Friday, October 19, 2018


 

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Press Release

Soccer Playing Claimant Charged

7/30/2018

 On July 25th, 2018 the Special Investigative Unit of RJN Investigations was notified of charges being filed as a result of a documented referral. In this case, the claimant filed a post termination claim alleging a Cumulative Trauma Injury from April 2nd, 2002 thru February 4th, 2016. The claimant was alleging to have suffered from injuries to multiple body parts throughout the course of his employment.  A subsequent surveillance investigation found the claimant to be very active, even competing in soccer leagues showing no signs of hesitation or discomfort. When he was questioned during his deposition, the claimant was specifically asked if he still played soccer to which the claimant stated that he had not played soccer for over a year. Furthermore, he indicated that he stopped playing soccer while he was still employed. The RJN SIU formally referred the case to the Ventura County District Attorney’s Office as well as the California Department of Insurance Fraud Division. Upon completion of their criminal investigation, the claimant was formally charged and entered a not guilty Plea during his arraignment. The claimant is scheduled to re appear on August 15th, 2018 in the event he does not accept a proposed plea agreement provided by the District Attorney.

 

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 175 convictions for workers’ compensation insurance fraud in California.

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