Workers' Comp Fraud Blotter – August 7, 2014
Mechanic Will Repay $54,000 Of Unlawful Workers’ Compensation Benefits (OH) – Craig Vance has been ordered to repay $54,030 in workers’ compensation benefits that he received while he was secretly working out of his house. Investigators received a tip and were able to confirm, through bank records and interviews with customers, that Vance was operating his own auto mechanic shop from his residence while receiving those benefits. Read more
Oregon Sweep Finds More Than Ten Percent Of Construction Sites Have Unlicensed Contractors (OR) – The Oregon Construction Contractors Board conducted a sweep of 279 job sites in Southern Oregon and found 34 violations for unlicensed contractors or failure to maintain workers’ compensation insurance. In addition, in a recent sweep, Iwall Concepts LLC was fined $1,000 for failing to maintain workers’ compensation insurance. Read more
Claimant Lied About Living With His Wife and Being In Jail So He Could Get Workers’ Compensation Benefits (PA) – Robert Fowler has been charged with workers' compensation fraud involving $24,934.68 of benefits that he was not entitled to receive. He intends to plead guilty to a plea agreement at his arraignment. Fowler sustained an on-the-job injury at the Defense Industrial Plant Equipment Center and began receiving federal workers' compensation benefits. But Fowler lied on claim forms when he stated that he had not incarcerated for a felony and was residing with his wife. In fact, Fowler had served time in the county jail for almost a year and had not resided with his wife for over three years. Read more
New Fraud Alerting Tool Used To Identify Possible Non-Complying Employers (NC) – A new fraud alerting tool recently installed by the North Carolina Industrial Commission has led to criminal charges being filed against North Carolina employers who may have failed to maintain workers’ compensation insurance. The Noncompliant Employer Targeting System (NETS) uses data from various state agencies and produces a list of potentially noncompliant employers ranked in terms of priority. NETS was used to identify five employers who allegedly failed to maintain workers’ compensation insurance. Those charged are: Andrew Joseph Kane, William Edwyn Price, Jr., Ben Wade Armfield, David Rash Thomas, Jr., and Paul Brian Talley. Price, though, has produced a certificate of insurance that shows that his insurance is current, and his insurance agent has provided that certificate to the Industrial Commission. Read more
HVAC Technician Repaired Hotel Heating and AC Units While Receiving Benefits (OH) – Patrick Woods has pled guilty to felony workers’ compensation fraud for double-dipping. Bank records and business interviews were used to prove that Woods was working as a self-employed HVAC technician, operating his own heating, ventilation and air conditioning company, and repairing heating and cooling units in hotels while receiving workers’ compensation benefits. Read more
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.
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