Monday, March 18, 2019


 

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Press Release

Service Worker Convicted in Sacramento County

1/14/2019

On December 19th, the Special Investigative Unit of RJN Investigations, Inc. was formally notified by the Sacramento County District Attorney’s Office pertaining to the successful prosecution of a healthcare service worker. In this case, the claimant was employed as a Service Worker and alleged to have sustained an injury to her arm/forearm, neck and upper extremities due to repetitive movements. A surveillance investigation was authorized, and the claimant was observed utilizing her wrist braces inconsistently as well as being able to complete daily activities with no signs of hesitation or discomfort. Surveillance was provided to the QME and based on his review, it was indicated that he had significant concerns about the patient’s veracity based on the sub-rosa being in such contrast to her presentation. The claimant was arrested in April 2018 and notified of 4 felony charges against her. The claimant initially plead not guilty to all counts and subsequent hearings were held in Sacramento County. During a plea hearing, the claimant agreed to change her plea from not guilty to no contest on count 1 (IC 1871.4 – Filing a false workers compensation claim) and the remaining 3 counts were to be dismissed. On December 13th, the claimant was formally sentenced to 30 days of custody, 3 years of formal probation, and ordered to pay $9,257.50 in restitution.

 

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 187 convictions for workers’ compensation insurance fraud in California.

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