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 29, 2010
Former Workers’ Comp Adjuster Pleads Guilty to Fraud (LA) – Edward Paul Verdin, a former claims adjuster for the Louisiana Oilfield Contractors Association, pleaded guilty to fraudulently billing his company for fictitious investigative work and depositing the funds into an account he created. Read more
Fontana Man Arrested for Alleged Workers’ Comp Fraud (CA) – Leobardo Trinidad was charged with eight felony counts of making false or fraudulent statements for compensation and lying about injuries.
Trinidad is alleged to have made false material misrepresentations to his doctors and again at his deposition in regards to his prior injuries, condition of his work limitations, and disability status. Video surveillance also resulted in further incriminating evidence against
Trinidad. Read more
11 Search Warrants Issued in Insurance Fraud Investigation (CA) - Investigators served search warrants at three businesses and eight homes in the Fresno and
Clovis area related to possible auto theft, insurance fraud and workers’ compensation fraud. Read more
Public Safety Board Member Convicted for Workers’ Comp Fraud (NY) – William J. Casey, a member of the Glen Falls Board of Public Safety, was found guilty of making false statements to obtain federal employee’s compensation in relation to a back injury he suffered while working at the U.S. Postal Office. Read more
Warehouse Worker Disqualified From Receiving Benefits (NY) – Wesley Church was found disqualified from receiving future wage replacement benefits due to misrepresentations of the extent of his injury, this after surveillance evidence and the independent medical examiner’s observations indicated there were discrepancies with respect to the severity of Church’s limp and his ability to lift things. Read the article. Read the case.
UPS Worker Pleads Guilty to Staging Armed Robbery for Workers’ Comp Benefits (PA) – Joseph Francis Brooks pleaded guilty for his part in a staged armed robbery to help his cousin Pierre Lamont Taylor make a false workers’ comp claim. Brooks “robbed”
Taylor but shot him in his right leg. Brooks said they got the idea from watching television.
Taylor received a $250,000 lump sum disability payment from Liberty Mutual. Read more
Yonkers Cab Operator Hit With Comp Fraud Charges (NY) – Raphael Delossantos, a Yonkers man working as a livery cab driver, allegedly cheated the New York State Insurance Fund out of more than $9,000 in workers’ compensation benefits while driving for a Yonkers car service. Delossantos received workers’ compensation payments of $150 per week for an injury he sustained as a van driver for the Greystone Foundation. However, investigators said Mr. Delossantos received $9,300 in payments from NYSIF allegedly while employed as a livery cab operator working for Family Car Service in
Yonkers, NY. During this time, he allegedly returned signed documents to NYSIF indicating that he had not returned to any form of work since sustaining his injury. Read more
Physician Indicted for Health Care Fraud (LA) – Windsor Dennis, MD, was charged in a one-count indictment by a Federal Grand Jury for health care fraud. According to the indictment, Dr. Dennis was an orthopaedic surgeon and operated a medical practice in
New Orleans, Louisiana. The indictment charges that Dr. Dennis submitted claims in the amount of $102,053 to the U.S. Department of Labor’s Office of Workers’ Compensation Programs for services he claimed he provided after Hurricane Katrina that Dr. Dennis did not render. Read more
Temp Employment Agency Ordered to Pay $20 Million in Restitution (CA) – Bellflower-based Staffing Services Inc. has been ordered by the Los Angeles County Superior Court to pay $20 million in restitution after a plea bargain was reached Jan. 15 in a workers' compensation insurance fraud case. “Business owners have to realize that they have a moral and legal obligation to report the correct number and types of employees and then make sure they have adequate workers' compensation insurance for those employees," Commissioner Poizner said. Read more