Tuesday, December 18, 2018


 

Celebrating Over 30 Years (1987 - 2018)

of Superior Service to our Valued Clients

 
   
Press Release

Janitor Claims Toxic Exposure, Receives Criminal Charges Instead

9/5/2018

 

On August 31st, 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, a Janitor, allegedly sustained multiple injuries including exposure to toxic chemicals. There were concerns that the claimant did not sustain any real injuries and filed a false and fraudulent case in order to obtain benefits including a significant settlement.  The claimant was less than forthcoming concerning several prior claims for injuries that involved similar body parts that were also involved on the claimant’s current claims. When questioned by medical doctors, the claimant denied the prior claims and injuries. 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 arrested and formally charged with one count of Insurance Code 1871.4(A)(1). Bail was set at $25,000.00 and the claimant entered a not guilty plea during the arraignment. The claimant is scheduled to reappear on October 2nd, 2018.

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 180 convictions for workers’ compensation insurance fraud in California.

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