Donna Gallagher is a tough cookie. But she has to be tough because she manages the Fraud Investigation Program (FIP) for the …
Workers Comp
February 15, 2014
Trouble is, the sexily attired bicycle rider was a guy! But wait, it gets better … Kelly Strain, a 33-year-old air-conditioning installer, …
November 25, 2013
“TWAPPED BY A TWITTER” It was a rather cool case of working together — and Wanda Lee Ann Podgurski’s twittered taunt of …
May 1, 2013
Jason Dross of Celina, Ohio, was sentenced to nine months behind bars by the Franklin County Court of Common Pleas after an …
January 24, 2013
By Michael Diegel The “Report on Workers’ Compensation Outreach Materials,” a study undertaken by the Coalition Against Insurance Fraud, reveals that there …
January 24, 2013
Peter Caputo of San Francisco has a rather unique resume. Not only was he a body builder in the 1970s, one year …
Joseph Lee Stinson must have liked the extra cash. While he was collecting workers’ compensation temporary total disability payments because of a …
January 13, 2013
California Department of Insurance (DOI) fraud investigators arrested John Charles Haidich of Lafayette and charged him with 69 counts of workers’ compensation …
January 13, 2013
SANTA ANA – Fernando Franco Garcia denied any prior injuries when examined for a recent work-related back problem. Investigators learned he had …
January 7, 2013
There may be no more Home Insurance Company policies being issued, but the fight against fraud continues on cases opened by their …
January 6, 2013
Gilroy, California, is the Garlic Capital of the World … which has absolutely nothing to do with the fact that Gabriela Gomez …
January 6, 2013
Harry J. O’Connor, a claimant in multiple Tiffany Lamp property claims over the past several years (no comment!), tried another type of …
January 5, 2013
There’s no slowing down in the state of Ohio for WC convictions. A Franklin County grand jury has indicted 12 people for …
And we quote (with permission, of course, from Editor Extrordinaire Trevor Jones): Now that the tobacco companies have crumbled in the face …
The recent conviction of Michael Kerr, owner of Kerr Chiropractic Center in Toledo, has proven to be one of the largest provider …
January 3, 2013
By Ira T. Deutsch During the first week of March 1997, my company was exhibiting at the California Self Insurers Association convention …
In Oakland Park (Broward County), owners of West Dixie Enterprises were arrested stemming from an investigation that discovered nearly $10,000 in …
By Dan King Differing needs in claims investigations may cause a dilemma for fraud units. While the insurer generally prefers that all …
January 3, 2013
By Judy Anderson, J. D. I work in an applicant/plaintiff medical clinic. Like many people on this side, we are legitimate. Unfortunately, …
January 2, 2013
The Association of Certified Fraud Examiners recently circulated the 1996 Report to the Nation on Occupational Fraud and Abuse, the largest privately …
December 31, 2012
A jury in federal district court in Miami, Florida, returned a verdict of $2,930,458 in favor of Liberty Mutual Insurance Company. The …
December 30, 2012
A jury in federal district court in Miami, Florida, returned a verdict of $2,930,458 in favor of Liberty Mutual Insurance Company. The …
December 30, 2012
In its fifth year of operation, Fraudnet scored another win in the war against fraud. California’s State Compensation Insurance Fund, the state’s …
December 30, 2012
Unemployment insurance is big business in Canada — $13.5 billion per year to be exact. And the system, according to those in …
December 30, 2012
REPRINT FROM THE INTERNATIONAL ASSIGNMENT ADVICE NEWSLETTER The Association of Certified Fraud Examiners recently circulated the 1996 Report to the Nation on …
December 29, 2012
Maryland authorities announced the arrest of Francis A. Maher of Baltimore for his role in stealing workers’ compensation insurance services worth …
Reform of the workers’ compensation system in seven key states was a 1993 priority of the Alliance of American Insurers, which recently …
December 29, 2012
It worked like this: Wayne Robert Johnson of Dublin, California, bought a disability policy that would make his house payment if he …
December 28, 2012
The scam appears to have started in Oregon in 1984. Randal Melcher began his 11-year journey through workers’ compensation insurance fraud land, …
December 28, 2012
Dear Mr. Bossman: FIRST NOTIFICATION OF LOSS: My husband, Jiggs Monroe, cannot be at work today because of his accident last week. …
December 28, 2012
Once upon a time, a television reporter was given a difficult assignment. His boss wanted video and audio recordings of the …
By Stephen Taylor Some SIU’s have been disappointed when their perjury referrals were turned down for prosecution. The usual reason for the …
December 28, 2012
By John H. Garrison, CPCU Editors note: The following article appears because we believe that understanding the history and concept behind the …
December 28, 2012
Despite a flurry of motions to dismiss and motions to sever the cases of various defendants, as of this date, the trial …
December 28, 2012
The Nevada Attorney General’s Workers’ Compensation Fraud Unit is racking up points for successful prosecutions. An investigation by the unit has …
December 28, 2012
From the onset, Vincent M. Marconi did not have the interests of the California workers’ compensation system as a priority. Marconi, of …
December 28, 2012
Former San Jose California Highway Patrol officer Eric Vincent McCoy, 30, was convicted on two felony charges on June 13 after a …
December 28, 2012
On January 27, 1994, one of the largest workers’ compensation fraud rings in Los Angeles history was cracked with the arrest of …
December 28, 2012
Schaumburg, IL — The Alliance of American Insurers has released the 1995 edition of its definitive Survey of Workers’ Compensation Laws, …
December 26, 2012
A study in New York done by the Fiscal Policy Institute reported that an estimated 15% of payroll had not been reported …
December 26, 2012
© 2008 Barry Zalma, Esq., CFE According to Arizona law, only those benefits received as a result of the fraud must …