On November 2nd, 2022, the Special Investigative Unit of RJN Investigations, Inc. was notified of the successful outcome in the case of People of California vs. M. Corcoran. In this particular case, the claimant alleged that while working in the lower playground area pulling carts out of a closet, and while pulling one, she felt a twinge in her upper back. The claimant was subsequently placed off of work. As the claimant did not appear to be getting better despite the medical treatment, the proactive examiner authorized a surveillance level investigation. This surveillance investigation found the claimant to be engaged in significant outside physical activities, showing no signs of hesitation or restrictions. The video evidence was shown to the Primary Treating Physician who subsequently significantly changed his medical opinion and issued a formal supplemental report. Upon receipt of that report and in compliance with the regulations set forth by the California Department of Insurance, the RJN SIU formally filed this case with their Fraud Division as well as with the Los Angeles County District Attorney’s Office Workers’ Compensation Fraud Unit. The case was subsequently accepted by a pre-filing diversion program within the Los Angeles County District Attorney’s Office. During the plea negotiations, the claimant agreed to pay $35,090.00 in restitution back to the school district.
ABOUT R.J.N. SIU:
Formed in 1996, the RJN SIU Division was created to assist California employers, governmental agencies, 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 4,000 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 $1,350,795.00 in court ordered restitution on behalf of our valued clients.
Leave a comment!