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 have ongoing pain and difficulty standing as a result of his injury. These symptoms allegedly lasted months after his having surgery on the injured leg. Concerned over the possibility that the claimed limitations were being exaggerated, ICW Group conducted multiple rounds of investigative surveillance to get an unbiased depiction of this worker’s true condition. 

What was discovered was an able-bodied individual working construction, despite his claims of being unable to work in any capacity. This matter has been referred to law enforcement for prosecution consideration. This worker may soon need to account for the house of cards built upon a faulty foundation of mistruths and deceptions. ICW Group’s Special Investigations Unit will continue to cooperate with law enforcement as this matter progresses through the criminal justice system.

Christopher Dill
Christopher Dill
Christopher Dill is the Special Investigations Unit Director at ICW Group Insurance Company. A Fraud Claims Law Specialist designee, he was a recipient of the National Health Care Anti-Fraud Association’s Investigation of the Year Award for his significant contribution to the successful resolution of “Operation Back Lash” – one of the largest workers’ compensation health care bribery schemes ever uncovered in San Diego County. Christopher has participated in over 30 criminal cases surrounding medical and legal providers attempting to defraud the Workers’ Compensation system. Christopher’s approach to insurance fraud investigations is a holistic one. From preventative education campaigns, to data analytics, to time tested investigative, and intelligence gathering techniques, it is Christopher’s belief that a multi-faceted approach to insurance fraud is necessary to a successful defense.

Related Articles

Surveillance Camera Footage Used to Bust a Robbery Scheme Wide Open

A delivery driver claimed psychological injuries after his truck was robbed by armed assailants. It wasn’t until video surveillance from inside the truck was received that the truth was...

Repairman Exaggerates Work Comp Claim, Fraud is Revealed

A 47-year-old repairman sustained a head injury when a hammer fell on him. He didn’t seek medical treatment for more than a week and filed a workers' comp claim for...

Plumber’s Prolonged Injuries Suggest Leaks in His Story

A 40-year-old man alleged multiple injuries arising from his job as a plumber while lifting heavy machinery. He underwent hernia surgery and later felt pain in his lower back that...