The Tale of a False COVID-19 Test

An employee decided that work got in the way of taking the weekend off to attend a football game with his girlfriend. Together they concocted a scheme to create a fraudulent positive COVID-19 test and claim that his exposure was work-related to get some paid time off. Because of the alleged workplace exposure, the employer had to shut down an entire week of field operations, send employees home, get everyone tested, and was left to deal with the fallout.

The employer suspected something amiss and reported the suspicions to the company’s workers’ compensation insurance carrier, ICW Group. The Claims Examiner referred the matter to the Special Investigation Unit (SIU) to find out what was happening. Working with the employer and witnesses, SIU verified that the test was fraudulent after contacting the medical facility that provided the test, refuting the workplace exposure.

The matter was referred to the California Department of Insurance and the District Attorney’s office, which resulted in the arrest of the employee and his girlfriend at a total weekend game cost of four felonies and potential restitution.

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...