Workers’ Comp. Fraud

Workers’ Comp. Fraud

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WORKES COMPENSATION CAN BE A LIFE LINE FOR PEOPLE INJURED ON >>>WORKERS’ COMPENSATION CAN BE A LIFELINE FOR PEOPLE INJURED ON THE JOB. IT CAN KEEP YOU AFLOAT FINANCIALLY UNTIL IF AND WHEN YOU’RE READY TO WORK AGAIN. BUT BILLIONS OF COMPANIES OR DOLLARS ARE BEING PAID OUT IN BOGUS CLAIMS AND SOME COMPANIES SAY ENOUGH IS ENOUGH HERE. TONIGHT WE’LL TAKE YOU INSIDE ONE COMPANY THAT IS FIGHTING BACK AND SEEING RESULTS.>>REPORTER: DOES IT GUY LOOK LIKE HE SUFFERS WITH A BAD BACK? WATCH AS HE HELPED LOAD THIS TRUCK WITH HEAVY FURNITURE. HE MAKES SEVERAL TRIPS UP THE RAMP, AT ONE POINT LUGGING A REFRIGERATOR. HE APPARENTLY WANTS YOU TO THINK HIS BACK IS SO BAD, HE CAN’T WORK AT ALL.>>HE IS CLAIMING RECENTLY HE CANNOT BEND, STOOP, SQUAT, LIFT ANYTHING HEAVY.>>AND YOU’RE SEEING ALL OF THAT RIGHT THERE.>>REPORTER: UNTIL A YEAR AGO, JULIO WORKED AT GUESS JEANS IN MAINTENANCE BUT CLAIMS A BACK INJURY LEFT HIM WITH PAINS SO SEVERE AND CONSTANT, HE CAN BARELY STAND.>>THIS FAR OUTWEIGHS ANY WORK HE WAS DOING AT GUESS JEANS.>>REPORTER: AND THIS MAN WHO IS CURRENTLY UNDER INVESTIGATION ALSO WORKS FOR GUESS HE CLAIMS TO SUFFER WITH A BAD RIGHT SHOULDER. THE SAME SHOULDER YOU SEE HIM USE TO JACK THIS UP CAR.>>EVERY CLAIM I’VE BEEN ASSIGNED TO THUS FAR BY GUESS I HAVE PICTURES LIKE THIS.>>PERHAPS THESE TWO WORKERS HAD NO IDEA GUESS WOULD FIGHT BACK WHEN THEY APPLIED FOR LONG-TERM DISABILITY. BUT WITH THOUSANDS AT STAKE, GUESS CALLED IN A PRIVATE INVESTIGATOR WHO EXPOSES PEOPLE SUSPECTED OF CHEATING THE SYSTEM.>>WE’RE SENDING A MESSAGE, A STRONG ONE.>>REPORTER: KEVIN HEADS UP THE SAFETY PROGRAM FOR GUESS JEANS. FACT IS, THEY BELIEVE SO STRONGLY ABOUT THEIR SAFETY RECORD AND TOUGH POLICY ON FRAUD, THEY OPENED THEIR NEW L.A. MANUFACTURING PLANT TO OUR TELEVISION CAMERAS FOR THE VERY FIRST TIME. GUESS EMPLOYS ABOUT 1,000 WORKERS HERE. THEY SAY IN SIX YEARS, THEY HAVE REDUCED THE WORKERS’ COMP. CLAIMS FROM 250 TO 33.>>IN 1991 AND 1992, WE SPENT ABOUT $1. THE MILLION ON WORKER’S COMP. WE HAVE REDUCED IT DOWN TO 200,000. IF YOU’RE GOING TO EXAGGERATE YOUR INJURY OR FILE A FRAUDULENT WORKERS’ COMP. CLAIM, WE’LL GET YOU.>>REPORTER: JULIO WAS FIRED FROM GUESS LAST FALL AND SINCE FILED A CLAIM. WE ASKED HIM ABOUT HIS BAD BACK.>>THEY SAY YOU’RE READY, GO TO REGULAR WORK. WHY? MY BACK TOO MUCH PAIN.>>REPORTER: I CONTACTED JULIO’S ATTORNEY WHO HAS NOT YET SEEN THE VIDEOTAPE AND HAD NO COMMENT. GUESS, THOUGH, SAYS IT WILL PROSECUTE ANYONE SUSPECTED OF INSURANCE FRAUD. IF YOU KNOW SOMEONE WHO YOU SUSPECT IS CHEATING THE SYSTEM BECAUSE, REMEMBER, AS A TAXPAYER, Y, TOO FOOT THE BILL, CALL THE INSURANCE FRAUD HOTLINE TOLL-FREE:>>>BODY SLAMMER, LUGGAGE LUGGER FOOTBALL HERO. WANT TKNOW WHY YOU PAY MORE FOR INSURANCE? YOU COULD BLAME THESE GUYS WATCH WHAT HAPPENS WHEN “EXTRA” GOES AFTER SUSPECTED■ WORKERS’COMP CHEATS. DAVID JACKSON WITH “EXTRA’S” “VIDEO OF THE DAY.”