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Special Investigations Unit

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

Constructing the Appearance of Pain

A 50-year-old man claimed to injure his leg when it was struck by a piece of machinery at his workplace. During a medical examination and interview, this worker claimed to...

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...

Investigation Update: Double Dipping Painter Repays $12K

As featured in a previous Fraud Friday story, ICW Group SIU Busts Painter for Double-Dipping Work Comp Fraud, a tip led to ICW Group’s discovery of a California man...

The Truth Lies in the Evidence

Insurance fraud is an intentional crime that involves a lie made to a person or entity with the intent to receive something not rightfully owed to that person. When...

Changing Story Signals Fraud

A 35-year-old California man is charged with five felonies for his botched attempt to defraud his employer through a false workers’ compensation claim. After injuring his knee due to...

Plumber’s Story Has A Lot Of Leaks

A 28-year-old Plumber has now been charged with seven felonies for insurance fraud alleged to have been perpetrated during his workers’ compensation claim.  Claiming to strain his back while pulling...

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...

Tow Truck Driver Pushes It Too Far

A 39-year-old tow truck driver has now been charged with 15 criminal counts related to his workers’ compensation claim. While attending to a disabled vehicle on the side of...

Employer’s Tip Leads to a Criminal Investigation

Workers' comp fraud investigations often start with an informative lead. It might be a tip that an individual is working while collecting disability or that a doctor is billing...

A Less Than Moving Account

A 31-year-old furniture mover was demoted after losing his driver’s license. Upset about the demotion, he decided to claim he injured his shoulder three months earlier and demanded medical treatment. As...