On September 19th, 2023, the Special Investigative Unit of RJN Investigations, Inc. was notified that the Los Angeles County District Attorney’s Office has arrested and filed felony insurance fraud charges based upon a documented referral submitted by RJN SIU. In this case, the claimant made material misrepresentations to his treating doctors in contrast to what he was seen capable of doing at the time surveillance of the claimant was secured. After reviewing the video, the doctor altered his medical opinion of the claimant and indicated that the suspect was “manipulating the system.” Upon completion of the RJN SIU level Investigation and in compliance with the California Department of Insurance Fraud Division, the case was then formally referred to both the Commerce CDI Office 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 arrested, and advised as to the charges against him at which time he entered a plea of Not Guilty. His next scheduled criminal hearing is set to occur on 11/06/2023.
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 3,500 examiners and the documented referrals by this unit have resulted in over 230 convictions for workers’ compensation insurance fraud in California. In just the last 4 years, we have secured $1,651,197.00 in court ordered restitution on behalf of our valued clients.
Leave a comment!