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 being injured prior to his resignation, nor any indication that he was experiencing any injury symptoms when he was employed, the matter was referred to ICW Group’s Special Investigations Unit

Investigative surveillance began in conjunction with the deposition of the injured worker. While he claimed that he had been unable to work, could not walk well, and had difficulty getting into his vehicle, surveillance footage painted an entirely different picture. Video footage not only showed a seemingly able-bodied person walking without apparent limitation but he was also found to be secretly working at a new job.  

The matter was referred to law enforcement based upon the concern that this injured worker had misrepresented his physical abilities and failed to disclose having a second job while collecting workers comp wage replacement and unemployment benefits.

Criminal charges were filed for insurance fraud, presenting a false claim, and perjury following law enforcement’s investigation. The matter is currently making its way through the criminal justice system. ICW Group will continue cooperating with law enforcement as the criminal case progresses.

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.

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