The Special Investigative Unit of RJN Investigations, Inc. has learned that the Los Angeles County District Attorney’s Office has been successful in the prosecution in the case of People of California v. E. Deoca. The claimant agreed to plead Nolo Contendere to count one as a felony which will result in two years of felony probation. Additionally, according to Deputy District Attorney Hartman, the claimant also agreed to repay the stipulated amount of restitution in the amount of $32,834.89 to the employer. In this case, the claimant worked in a hospital and was subsequently terminated due to a department reduction. Two months after termination, the claimant filed his claim alleging to have sustained injuries five months prior while lifting a paraplegic patient. When deposed, the claimant provided two witnesses who observed the alleged incident that led to his injuries. However, when questioned, both witnesses denied ever witnessing the event the claimant described and stated that the claimant’s comments during deposition were false. Furthermore, records were obtained from the alleged date of injury in which the claimant did in fact seek treatment. However, the records indicate that the claimant sought medical treatment for preexisting gastric symptoms. At no point in the records were there any mentions of pain involving the body parts or injuries the claimant alleged. Based on a review of evidence and documents provided by RJN SIU, and upon completion of the criminal investigation performed by the Los Angeles County District Attorney’s Office, the claimant was formally charged with two felony counts of insurance fraud and a formal arrest warrant was issued. After being arrested (and a long break due to COVID-19 Pandemic) and attending multiple court hearings, the claimant subsequently accepted the provided plea deal presented and changed his plea.
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 4000 examiners and the documented referrals by this unit have resulted in over 222 convictions for workers’ compensation insurance fraud in California. In just the last 4 years we have secured $1,392,947.89 in court ordered restitution on behalf of our valued clients.
Leave a comment!