>>Reporter: FIREFIGHTER IN THE SURF. A WRESTLER IN A BODY SLAM. ANOTHER CAMERA CATCHES A GOLFER NEVER REALIZING HE’S BEING WATCHED. WHY ARE THEY UNDER SURVEILLANCE? IT’S BECAUSE EACH ONE CLAIMS THEY CANNOT WORK BECAUSE OF ON THE JOB INJURIES. AND ALL WERE COLLECTING WORKERS’ COMPENSATION BENEFITS. FRAUD IS A BIG PROBLEM. EXPERTS SAY ONE IN TEN WORKERS COMPENSATION CLAIMS IS FALSE. MEET GARY. HE’S COACHING A FOOTBALL TEAM, TACKLING A PLAYER, RUNNING FOR A PASS. MOVING WITH EASE. THIS TRUCK DRIVER CLAIMS HE CAN’T WORK. HE CAN BARELY WALK BECAUSE OF BACK AND NECK PAIN FROM A JOB-RELATED INJURY. FOR ALMOST THREE MONTHS HE HAS COLLECTED $400 A WEEK IN PAYMENTS, TAX FREE.>>WE CONDUCTED SURVEILLANCE DAY AFTER DAY. DURING A TIME WHERE HE WAS TELLING THE DOCTORS THAT HE’S SUFFERING FROM SEVERE NECK PAIN, BACK PAIN. WE FIND THIS GUY PLAYING TACKLE FOOTBALL.>>Reporter: THEY FOLLOWED THE MAN. FOR THE INSURANCE COMPANY PAYING THE CLAIM. HE COULDN’T BELIEVE HIS EYES WHEN HE SECRETLY VIDEOTAPED THE ALLEGEDLY INJURED MAN MOVING WITH SUCH EASE. THIS INJURY SPECIALIST WAS ALSO SURPRISED BY THE VIDEOTAPE.>>YOU ALMOST FEEL LIKE YOU HAVE BEEN DUPED TO HAVE SOMEBODY WHO ACTS ONE DAY IN THE EXAM AND SPEAKS WELL AND ON THIS TAPE YOU SEE SOMETHING SO DIFFERENT.>>Reporter: HE REPORTED HE WAS IN SEVERE PAIN. AFTER AN EXAMINATION, THE DOCTORS BELIEVED HIM. THEY WERE SHOCKED AND IN A WAY THANKFUL.>>WE WOULD NEVER HAVE SEEN THIS HAD SOMEBODY NOT PROVIDED THIS TO US. WE WOULD HAVE SEEN THIS — THIS COULD HAVE GONE ON LONGER.>>Reporter: THE D.A.’S OFFICE PUT A STOP TO THAT. THEY DECIDED TO ARREST HIM FOR FRAUD. “EXTRA” HAS OBTAINED FOOTAGE AS INVESTIGATORS SWOOP IN EARLY IN THE MORNING. THEY APPROACH HIS HOME. THEY ASK HIM TO STEP OUTSIDE. THEN THEY HANDCUFF HIM RIGHT IN FRONT OF HIS NEIGHBORS AND HALL HIM AWAY. ACCORDING TO COURT DOCUMENTS OBTAINED BY “EXTRA,” HE IS CHARD WITH TWO COUNTS OF INSURANCE FRAUD AND IS FREE ON $5,000 BAIL AWAITING TRIAL. WE WANTED ANSWERS. I WENT TO HIS HOME. NOT SURPRISINGLY, HE WOULD NOT GET OUT OF HIS CAR. HE CMMED UP, WOULDN’T COMMENT AT ALL. ALL HE DID WAS HAND ME HIS LAWYER’S BUSINESS CARD. ANY CHANCE OF A QUICK WORD OR TWO?>>I CAN’T TALK TO YOU.>>Reporter: YOU HAVE BEEN TOLD NOT TO?>>THAT’S RIGHT.>>Reporter: HIS LAWYER ARE NO COMMENT. THE STAKES ARE VERY HIGH. INSURANCE FRAUD IS A FELONY. THE DISTRICT ATTORNEY TOLD US –>>SOMEONE WHO CHEATS IN WORKERS’ COMPENSATION FRAUD CAN FACE FIVE YEARS IN STATE PRISON.>>Reporter: IF YOU ARE THINKING OF DEFRAUDING THE SYSTEM, BE WARNED. CAMERAS, COPS AND PRIVATE INVESTIGATORS ARE WATCHING, WAITING AND LOOKING FOR YOU.>>HE IS BEING ARRAIGNED THIS FRIDAY THE 1h ON TWO COUNTS OF INSURANCEOOD GOOD AND THE DRINKS CHEAP? WHAT’S IN IT.>>ALL RIGHT. THANKS A LOT, FRED. MOST US THINK OF FIREFIGHTERS AS HEROES. PEOPLE WHO RISK THEIR LIVES TO SAVE OTHERS. BUT THIS STORY IS ABOUT A FIREFIGHTER SOME ACCUSED OF TRYING TO CHEAT TAXPAYERS OUT OF HUNDREDS OF THOUSANDS OF DOLLARS. IT’S A CASE OF WORKMEN’S COMP. AND A PRIVATE EYE WHO TAILED THAT FIREFIGHTER FOR WEEKS ALL THE WAY TO HAWAII TO GET THE EVIDENCE HE NEEDED. DOES THIS GUY LOOK LIKE HE SUFFERS WITH A BAD BACK?? WATCH AS HE PICKS UP THREE SUITCASES! LATER HE LIFTS HIS DAUGHTER OVER HIS HEAD. THEN PLAYS ROUGHLY AT THE BEACH. 