Sunday, September 23, 2018


 

Celebrating Over 30 Years (1987 - 2018)

of Superior Service to our Valued Clients

 
   
Press Release

Security Officer Pleads Guilty

12/28/2017

 On December 28th, 2017, the Special Investigative Unit of RJN Investigations, Inc. was formally notified by the Los Angeles County District Attorney’s Office regarding the successful prosecution in the case of People of California vs. M. Otuzbiryan.  In this case, the claimant alleged that he injured his back while standing at his post during his employment. He went for medical evaluation the following day diagnosed with lumbar and thoracic sprains. He subsequently filed a CT type injury claim. After review of personnel documents, it appeared the claimant filed this claim in retaliation of losing a golf cart he occupied while at work. The claimant was placed on restriction by his doctors and the employer could not accommodate him. During a case review, it was determined the claimant was involved in an auto accident, where he injured his neck and back and received medical treatment for months. When questioned during medical examinations, the claimant failed to disclose this accident or his back and neck injuries. Additionally, he made material misrepresentations when he denied any such accident or injuries in his deposition. The claimant was also found to be employed as an Uber driver during his TTD period in this case.

 

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 Los Angeles County District Attorney’s Office.  Upon completion of their criminal investigation, the claimant was formally charged with two felony counts insurance fraud and attempted perjury.  After attending several criminal hearings, the claimant pled to one count of insurance fraud (IC 1871.4) and agreed to pay the restitution in the amount of $9,272.60. Moreover, he was placed on 3 years’ probation and ordered to perform 200 hours of community service.

 

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 170 convictions for workers’ compensation insurance fraud in California.

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