Wednesday, December 12, 2018


 

Celebrating Over 30 Years (1987 - 2018)

of Superior Service to our Valued Clients

 
   
Press Release

Landscaper Convicted by Ventura County District Attorney’s Office

8/14/2018

 On August 13th, 2018, the Special Investigative Unit of RJN Investigations, Inc. was formally notified by the Ventura County District Attorney’s Office regarding the successful prosecution in the case of People of California vs. Alvizo, J. In this particular case, the claimant alleged that while working for a landscaping company, he injured his back. Based in large part by subjective complaints, the claimant was issued work restrictions of no twisting, bending or stooping, no heavy lifting, overhead lifting, and pushing or pulling greater than 10 lbs.  The employer could not accommodate these restrictions and as such, the claimant began to receive TTD benefits.  As the claimant’s subjective complaints were not changing despite receiving medical treatment, a surveillance investigation was authorized.  In the course of the surveillance investigation, evidence was obtained indicating that the claimant was working at a lemon orchard in Ventura, California.  The SIU investigation revealed that the claimant had not informed the examiner nor the treating doctors regarding the secondary employment and income. The case was subsequently referred by the RJN SIU to the California Department of Insurance Fraud Division as well as to the Ventura County District Attorney’s Office Workers’ Compensation Fraud Unit.  Upon completion of a criminal investigation performed by the Ventura County DA office the claimant was formally charged with violation of Insurance Code section 1874.1(a)(1) and Penal Code Section 550 (b)(3). On August 13th, 2018, the claimant was sentenced to 180 days in county jail, followed by 60 months of probation, and ordered to pay back the insurance carrier $27,095.87 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 175 convictions for workers’ compensation insurance fraud in California.

Privacy StatementTerms Of Use© RJN Investigations Inc. California State License 12054

BorderBoxedBlueBoxedGrayBlue Small width layoutMedium width layoutMaximum width layoutMaximum textMedium textSmall textBack Top!