Monday, November 20, 2017


 

Celebrating 30 Years (1987 - 2017)

of Superior Service to our Valued Clients

 
   
Press Release

School Maintenance Worker Pleads Guilty

8/23/2017

 On August 23rd, 2017, the Special Investigative Unit of RJN Investigations, Inc. was formally notified by the San Bernardino County District Attorney’s Office regarding the successful prosecution in the case of People of California vs. S. Aguilar.  In this case, the claimant filed a continuous trauma claim involving multiple body parts covering a timeframe of 2011 thru 2015.  As the claim progressed, red flag indicators were detected by the examiner.  As such, a surveillance level investigation was requested and video evidence was obtained of the claimant working out on several occasions at a gym.  While at the gym, he was videotaped bench pressing with dumbbells, lateral pull downs, bicep and triceps machines without any discomfort of apparent restrictions.  The claimant’s deposition was subsequently taken in San Bernardino County and in the course of his testimony, the claimant made material misrepresentations regarding this physical abilities under the penalty of perjury.  In accordance with the regulations set forth by the California Department of Insurance, the RJN SIU referred the case to their Fraud Division as well as to the San Bernardino County District Attorney’s Office.  Upon completion of their criminal investigation, the claimant was formally charged with four felony counts of insurance fraud and attempted perjury.  After attending several criminal hearings, the claimant agreed to enter into a plea bargaining agreement that entailed him providing the court with a cashier’s check in the amount of $5,994.45, as restitution to the School District.  As part of the plea bargain, the felony charges were then dropped and the claimant pled guilty to one misdemeanor count of insurance fraud in violation of 1871.4. 

 

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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