Workers' Compensation

Workers' Comp Fraud Blotter (1/17/2013) – Injured Worker Who Could Bench Press 500 Pounds Could Not Lift 10 Pounds At Work

Each week we'll be surveying what the media, state agencies, insurance companies, and others report in terms of workers' comp fraud. Just like a police blotter, our workers' comp fraud blotter lists recent arrests, charges, convictions and investigations.


Workers' Comp Fraud Blotter - January 17, 2013

Injured Worker Was Able To Bench Press 500 Pounds, But He Could Not Lift 10 Pounds At Work (OH) - Jason Dross has pled guilty to workers' compensation fraud after investigators captured undercover video contradicting his claim that he couldn't lift more than 10 pounds, which had prevented him from finding employment. As a result of an allegation that Dross was engaged in heavy weightlifting at the Celina YMCA, investigators conducted numerous undercover operations inside the YMCA and obtained the video of Dross bench pressing more than 500 pounds consistently over a period of one month.   Read more

Taxi Driver Accused of Double-Dipping (NY) - Brandon B. Johnson has been arrested on charges of felony larceny and workers' compensation fraud. Johnson allegedly collected workers' compensation benefits while failing to disclose that he was working for Brant Lake Taxi.   Read more

Business Owner Altered Coverage Certificate To Create Impression of Coverage (OH) - Eric Renzhofer, dba ARS Construction Inc., has been found guilty of workers' compensation fraud for altering his coverage certificate. While conducting an audit on an unrelated case, an auditor noticed the policy number listed did not match ARS Construction, Inc. An investigation revealed that Renzhofer altered a certificate belonging to another business to make it appear that his business had active coverage. Renzhofer confessed to altering the certificate and cooperated by providing business records to determine the premiums he owed.   Read more

Bookkeeper To Plead Guilty To Stealing and Forging Workers' Compensation Checks (LA) - The federal public defender for Cynthia D. Windham says that she plans to plead guilty to bank fraud. Windham, while she was the bookkeeper and office manager for Strategic Case Management LLC, stole 190 checks, worth over $215,000, that were payable to her employer or to workers' compensation claimants. She altered some of the checks and forged the endorsements in the other checks and then deposited them in her personal banking account   Read more

Doctor Shopping For Prescriptions Leads To Suspension of Driver's License (OH) - Eugene Vaughn has been found guilty of deception to obtain a dangerous drug after he was discovered doctor shopping. A pharmacy found that Vaughn was receiving prescriptions from multiple insurers, including the Bureau of Workers' Compensation. Vaughn obtained narcotics from different doctors during the same prescription cycle, including workers' compensation prescription drugs. Vaughn also used multiple pharmacies to fill these prescriptions. Vaughn was sentenced to probation, drug screening, drug treatment, and his driver's license was suspended for six months with work privileges.   Read more

Workers' Compensation Claimant Arrested for Fraud (NY) - Brittany M. Evens has been charged with felony perjury and workers' compensation fraud for allegedly failing to accurately report her physical condition to the state insurance fund.   Read more

Claimant Double-Dipped With Multiple Employers (OH) - Victor Figueroa has pled guilty to workers' compensation fraud for working while receiving benefits. Figueroa was earning wages from multiple employers during periods he was collecting temporary total disability benefits, including work for Fairfield Insulation and Qualiteck, Inc. while collecting these benefits.   Read more

Gardener Caught On Video Working While Receiving Workers' Compensation Benefits (CA) - Jose Cortez has been charged with workers' compensation fraud and perjury for misrepresenting his physical condition. Cortez was injured when a large tree branch fell on him while he was working as a gardener for L. Barrios & Associates Landscaping. Several months later, while receiving worker's compensation benefits, Cortez was caught six different times during video surveillance performing his normal duties as a gardener with no obvious signs of pain or discomfort.   Read more

Double-Dipping Leads To Probation and Restitution (OH) - Danny Albert has pled guilty to workers' compensation fraud for working while receiving benefits. Albert was employed with Southeast Mental Health as a Resident Specialist and with Stevens Building Services while receiving living maintenance and temporary total benefits. Albert was sentenced to 180 days in jail, suspended for 12 months of community control, and ordered to pay $7,051.75 in restitution.   Read more

Employer Ordered To Pay Restitution To Insurer For Underreporting Payroll (TX) - Everest Contract Services, LLC has pled guilty to workers' compensation fraud-related charges and has been ordered to pay $35,000 in restitution to its insurer, Texas Mutual Insurance Company. Everest Contract Services misrepresented the number of employees and payroll associated with a related company, Premrock Commercial Drywall Ltd. Co., which had obtained workers' compensation coverage through Texas Mutual.   Read more

Operating Three Businesses After Injury To Neck and Back Leads To Arrest (WA) - Doyle Ronald Wheeler has been charged with first degree felony theft for illegally collecting workers' compensation benefits. Wheeler claimed that he was unable to work after a slow-moving pickup truck backed into him at his workplace, Toby's Body and Fender. A videotape of the accident showed Wheeler exhibiting no indication of injury after contact with the vehicle. Wheeler collected $113,271 in workers' compensation benefits from 2008 to 2011 while he was operating his own businesses - The Pensmith, Ammo Head Design and Ammo Head Hydrographics.   Read more

Chef Cooks and Caters While On Disability (OH) - Sheldon Greene has pled guilty to workers' compensation fraud for working while receiving benefits. Greene was working at Michael's Dining and Jazz restaurant as a chef and was operating his own catering company, Liberty City BBQ, while receiving disability benefits.   Read more

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