Sunday, June 24, 2018


 

Celebrating Over 30 Years (1987 - 2018)

of Superior Service to our Valued Clients

 
   
Press Release

Felony Arrest Warrant Issued for Drywall taper Charged with Insurance Fraud

3/26/2018

 On March 20th, 2018 the Special Investigative Unit of RJN Investigations, Inc. was formally notified by the Los Angeles County District Attorney’s Office as to issuance of a felony arrest warrant for the claimant based upon the submission of a documented referral. In this particular case, the claimant was a Drywall taper who allegedly sustained an injury to his ankles, neck and lower back on November 30, 2015. The claimant was placed on modified duties with the restrictions that he must wear a walking boot on his right ankle and sit down work only. Red flag indicators were subsequently detected by the claim examiner who in turn proactively authorized the SIU to initiate surveillance measures.  The surveillance level investigation found the claimant to be working in the same capacity for another employer. Discreet investigative measures were implemented and it was indicated that the claimant was earning $22.00 an hour in cash. When questioned during his deposition, the claimant stated that he had been unable to drive or work for his employer or any other company since the date of injury. When questioned by the PQME, the claimant continued to deny secondary employment which was a misrepresentation based on surveillance video. In compliance with the regulations set forth by the California Department of Insurance, the case was then referred by the RJN SIU to the Los Angeles County District Attorney’s Office as well as the California Department of Insurance Fraud Division. Upon completion of a detailed criminal investigation by the LADA, the claimant was formally charged with 3 counts in violation of Insurance Code Section 1871.4 and Penal Code 664-118(a)  The claimant’s  arraignment was to take place on March 20th, 2018  but he failed to show. As such the Superior Court Judge issued a Felony warrant for his arrest.

 

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 175 convictions for workers’ compensation insurance fraud in California. 

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