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 - October 20, 2011
Claimant Caught On Video Roofing Before Attending His Workers' Comp Hearing (OH) - Daniel Uribes has been sentenced to jail, with credit for time served, and ordered to pay restitution in a fraud case after investigators from the Ohio Bureau of Workers' Compensation captured video not only showing him working a roofing job while receiving benefits, but also leaving the worksite to attend a hearing on his workers' comp case, and later returning to finish the job. Watch the Video and Read More
Dish Network Employee Forcibly Ran Into Cleaning Cart In Order To Get Pain Meds (OK) - Pamela Gosney has been charged with workers' compensation fraud for injuries to her left knee, left shoulder and left arm that resulted from an alleged work-related accident. Gosney claimed that she fell after becoming entangled in a cleaning cart while entering a restroom, but a security video showed that Gosney injured herself by forcibly running into a cart. She later told investigators she purposefully injured herself so that she could receive pain medication. Read more
Company Altered Workers' Compensation Certificates In Order To Obtain Work Contracts (OH) - Obie Martin, the owner of Obon, Inc., and Michael Collins, the payroll officer for the company, have been found guilty of operating the business without valid workers' compensation insurance coverage. Investigators discovered seven Ohio Bureau of Workers' Compensation certificates that had been altered and used by the business to obtain work contracts. Read more
Postal Worker Guilty Of Mail Fraud and Workers' Compensation Fraud (CA) - Karina S. Beard has pled guilty to four counts of mail fraud and two counts of federal workers' compensation fraud. From October 2006 through January 2009, Beard received federal workers' compensation benefits for an on-the-job injury she sustained in 2000 while working for the Postal Service. Because of her claimed injuries, restrictions were placed on her physical activities. According to her guilty plea, Beard performed various physical tasks using the purportedly injured part of her body, such as horseback riding. Read more
Insurance Agent Charged With Theft Of Premiums From Municipal Government Clients (PA) - Joseph A. Maurer, who owned and operated Commonwealth Professional Group, a former insurance agency, is accused of taking more than $188,000 in premiums paid by four municipal governments that was to be used as payment for workers compensation coverage. Read more
Truck Driver Was Double-Dipping While On Temporary Total Disability (OH) - Marvin Pyle has been sentenced to probation and ordered to make restitution after pleading guilty to a felony count of attempted workers' compensation for working while receiving benefits. Pyle was stopped for a safety inspection while driving a truck for BTB Trucking. An investigation found Pyle had returned to Hamrick Truck Driving School as a full-time student and was employed as a truck driver for GV Trucking & Excavating Inc. and BTB, despite receiving temporary total disability benefits. Read more
Prime Suspect In Disappearance Of Florida Police Cadet Indicted On Insurance Fraud Charges (NY) - David Perry, who is the prime suspect, but not charged, in the disappearance of a Florida police cadet, has been charged with grand larceny and insurance fraud. Perry was indicted on charges that he falsely claimed that he was injured while working as a corrections officer in New York. Read more
Unlicensed Contractors Caught In Sting Without Workers' Compensation Insurance (CA) - A two-day sting operation by the California Contractors State License Board's Statewide Investigative Fraud Team caught 113 unlicensed contractors, including 31 contractors who were operating without the required workers' compensation insurance. Stop orders were issued against the 31 contractors until they obtained insurance. Read more
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