33-YEAR-OLD DANNI FARNEY A 12-YEAR VETERAN WITH THE OCEANSIDE FIRE DEPARTMENT APPARENTLY WANTS YOU TO BELIEVE HIS BACK INJURY IS SO DEBILITATING HE CAN’T EVEN WORK A DESK JOB.>>RUNNING IN DEEP SAND. THIS IS NOT A MOVE YOU DO ON PURPOSE HOLDING YOUR ARMS UP. FUR BACK HAS BEEN HURTING.>>REPORTER: PERHAPS FARNEY HAD NO IDEA THE CITY WOULD FIGHT BACK WHEN’ PLIED FOR A PERMANENT DISABILITY. BUT WITH SO MUCH MONEY AT STAKE, 50 PERCENT OF HIS SALARY FOR LIFE OR ROUGHLY 6 TO 7 HUNDRED THOUSAND DOLLARS, THE CITY TURNED TO TED KEARNER. HIS SPECIALTY, INSURANCE FRAUD. HE FOLLOWED FARNEY TO HAWAII, VIDEOTAPING HIS EVERY MOVE, GETTING CLOSE ENOUGH TO EVEN OVERHEAR A STARTLING ADMISSION.>>HE SAID TO A WHOLE TABLEFUL OF PEOPLE, I GUESS WHEN WE GET BACK HERE IT WILL BE TIME FOR ME TO START HAVING BACK PAIN AGAIN.>>REPORTER: AFTER HEARING THAT AND SEEING THESE PICTURES, THE CITY OF OCEANSIDE FIRED DANIEL FARNEY IN SEPTEMBER. RIGHT NOW, HE IS APPEALING THAT DECISION.>>THE MAN IS A THIRD YEAR LAW STUDENT. HE KNOWS HE IS COMMITTING A CRIME BY EXAGGERATING A CLAIM OF DISABILITY AGAINST HIS EMPLOYER. THAT’S A FELONY IN CALIFORNIA.>>KEARNER SAYS HE EXPOSES PEOPLE WHO CHEAT THE SYSTEM BUT FOR EVERYONE HE CATCHES, THOUSANDS SLIP THROUGH THE CRACKS. IN THIS CASE, A FRIEND HEARD DANIEL FARNEY BRAGGING AND TIPPED KEARNER TO THE CASE THAT TIPSTER TALKED TO CHANNEL 4 BUT WANTS TO REMAIN ANONYMOUS.>>RIGHT NOW HE IS GOING TO SCHOOL TO BE AN ATTORNEY. AND I THINK THAT IS HIS GOAL. IS TO BECOME ONE. AND, UHM… MAYBE GET IT FINANCED THROUGH WORKMANS COMP.>>WE CONTACTED FARNEY’S ATTORNEY WHO HAD NO COMMENT ABOUT THE VIDEOTAPE OR ANYTHING ELSE REVOLVING AROUND THIS CASE. THE STATE IS NOW INVESTIGATING POSSIBLE CRIMINAL CHARGES FOR INSURANCE FRAUD. IF YOU KNOW SOMEONE WHO YOU BELIEVE IS CHEATING THE SYSTEM BECAUSE, REMEMBER, AS A TAXPAYER, YOU FOOT THE BILL…, CALL THIS INSURANCE FRAUD HOTLINE TOLL-FREE:ZMAN. A FORMER OCEANSIDE FIREFIGHTER ACCUSED OF FAKING A BACK INJURY TO COLLECT WORKERS COMPENSATION SAYS HE’S NOT GUILTY. DANIEL FARNEY ENTERED THE PLEA TODAY TO FELONY CHARGES OF INSURANCE FRAUD AND PERJURY. IF CONVICTED.. HE FACES UP TO FIVE YEARS IN PRISON. FARNEY WAS ARRESTED LAST WEEK.. AFTER HE WAS QUESTIONED ABOUT A VIDEOTAPE TAKEN DURING A VACATION IN HAWAII LAST MAY. THE TAPE SHOWS FARNELIFTING HEAVY LUGGAGE, SWIMMING AND CARRYING HIS DAUGHTER. HE HAD TOLD THE DEPARTMENT HE INJURED HIS BACK ON THE JOB..AND HE COULDN’T DO EVEN LIGHT DUTY. THE PRIVATE INVESTIGATOR WHO SHOT THE TAPE.. SAYS PEOPLE LIKE FARNEY COSTAXPAYERS BILLIONS OF DOLLARS EACH YEAR. THE CITY OF OCEANSIDE FIRED FARNEY IN SEPTEMBER.. AFTER SEEING THE VIDEOTAPE. TODAY.. FARNEY’S LAWYER SAYS MAKE A FULL RECOVERY.>>>THIS NEXT STORY IS LIKELY TO MAKE EVERY HARD-WORKING, HONEST EMPLOYEE MAD. IT’S ABOUT PEOPLE CAUGHT ON TAPE, TRYING TO BEAT THE SYSTEM, AND CHEAT THEIR BOSSES OUT OF GOOD MONEY. WHY SHOULD YOU CARE? BECAUSE, AS PHIL SHUMAN DISCOVERED, YOU WIND UP PAYING THEIR BILLS.