On September 1st, 2026, the Special Investigative Unit of RJN Investigations, Inc. was notified that the Riverside County District Attorney’s Office was successful in prosecuting the claimant who was found to be working at a construction site while also collecting Temporary Total Disability Payments from the insured. During the course of a subsequent AOE/COE investigation, the claimant denied working anywhere since his date of injury. Based on the statement, combined with the surveillance footage, the case was submitted to both the Riverside County District Attorney and California Department of Insurance Fraud Division. The claimant was arrested, notified of his charges and arraigned. Over the course of several months of hearings, the claimant would accept a plea deal in which he was ordered to pay $10,000.00 “upfront” in court ordered restitution. As part of the plea deal, the claimant was ordered to repay the remaining balance before June of 2027 (amount to be determined at that time.)
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 265 convictions for workers’ compensation insurance fraud in California. In just the last four years, we have secured $2,594,531.00 in court ordered restitution on behalf of our valued clients.
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