The Special Investigative Unit of RJN Investigations, Inc. was notified of the successful prosecution in the case of People of California v J. Camper as to felony workers’ compensation fraud in violation of Insurance Code section 1871.4(a). The claimant was sentenced to 200 hours of community services and ordered to pay restitution in the amount of $8,718.63 to the employer. In this particular case, the claimant worked as a Retail Store Associate for a nonprofit organization and upon termination from the insured, threw himself to the ground alleging to have sustained injuries to his neck, right shoulder and right ankle. A surveillance investigation was initiated, and video footage was obtained of the claimant inconsistently utilizing “Kids Crutches” on the date of deposition and not using them while attending law school and running errands in the afternoon. Furthermore, a CSI Investigation found the claimant to be highly active attending various protesting events showing no signs of hesitation in contrast to what he testified to during his deposition. The surveillance video was subsequently released to his treating doctors, and upon review, not only did the claimant file a petition to dismiss his claim, but his doctors made favorable comments calling into question the likelihood of the actual injuries. Upon completion of the RJN SIU level Investigation and in compliance with the California Department of Insurance, the case was then formally referred to the Commerce Fraud Division as well as to the Los Angeles County District Attorney’s Office. Upon completion of the criminal investigation performed by the Los Angeles County District Attorney’s Office, the claimant was formally charged with one felony count of insurance fraud. After attending 5 hearings, the claimant accepted a plea deal. As part of his plea deal, the claimant has until November of 2023 to complete Community Service and repay restitution. Upon the successful completion of the community service and full payment of the restitution the felony charges will be downgraded to misdemeanor & probation.
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 4000 examiners and the documented referrals by this unit have resulted in over 215 convictions for workers’ compensation insurance fraud in California. In just the last 4 years we have secured $1,359,513.00 in court ordered restitution on behalf of our valued clients.