>>HE SURE LOOKS LIKE HE’S VING A GOOD TIME.>>Reporter: EDWARD MENDEZ AT THE CARNIVAL. RIDING THE HURRICANE, THE OCTOPUS. HARD TO BELIEVE HE’S IN SUCH SEVERE PAIN THAT HE CAN NO LONGER WORK, BUT THAT’S WHAT INVESTIGATORS SAY. HE’S CLAIMED THAT HE HURT HIS BACK ON THE JOB AND DESERVES A MONTHLY TAX-FREE INSURANCE CHECK CALLED WORKERS COMPENSATION. THIS MAN’S ALSO FILED A WORKERS COMP CLAIM — TRUCK DRIVER ANDREW ENRIQUEZ. LOOK AT HIM HOBBLE PAINFULLY INTO THE DOCTOR’S OFFICE ON CRUTCHES. HE HAS A LOT OF TROUBLE. IN FACT, HE SAYS AS A RESULT OF FALLING OFF A LOADING DOCK, HE’S HAD 11 DIFFERENT INJURIES THAT PREVENT HIM FROM DOING HIS JOB AS A TRUCK DRIVER. BUT TAKE A LOOK AT THIS. MINUTES AFTER LEAVING THE DOCTOR’S OFFICE, THE CRUTCHES ARE GONE, ENRIQUEZ SEEMS JUST FINE!>>I’M SURPRISED HOW MANY PEOPLE THINK WE’RE NOT GOING TO BE WATCHING.>>Reporter: IT WAS PRIVATE INVESTIGATOR TED KOERNER, HIRED AFTER ENRIQUEZ AND MENDEZ’S BOSS BECAME SUSPICIOUS OF THEIR SUPPOSED INJURIES, WHO CAUGHT THEM ON TAPE. USING AN ORDINARY HOME VIDEO CAMERA LIKE THIS ONE, AND SITTING IN HIS CAR OUTSIDE THE TARGETS’ HOMES, FOLLOWING THEM AROUND TOWN, SOMETIMES FOR DAYS HE WAITS FOR THEM TO MAKE A MISTAKE. IN THE CASE OF ENRIQUEZ, TAKE A LOOK AT THIS. DOES HE LOOK ENABLED?>>WE OBSERVED HIM THREE STRAIGHT DAYS MOVING HIS ENTIRE HOUSE, TREMILL, RV, FURNITURE, CLOTHES, COUCHES. BUTCHER BLOCK TABLES, THE COUCHES, UP AND DAWN OFF THE ROOF OF HIS VAN TIME AND TIME AGAIN AND SHE WAS SUPPOSEDLY SO DISABLED HE COULD NOT SIT AND DRIVE A TRUCK.>>Reporter: “EXTRA’S” ALREADY REPORTED ON HOW TED HELPED EXPOSE FIREFIGHTER DANIEL FARNEY, SUPPOSEDLY DISABLED, FROLICKING ON THE BEACH IN HAWAII. OR THIS WOMAN, TOO HURT TO WORK, SHE SAID, JUMPING AROUND AS A PART-TIME CLOWN. OR THIS CONSTRUCTION WORKER WITH BAD WRISTS, FLYING AROUND THE WRESTLING RING. WHY SHOULD THE PUBLIC CARE?>>IT’S COSTING THEM ON EVERY SINGLE THING THEY DO ALL DAY LONG. THE PRICE OF YOUR HOUSE, YOUR CAR, YOUR CLOTHES, YOUR FOOD, YOUR ENTERTAINMENT, YOUR TRAVEL AND LEISURE. EVERYTHING YOU DO ALL DAY LONG HAS THE COST OF INSURANCE BUILT INTO IT, AND THE IURANCE COSTS ARE TOO HIGH.>>Reporter: GENE SHELTON AGREES WITH THAT. BOTH MENDEZ AND ENREEK KEZ WORKED FOR HIM.>>THEY HAVE BEEN STEALING FROM DAY ONE IN DIFFERENT FORMS. FRAUD LENT CLAIMS IS ONE OF THOSE FORMS.>>Reporter: HERE’S A MORE SOMBER PICTURE, MENDEZ BEING ARRESTED. WHEN CONFRONTED WITH THIS TAPE, HE DROPPED HIS DISABILITY CLAIM AND PLED GUILTY. AS FORREN DREW ENREEK KEZ, HE WAS RELEASED. HIS DISABILITY PAYMENTS WERE STOPPED. HEESZ APPEALING THAT DECISION. THE CASE IS STILL TIED UP IN THE COURT SYSTEM WHEN WE TALKED TO HIM ABOUT IT, WE DIDN’T GET A WARM WELCOME.>>GET OUT OF HERE, GET OUT OF HERE, I’LL GET OUT OF THIS TRUCK AND KICK THE [ BLEEP ] OUT OF YOU! CAN YOU COME OVER AND TALK?>>GO AWAY!>>Reporter: WE BACKED OFF. HE WENT INSIDE, LOCKED THE DOOR AND THAT WAS THE LAST WE SAW OF HIM. ANDREW, WE WANT TO HEAR YOUR SIDE OF THE STORY. ANDREW?>>I CAN’T BELIEVE THAT. DID HE EVER COME OUT AND GIVE YOU HIS SE OF THE STORY?>>NO, HE NEVER DID, AND DESPITE WHAT OUR

