Injured Worker Gets Help from a Friend…and a Bat

A Florida Truck Driver who was injured on the job made a few unfortunate decisions when she decided she wasn’t ready to go back to work and wanted to make a little extra money. She asked a friend to hit her with a baseball bat! Her friend complied, but not to the satisfaction of the truck driver. The injured worker grabbed the bat and took a few extra swings at herself for good measure.

Following the whacking, the injured truck driver visited her doctor to show her injuries were not improving. Unfortunately for the truck driver, at the same time, her friend felt regretful and called the ICW Group claims examiner to confess. Claims and ICW Group’s Special Investigations Unit worked together to build a case and referred the truck driver to the Florida Department of Insurance for criminal investigation.

Misrepresentation can be insurance fraud

Making a material misrepresentation or omitting a material fact is a key element of insurance fraud. When the truck driver omitted that she caused herself harm while trying to obtain continued workers’ compensation medical care and financial benefits, she opened herself up to potential charges.

For more information on identifying and preventing fraud, visit ICW Group’s fraud-fighting articles and insights.

Teena Barton
Teena Barton
Teena is a Major Case Investigator with expertise in capping and organized crimes in healthcare fraud, collaborating with Insiders, and specializing in victimology. She was featured in a nationally covered story by Reveal News and NPR radio called “Billion Dollar Scam.” She is a national speaker and collaborates with an attorney convicted of selling clients to surgeons and who had a role in creating one of the most prolific organized capping schemes in US history to help inform the public. Teena is a former Police Officer/Criminal Investigator and a military veteran, having served during the Persian Gulf War, in Desert Storm/Desert Shield for the US Air Force. She is a Cum Laude graduate of Texas Christian University.

Related Articles

ICW Group’s Anti-Fraud Team is Top of Its Field

ICW Group remains at the forefront of industry trends, scams, and exposures within the insurance community. Our entire Special Investigations Unit (SIU) staff are members of multiple anti-fraud trade associations,...

Watch for These Common Scams

Did you know the first recorded scam dates back to 300 B.C.? That’s right. Over 2,000 years ago! It's believed that Hegestratos, a Greek sea merchant, purchased an insurance policy on...

Fast Food Employee’s Work Comp Claim Doesn’t Stack Up

This case involves a fast-food employee who reported a slab of ice fell on her right arm. She was taken off work and treated for many months, yet continued...