Tuesday, August 22, 2017


 

Celebrating 30 Years (1987 - 2017)

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Press Release

Airline Employee Pays $28,000.00 in Restitution at His Sentencing

7/31/2017

 On July 24th, 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. Song.  This claim involved an airline employee who was alleging an injury to his right foot, left lower back and left leg.  Based upon red flag indicators detected during the claims handling, the case was submitted to the RJN SIU Department.  Upon conducting a preliminary social network level investigation, it was determined that the claimant was involved in instructing martial arts mediation classes and that he was a Grand Master in Kung Fu.  Upon ascertaining that information, a surveillance level investigation was performed in which the claimant was found to be engaged in martial arts training from a standing position and moving about freely in his stances and techniques.  In his deposition, the claimant made several material misrepresentations made under the penalty of perjury.  Although admitting to being an instructor, the claimant stated that he was no longer able to physically instruct, but rather had to teach from a seating position.  He testified he would verbally tell the students what to do.  Once it was determined that the claimant had made no changes to his deposition transcript, the case was formally referred to the California Department of Insurance Fraud Division as well as to the Los Angeles County District Attorney’s Office.  Upon completion of their criminal investigation, the Los Angeles County District Attorney’s Office formally charged the claimant with one felony count in violation of Insurance Code Section 1871.4(a)(1).  After several hearings, the claimant agreed to enter into a plea bargaining agreement.  As such, on the date of his sentencing, he appeared with a cashier’s check made out to the airline in the amount of $28,000.00 for restitution.  The judge then sentenced him to three years formal probation and to perform 20 hours of community service. 

 

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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