100 comments

  1. Its so sad to see folks take advantage of the system. But in the end they do go to jail over it…….What happens on the flip side of the coin..When you have insurance Co.s and Dr.s omitting facts and lying to have workers claims denied to save cost? Have we seen any of those folks go to jail YET?….I know there is one criminal case pending in CA right now against an insurance company and their Dr.s.   There is always going to be the bad apples out their on both sides of the issue, but when it comes to workers comp, only the workers get justice when they do wrong, but the insurance and Dr.s making money to lie, deny,and deprive, deserving workers out of the "Goods and Services" they paid for, GO FREE and continue to abuse workers.. I would like to see the NEWS station report on the flip side of the coin of how many workers are being defrauded out of goods and services unjustly, by biased DR.s and  insurance co.s that are only interested in making money off the injured workers misery. The good workers should not have to suffer and be abused and denied, because of the Dr.s/insurance co.s fears of the fraudsters, and most of all, our Dr.s and insurance Co.s should not be committing fraud themselves, in order to circumvent what the feel in their gut may be a fraudster, by omitting the objective medical evidence in cases, like they did mine.   The Good workers should not have to suffer because of the abusers on both sides…. Dr.s and workers who cheat and lie, ruin it for all the rest of the good folks truly trying to seek help for their on the job injuries. Maby be the injured workers need to start some investigation of their own, with hidden camera's in the IME's, oh wait, that's right, the DR.s and insurance Co.s do not let you audio or video tape the IME's.  Why is that?  They fear they will be caught committing fraud themselves. 

