Sunday, October 22, 2017


 

Celebrating 30 Years (1987 - 2017)

of Superior Service to our Valued Clients

 
   
Press Release

Claimant Ordered To Pay Back School District $18,720.00 in Restitution

6/22/2017

 On June 20th, 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. S. Ashley.  In this particular case, the claimant was a Teacher Assistant who alleged that a student had bit her right index finger, resulting in an injury.  When the claimant showed her finger to her supervisor, the supervisor noted there was no blood, no broken skin and no discoloration of her finger.  Moreover, the claimant denied first aid treatment.  Four months later, she filed a workers’ compensation claim and during the course of the AOE/COE investigation, the claimant adamantly denied ever seeking any treatment in reference to her right index finger prior to the date of injury.  A subsequent medical canvass investigation revealed that just one week prior to the alleged date of injury, the claimant was treated at Centinella Hospital Medical Center Emergency Room for “right index finger pain/injury.”  During that examination, the claimant received three x-rays of the right hand and fingers and was prescribed 500 mg. of Vicodin.  Upon securing certified copies of the medical records along with the claimant’s recorded statement, the case was formally prepared and referred by the RJN SIU to that of the California Department of Insurance Fraud Division and to the Los Angeles County District Attorney’s Office.  The claimant was subsequently 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 550(b)(1).  After several hearings, the claimant entered into a plea bargaining agreement in which she agreed to plead no contest to Count #1 of Insurance Code Section 1871.(a)(2), as a felony.  She was placed on 3 years felony probation and required to complete 200 hours of community service.    In addition, she was ordered to pay restitution back to the School District in the amount of $18,720.00.

 

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.  

Privacy StatementTerms Of Use© RJN Investigations Inc. California State License 12054

BorderBoxedBlueBoxedGrayBlue Small width layoutMedium width layoutMaximum width layoutMaximum textMedium textSmall textBack Top!