Fugitive Arrested on Felony Insurance Fraud Charges

On October 16th, 2019, the Special Investigative Unit of RJN Investigations, Inc. was formally notified by the Los Angeles County District Attorney’s Office regarding the arrest and arraignment based upon a documented referral submitted. In this particular case, the claimant worked at a winery and alleged to have suffered an injury to his lower back, neck and thigh. An initial social network level investigation performed by the RJN SIU Department found evidence of the claimant having started his own business at a local indoor swap meet. Utilizing the evidence secured during that investigation, a surveillance was subsequently performed, resulting in securing over 1 ½ hours of video evidence depicting the claimant working at his swap meet booth. During that surveillance, purchases were made by the RJN SIU in order to subsequently prove income. The claimant was not truthful regarding this subsequent employment as well as the physical activities captured on the videotape. As such and in accordance with the regulations set forth by the California Department of Insurance, the case was subsequently filed with their Fraud Division as well as with the Los Angeles County District Attorney’s Office Workers’ Compensation Fraud Unit. Upon completion of the criminal investigation performed by the Los Angeles County District Attorney’s Office, the claimant was formally charged back on March 20th, 2017, with one count in violation of Insurance Code Section 1871.4(a)(2) and one count in violation of Penal Code Section 550(b)(1). The claimant remained a fugitive for well over 2 years until he was recently arrested. After being booked into Los Angeles County Jail, he was released on $30,000.00 bail. His arraignment was held today at the Clara Short Ridge Foltz Criminal Justice Center at which time the claimant entered a not guilty plea.

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 3,000 examiners and the documented referrals by this unit have resulted in over 195 convictions for workers’ compensation insurance fraud in California.


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