  2. I know what they're doing is not right but in a way it is somewhat employers fault as well because a good portion of them have workers working long hours given the workers no time to do what they need to do such as moving or being able to play baseball or go to the beach employees know that job are hard to come by if the worker cannot do it the right way they are going to do the dirty way!!!!!

  3. Well I can tell you that when you do get hurt there is a very high likelihood that the insurance claim will be denied even if you are really really hurt and it happened at work.  I have a severe knee injury and my claim was denied when a doctor reviewed doctor notes from a knee scope I had and determined that an acl reconstruction I had in 1990 was the cause of my knee injury and degeneration in the knee.  The only problem is that I had the acl reconstruction on my right knee and the one injured at work is my left.  So the doctor who I've never met or talked too cant tell the difference between left and right and I get screwed. 

  4. I'd rather this happens and people get away with it than unnecessary military and police spending and government lies that bring our countries to war for profits. 

  5. Funny I always see the news shows trot this type of show out every couple of years, but they never do a show on the reverse of this…  Disabled Workers screwed at the most vulnerable part of their lives when not only injured and down, they get kicked while they are down by insurance companies that : Shortchange the salary replacement they are due,  Delay treatments while doing a cost study on them,  Send the employee off to an "independent" medical exam where they not only know the results ahead of time but will send the report back to the Doctor to be redone if they don't like what it says…  And Finally when it suits them cutting off all support based on a report from that "Independent" Dr even when said report flies in the face of tests and the findings and diagnosis of a half a dozen other Drs. and the states let them get away with it!!  Based on one Dr's opinion the insurance company gets off the hook for years!  Not only that but since most disabled workers can't afford to live on nothing they accept the first settlement offer the Insurance company makes (usually an amount that the worker would have earned if they hadn't been injured in the first place that covers none of the medical issues) 
    But then Injured Workers don't spend millions of dollars on commercial air time for news shows…
    PS Ever hear about the Liberty Mutual Former CEO who while on the job Instructed his Workers Comp division to Stop processing claims or to delay them since they were bad for the bottom line?  Gee I guess the news shows didn't make that a priority item either…

  6. WHO is policingh the crooks on the filp side with the wrongful denials and dealys i our care…. IT IS CALLED       Conusmer INS> Fraud where the DR.s get paid to lie in our care so the insurace co. get out of their end of the deal………   http://daviddepaolo.blogspot.com/2014/07/california-bad-dreamin.html

  7. And why do you all get to put a cam on the workers? But you will not allow the workers to record the IME's?  ONE SIDED JUSTICE IN workers comp.   THEIR is more cheating at the top then at the bottom.    http://daviddepaolo.blogspot.com/2014/07/california-bad-dreamin.html

  8. Workers' Compensation is an extremely complicated arena, so complicated that it has its own jurisdiction with its own judges, seperate from other courts.  I was a WC Claims Examiner for many years. There are most definately honest people and dis-honest people on all sides of the system of Workers's Compensation.  There was fraud from the injured workers, the medical community, and the employers.  In order for there to have survelience on you, there has to be sufficient evidence and grounds to pursue investigation.  They don't just don't follow you around just because they might catch you doing something incriminating. It doesn't work that way.  It's not the taxpayers that pick up the tab, it is the Insurance Carrier and the Employers who pay into the premiums that end up picking up the tab. Workers' Compensation is necessary and thankfully it is available to employess who have sustained injuries in this Country.  There is nothing that hits your survival buttons as strongly as an injury that has you temporarily or permantly disbabled.  Let's have the system work for the ones who really do need it.  

  9. It's people like these frauds that make it difficult for legitimately injured people to receive workers comp!! I know people who would feel blessed to be able to move around without pain and be able to work!!!

  10. He thought they would not find out.  Guess again!!  If you ever see suspicious vehicles parked in the street and you happen to see them anywhere else you go you might be investigated for fraud if you made any comp claims.  There are people who will drag this out for as long as they possibly can.  They can photograph you from the road BUT they can not come on to your property snooping around.  I don't care what you say.  They can not set foot on your property and spy on you.  The only time anyone can come to your property is to your door only about this and that is just to arrest a suspect.

