Thursday, February 27, 2020

Worst Case Scenario

Today’s “Fraud of the Day” article is sobering because it is an example of a worst case scenario of what happens when a business owner neglects to carry workers’ compensation insurance. The owner of a California construction company that helped fight back the Soberanes...

What’s in Your Toolbox?

California law mandates that all employers must carry workers’ compensation insurance for their employees so that if injured, they can receive adequate medical coverage and pay the bills while recovering. A contractor from Seaside, California who was working on a property located in Carmel,...

Three Strikes, You’re Out

An Oxnard, California woman tried to file multiple workers’ compensation claims for injuries to the same body parts over 13 years. Following the third attempt, she struck out after her employer discovered she was attempting to commit workers’ compensation fraud. The Californian, who worked for...

Putting a Price on Body Parts

The title of this blog sounds a bit gruesome, but I assure you that it is only intended to get your attention about a workers’ compensation fraud scheme carried out in Southern California. (No body parts were bought or sold in today’s fraud case;...

Smile, You’ve Just Been Busted for Fraud

It’s amusing to see the mug shots of people who have been caught in a crime. They are all smiles, like they are proud of their illegal deeds. (They tend to look a little different after their sentence is handed down though.) A former...

Wheels on the Bus

School bus drivers have a lot of responsibility. They are tasked with transporting precious cargo from home to school, as well as to and from other educational and athletic activities. Today, we examine the case of a full-time school bus driver from the Cabrillo...

Taking Advantage of the Worker

A San Diego-based fraud ring cheated the California workers’ compensation system and private insurance companies out of more than $200 million in a massive Workers Compensation fraud effort. Disregarding all oaths of ethics, dozens of doctors, lawyers and medical service providers conspired...

Biding Time

While fraudsters are generally selfish and greedy people, they tend to be very patient when orchestrating a scam. A San Francisco Bay area resident bided his time while secretly working to steal a quarter of a million dollars in an unemployment insurance fraud scheme. (Fortunately, the...

Putting Cash Before Care

Radiologists are medical doctors who diagnose and treat patients using X-rays, computed tomography (CT), magnetic resonance imaging (MRI), ultrasound and other imaging procedures to determine the best course of treatment. (It’s a good way to get a look inside of a patient’s body to see what’s...

Dirty Business

A Simi Valley, Calif., janitor, who supposedly injured his right shoulder while working in a local school system, was put on temporary total disability and began receiving medical treatment and workers’ compensation benefits. While everything appeared to be aboveboard, he was actually committing workers compensation fraud while...
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