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Postal service company worker pleads guilty to work comp fraud

A worker for a California postal service company was recently indicted for workers’ compensation insurance fraud when he was reportedly seen playing in a bowling league. The worker, who allegedly suffered an industrial injury, filed for workers compensation benefits. He claimed that he suffered intense pain that prevented him from lifting anything.

While investigating the claim, adjusters became suspicious and performed further inquiries in the worker’s after work activities. They reviewed social networking sites and found video footage of the worker playing in a bowling tournament. Also, the worker, while in the midst of a deposition, lied about how his pain prevented him from playing the game he loved. In fact, he continued to bowl on a regular basis. The worker also continued to collect workers' comp benefits to a tune of over $12,764.

After discovering this information, the worker’s comp insurer referred the matter to the Los Angeles County district attorney’s office. They reviewed the evidence and decided to charge him with felony insurance fraud and attempted perjury. He eventually pled guilty to felony perjury. He will pay restitution to his employer and the workers’ compensation insurer. He will not face any jail time.

The story is an example of how workers’ continually take advantage of a system set up to provide for people who are genuinely injured. It is also a showing of why it is important to have a skilled workers’ compensation defense attorney available to provide due diligence when adjusting an injured employee’s claim. If your business has additional questions about how  to investigate a potentially fraudulent claim, an experienced lawyer can help.

Source: “Comp claimant caught bowling pleads guilty to defrauding insurer,”  July 16, 2014

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