  11. Maybe they were all crippled up and just hopped up on oxy's or perkocets.. Remember America is the leader in being all hopped up on pharmaceuticals

  12. I am sure this private dick has video of far more people suffering work related injuries that are not cheating the system. If anything the insurers are cheating far more workers than those cheating the system..

  13. One problem is when you win the case, people believe that they will leave you alone and just keep sending checks.   check up on these people weekly and see what they are dong.

  14. How many legit workers claims has WCB/insurance denied? Why not investigate the companies. Where are they investing their profits?

  15. I swear , the pure pussification of these people who suck the system dry….. I am 53 years old and all my times of working i have cut off a finger , half blind, broke back…. and never once charged anyone and still live with the issues and i'll die with the issues.  you bunch of pussies

  16. It's so depressing to know that there's people that can read lie about their injuries and there's people hurting and really got hurt and then you go to the doctors were they just tell you to you're good to go to work and nothings wrong with you I always saw this on TV but never. in a million years that I could be a victim of those who say there's nothing wrong with you you can go to work if they would only know that I hurt everyday and I'm embarrassed to walk because now I walk slow due to my injury if they would only know how I feel at night where I just wonder am I going to be like this for the rest of my life

  17. I knew a guy that bought dry wall and other renovation materials to fix his house interior then did a comp scam and white washed his windows incase anyone was watching to do his work of dry walling when he was supposed to be off on a back injury.

    How do I know this, he told me and added that I and others were stupid for not taking advantage of the system, saying he was smart and his wife was drawing disability too, no doubt another scammer.

    Apparently he even got on long term disability and I never saw him at the job again.

  18. What an awesome job to have, filming these workers comp cheaters!! It makes me sick to death to see people so fricking lazy to work that they would cheat the system so that they don't have to work ever again. If there was money and means to investigate each new claim I am sure the number of frauds would shrink up to near nothing. Go after as many as you can and leave the money to the people it was meant to help in the first god-damned- place!!

  19. Does the insurance fraud hotline also have a website? The NICB does and it makes it so much easier than waiting on the phone. That also makes it easier to give them a link to any video evidence you have. Just include it in your complaint but still tell them all you know about the time, date and all other details. The more you can tell them the better their chances of proving their case if they end up taking it to court.

  20. What they should investigate fraud for is insurance companies not paying on valid claims… or paying significant less than is reasonable.

  21. well i had 5 failed back surgeries and i was treated like a criminal for years while fighting excruciating pain ? why ? because of a few , hope they catch all of them , or be fair to those who are really sick and they should know who that is . i found workers comp dr lie in the insurance's favor also .

  22. These fraud claims related to workers compensation are often fraudulent in themselves. Insurance companies know full well occasional activities are vastly different than working a daily job, yet they focus on those occasional activities to support a charge of fraud. Even a bedridden hospital patient can get up occasionally to use the bathroom, but that hardly suggests they're healthy or ready to work.

  23. ok…yes put cheats in jail..! but you have to put insurance adjuster and there doctors in too because the biggest fraud is by them when the keep denial claims even after there own doctor say you where hurt on the job and they still denies you claim

  24. My all time favorite is the guy who claimed his back was broken while making money as a wrestler on the indie circuit :)…Bernie Sanders has to get his supporters from the sewer pipes of society!

  25. annnnd this is another reason my younger brother, whose foot was run over by a forklift, has to report to the doc over and over to "prove" his foot is still mangled, so he can get care. beautiful

  26. Go easy!! I'm in a wheelchair, have back pain, PTSD, social anxiety AND panic attacks, yet I can still happily horseride and do my own shopping without dragging a 'carer' with me. True, horseriding and shopping both require a lot of drugs and a day or 2 of rest afterwards, it doesn't mean I'm faking my disability if you see me smiling on a horse.

  27. Ya I can agree that I hate when people fake workers comp. Absolutely. But for some of us just like me. I work on a assembly line and I dislocated my left wrist when it got stuck in the clamp. Hurt for a bit but I want to work. I been looking for a job for over a year and I want to work. But my work refused to let me work even doing an office job like stapling papers I asked for and my boss wouldn't do it. I also have a car payment. Sometimes its not up to the employees and were forced to take workers comp. I was so pissed off that the next day I pulled up my carpet and redid the carpet and I put a photo on Facebook saying I can work and want to work and showed my coworkers. But they didn't want me back because I was a liability on the company if I go hurt even more and the company doesn't want a lawsuit. But I didn't fake my workers comp, I have xrays and a MRI to back that shit up.

