.4(a)(1).  After attending several preliminary hearings, this case moved forward to a jury trial.  In the trial, testimony was provided by the doctor, the claims examiner, SIU Investigator and other police officers, as well as viewing the CCTV video evidence. After the week long trail, the jury came back with a guilty verdict as to all felony counts.   Natividad faces a maximum sentence of 6 years in County Jail at his sentencing scheduled for  April 7th, 2017.    

 

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 160 convictions for workers’ compensation insurance fraud in California. 

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