Substitute School Teacher Convicted of Insurance Fraud

On March 12th, 2020, 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. C. Storey. In this particular case, the claimant was employed as a substitute teacher for the Alhambra Unified School District and alleged to have sustained an injury to her left shoulder. The claimant alleged that she was walking to her classroom, when two students were walking in the opposite direction. One of the students pushed the other student which caused his backpack to push her into the locker, causing injury to her left shoulder. Subsequently and again during the deposition, she claimed that these two students assaulted her and she filed a police report with the Alhambra Police Department, reporting that the two students intentionally pushed her into a wall. Initially, the claimant also reported the incident occurred between first and second period. She later changed her story to say it took place between third and fourth period. However, CCTV video evidence of the hallways show no incident occurring. Additionally, the claimant told the principal’s secretary on the date of injury that she had hurt the same arm/shoulder earlier in the week when she fell off her horse and the incident at school aggravated that pre-existing injury. That history was not provided to any of the initial or subsequent medical providers. Subpoenaed medical records later confirmed that the claimant injured her left shoulder at home when she fell off a horse. In compliance with the regulations set forth by the California Department of Insurance, the case was then referred by the RJN SIU to the Los Angeles County District Attorney’s Office as well as to the California Department of Insurance Fraud Division. Upon completion of a detailed criminal investigation by the District Attorney’s Office, the claimant was subsequently charged with one felony count in violation of Insurance Code Section 1871.4(a)(1) and misdemeanor count in violation of Penal Code 664-118(a). After attending 18 court appearances at the Los Angeles County Superior Court, the claimant entered into a plea bargain agreement. The claimant pled nolo contendere to 1871.4(a)(1) as part of a plea-bargaining agreement. The claimant’s sentencing/restitution hearing is now scheduled for May 7th, 2020.

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 3,500 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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