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 - May 3, 2012
Wrist Pain Stopped Her From Processing Inmates' Mail or Typing, But She Could Text and Update Facebook (CA) - Kristi Denise Motty has been convicted of workers' compensation fraud for making false statements in connection with two claims in 2007 and 2010. She originally claimed that she hurt her wrist processing too much inmate mail as an office technician at the California Substance Abuse Treatment Facility at Corcoran. While she said that her pain made it impossible to write or type and that her pain was excruciating following any activity, she was able to post nearly 200 updates on her Facebook account and was caught on video texting on her cell phone. Read more
Grandma, Mom and Dad, and Kids Charged With Fraud (CA) - The owners of a construction company, GLR Companies Inc., Gary and Tammy Renshaw, and their daughter Brittney, have been charged with insurance fraud for underreporting their payroll and misclassifying employees in order to fraudulently lower the company's workers' compensation insurance premiums. They have also been charged with tax evasion, and Brittney, her brother Andrew, and their grandmother, Ann Denos, have been charged with falsifying mortgage applications. Read more
Letter Carrier Fraud, Delivering the Mail Goes To the Dogs (NY) - Tracey Raponi, a letter carrier, and her husband, Gale Raponi, have pled guilty to making false statements in order to obtain federal workers' compensation benefits. Tracey admitted that she falsely represented that she was not employed, self-employed, or involved in a business enterprise during a period that she was collecting workers compensation benefits, because she was actually working for Tuff-N-Uff Kennels, a dog breeding, boarding, and training business owned by her husband. Read more
Pasta Alert: The "Noodle" Pleads Not Guilty To Workers' Compensation Fraud (CA) - Raphael Davis, the Los Angeles city firefighter who is alleged to have participated in mixed martial arts fights as "The Noodle" while filing false workers' compensation claims from his firefighting job, has pled not guilty to four felony counts of insurance fraud and has been released from jail on $30,000 bail. Read more
Doctor Indicted For Overbilling Workers' Compensation Insurer (TX) - Dr. Howard T. Douglas, III, M.D., and his company, North Texas Medical Evaluators, have been charged with felony workers' compensation fraud-related charges. North Texas Medical Evaluators provided functional capacity evaluations to injured workers in Texas. The indictments allege that Douglas and North Texas Medical Evaluators overbilled Texas Mutual Insurance Company for the time taken to perform such evaluations. Read more
Amusement Park Owner Admits to Workers' Compensation Fraud and Tax Evasion (CA) -Sharie Davis, a co-owner of Davis Enterprises, a carnival and amusement park business, has pled guilty to workers' compensation fraud and tax evasion. Davis and her husband and co-owner, Thomas, underreported the amount of their company payroll in order to pay smaller premiums to the State Compensation Insurance Fund, and she also failed to pay payroll tax. Read more
Disability Claimant Caught On Video Working While Collecting Benefits (OH) - Adam Long has pled guilty to workers' compensation fraud for working while receiving temporary total disability benefits. Long was working for Keirns Concessions while collecting benefits from an injury with another employer. He was captured on video performing maintenance on the concession trailers, cooking for the company, and working with the customers serving food and collecting money. Read more
Construction Business Owner Charged With Underreporting Payroll to Workers' Compensation Insurance Carrier (CA) - George Osumi II has been indicted on 18 felony counts of misrepresenting facts to the State Compensation Insurance Fund as well as a variety of tax related violations. Osumi is accused of underreporting his payroll by $3.5 million in order to reduce his workers' compensation insurance premiums by $814,000, and of creating companies under the ownership names of family and close friends to avoid tax liability while personally operating his businesses. Read more
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