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Special Investigations Unit

Tools for understanding Special Investigations Units and their role in fighting work comp fraud

The Tale of a False COVID-19 Test

An employee decided that work got in the way of taking the weekend off to attend a football game with his girlfriend. Together they concocted a scheme to create...

Don’t Wrestle with the Law

In 2019, an HVAC installer alleged a fractured finger from tightening a valve at work, which he initially reported to his employer that same day. A few hours later, he...

California Caregiver Charged for Inflating Injury Claim

A 57-year-old California woman working as a caregiver broke her ankle as a result of a fall at a client’s home. The woman was provided with medical treatment, ultimately...

The Buck Stops Ear

Witness statements often play a key role in claim investigations and are equally as important to a criminal investigation, if not more so. In the case of a Sacramento-based landscaper,...

Investigation Update: Plumber Scam Results in $104,000 Restitution

Following up on a work comp fraud case we featured in an article last year, a 28-year-old San Diego plumber pled guilty to felony insurance fraud charges surrounding his...

ICW Group Speaks at 2022 Anti-Fraud Alliance Conference

Staying consistent with ICW Group's Special Investigations Unit's aggressive stance on fraud and innovative fraud deterrent methods, I recently presented at the 2022 Anti-Fraud Alliance (AFA) Conference in Monterey,...

Surveillance Reveals Machine Operator’s Scheme

A 37-year-old machine operator claimed to have sustained injuries to multiple body parts while working for one of ICW Group's customers in Southern California. Based upon no report of...

Meat Cutter’s Story Simply Doesn’t Cut It

A 29-year-old Los Angeles man is charged with multiple felonies related to his workers’ compensation claim.   A meat cutter by trade, this individual alleged to have sustained injuries across multiple...

Florida Truck Driver Charged with Two Felonies

One year after being terminated from his job with an ICW Group policyholder, a Florida truck driver filed a workers' compensation claim for an alleged hernia he sustained two...

Detailer’s Deceptive Scheme Derailed

A 39-year-old auto detailer claimed to injure his back after a coworker backed a car into him. Coworkers reported seeing no sign of impact, nor him falling to the...