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 body parts. The claimed injuries were supposedly severe enough to limit his ability to take care of himself, let alone work in a similar capacity.  

ICW Group’s Claims Department recognized various red flags surrounding the gentleman’s claim. Notably, he made no prior report of any injuries until after working for the company. It was also known that this full-time meat cutter was a part-time trainer and participated in bodybuilding competitions. Coworkers reported no prior indication that he had sustained any injury. Quite to the contrary, he seemed to be rather physically fit. 

Fraud Investigation Reveals the Truth

ICW Group’s investigation revealed a history of past insurance claims, proof of his participation in bodybuilding events, and surveillance footage contradicting his claims of a physical disability.   

During the deposition and his medical exam, the gentleman failed to fully and accurately describe both his injury history as well as his true physical limitations.  

ICW Group’s Special Investigations Unit compiled the available evidence, referring the matter to law enforcement for investigation consideration. Upon completing their investigation, prosecutors believe that insurance fraud may have been committed. This gentleman is presumed innocent until proven guilty. ICW Group will continue to cooperate with law enforcement as this matter proceeds 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

Retail Gift Card Scam Alert

Gift cards are a quick and easy way to give the recipient the freedom to pick out something nice for themselves. According to Statista, nearly 50 percent of U.S....

Your Employee is Involved in a Fraud Scheme, Now What?

We've talked about what not to do as an employer to help prevent the likelihood that a professional fraudster will target and hook one of your employees into committing...

What Fraudsters do not Want Employers to Know

Members of fraud syndicates understand that committing insurance fraud, such as creating false work comp claims, is far less dangerous than running guns and drugs or robbing banks. Often,...

Sign up for the Work Comp Connect newsletter

Subscribe today and get work comp insights from ICW Group in your inbox.

Sign up for the newsletter