On April 29th, 2021, the Special Investigative Unit of RJN Investigations, Inc., was notified by the Orange County District Attorney’s Office regarding the successful prosecution in the case of People of California vs. J. Ridge. In this case, the claimant worked as a police officer with the City of Santa Ana. In October 2017, he was injured in a collision while pursuing a suspect in a stolen vehicle and went out on disability. Based primarily on his subjective complaints to the treating doctor and to the claims examiner, he remained off work, being paid his full salary, for 18 months due to listed restrictions by the doctor. As the claimant did not appear to be getting any better despite all of the medical treatment provided, the City then authorized surveillance and the claimant was found to be “engaged in physical activities well beyond what the doctor had imposed.” The claimant’s deposition was then promptly secured in Orange County. The claimant’s testimony made under the penalty of perjury in the deposition directly contradicted the physical activities captured on the subrosa videotape. Upon completion of the RJN SIU level investigation and in compliance with the California Department of Insurance, the case was formally referred to their Fraud Division as well as with the Orange County District Attorney’s Office. Upon completion of the criminal investigation performed by the Orange County District Attorney’s Office, the claimant was formally charged with four felony counts of insurance fraud. After attending several preliminary hearings, the claimant entered into a plea bargain agreement. As such, he was sentenced to two years formal probation, 180 days in jail and ordered to pay restitution in the amount of $95,870.00 to the City of Santa Ana.
ABOUT R.J.N. SIU:
Formed in 1996, the RJN SIU Division was created to assist California employers, 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 3,750 examiners and the documented referrals by this unit have resulted in over 200 convictions for workers’ compensation insurance fraud in California. In just the last three years, we have secured $797,556.00 in court ordered restitution on behalf of our valued clients.