Saturday, September 22, 2018


Celebrating Over 30 Years (1987 - 2018)

of Superior Service to our Valued Clients

Press Release

Restaurant Employee Charged With 14 Felony Counts of Insurance Fraud


 On October 5th, 2017, the Special Investigative Unit of RJN Investigations, Inc. was formally notified by the Los Angeles County District Attorney’s Office regarding the filing of criminal charges based upon a documented SIU referral submitted.  In this case, the claimant worked as a chef and subsequently filed a continuous trauma injury via his Applicant Attorney.  As the claimant’s medical condition did not appear to be improving despite over a year and a half of medical treatment, a surveillance level investigation was authorized.  In the course of this surveillance investigation, evidence was obtained reflecting that the claimant was working at another restaurant while collecting TTD benefits.  The claimant’s deposition was subsequently secured and under the penalty of perjury, denied secondary employment or any other income.  The video evidence was then provided to the Panel QME, and in his supplemental report, it was critical in regard to the claimant’s overall credibility.  A documented referral was then submitted by the RJN SIU to the California Department of Insurance Fraud Division as well as to the Los Angeles County District Attorney’s Office.  After a thorough investigation, the claimant was formally charged with 14 felony counts in violation of Insurance Code Section 1871.4(a)(1), Penal Code Section 664(a); 118(a) and 550(b)(3.  The claimant’s preliminary hearing is scheduled for next month.





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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