  28. Workers comp did me so wrong I'm still hurting till this day can not work I just have to take it one day at a time I'm never going to be the same but there's a God that sees everything I don't know how some people are in disability disabled according to them and you see them running working climbing but they're disabled and they cannot go to work and getting paid for lying I went to court and they could not do nothing for me went to the disability and got turned down I'm still suffering from my injuries god bless all of y'all that are really hurt and can I get the help that you need may God bless you and will keep you all in my prayers

  29. Idiots. Taxpayors foot the bill and paints all legitimate claims as fraudulent. Same problem with social security exists that hurts people with true disabilities.

  30. In my working life, I have filed 1 work comp claim, I was scalded by hot water from a car radiator. The only issue I had with the claim was the insurance company wanted to know why I removed the cap from the hot radiator. I didn't. The cap was only on finger tight and was under the hood prop, the car was a Datsun. I moved the prop and, POW, I am hit straight up with hot water. The adjuster was happy with my explanation and with my level of experience and all was well. But even then, this was in 1977, they were checking.

  31. It's bastards like this that make the rest of us go through hell on earth applying for disability. I'm 47, but have been forced to live on disability for the rest of my life, and retire early a few years ago, but you wouldn't believe the nightmare of paperwork I've faced. Because there is so much fraud insurance companies and governments are understandably strict, but here in Toronto, it's just awful! Due to Crohn's disease and colon cancer, I've only 8% of my GI tract left. While I may look "normal" (which makes it even harder to get LTD benefits) if you could feel what I feel, you'd know I just can't work. I've tried, many times, to return to work, but because I haven't t enough intestine left to absorb nutrients, I have zero energy, can barely sleep, suffer from several crippling secondary disease that were a side effect of my treatments, like osteoporosis, osteoarthritis, severe depression and anxiety, and am still having surgeries. I'm totally legitimate, I tried to so hard to go back to work, but after missing so many days sick, my employer told me to apply for long term disability. It took almost a year of paper work, all the while having multiple surgeries….but I finally got it. I so desperately want to go back to work, but my health simply won't allow it. It's people like the ones in this video I despise, who make everyone think that every single invisible disability is total fraud, and I've had many people accuse me "faking it", until I show them the intestine sticking out of my abdomen, and the many huge scars. Besides, how could anyone fake missing almost all of their gastrointestinal tract? Pisses me off that because these assholes, who rob us blind, ruin it for everyone else. If these are the few that are caught, can you imagine how many are out there, right now, defrauding the government and stealing our tax dollars? There's a special hell for dishonest bastards like that!

  32. I have a jacked up back. I still want to work. I was injured on the job as a Federal Employee, I still wanted to work but I lost use of my left hand 100%. They refused to accommodate my light duty then fired me for filing the injury report, workers comp waited till I ran out of money say "Refusing treatment" they never paid me shit. I've gained 50% use of my hand, can't play guitar anymore, need surgery. No lawyers want to help because they think it will be hard vs Fed Gov.

    Yet I still want to work.

  33. What about the insurance fraud committed by the employers? Walmart committed this crime 100% of work accident. Why this crime is not investigated? Workers Compensation is employment benefit. It got nothing to do with the tax payer. So leave the public out of it because this benefit is paid by the employers. Therefore it is wrong for any reporter to even mention the word tax payer. You are an idiot to speak the word tax payer on workers compensation matter. Even the Social Security Disability has nothing to do with the tax payers, because Social Security money is your money that was collected from your or your spouse paychecks.

  34. Management hired this longshoreman called Selwyn Loftus. After many years, great benefits, high pay, & tenure he, management couldn't fire him because of his union iron clad post WWII union contract. Despite his employers purchase, of new crane, making his labor obsolete, & failure of offering education he could move on up. they, his union, with cooperation of his back stabbing management , suspend his union contract after he was diagnosed anonymously as an alcoholic, his union paid referral fees along with Church of Later Day Saints, & his carrier was over, stricken with life long battle of legal consumer product he formally bought from his labor union & rugby union joint owned pub. Religiously diagnosed sick, his state paid his rent into his assailants account,  treatment of bogus memory loss, mental  illness, & bogus Cirrhosis of the Liver as he was tricked into his lot of life, human collateral of Heidelberg printing press & illegal subsidies paid into Taylor

  35. I hung drywall in 1999. I went to Dr because I couldn't sleep well. The Dr said you have diabetes well changed my diet QUIT smoking drinking 2008 the diabetes finally got worse now the pain in my legs and I had shoulder surgery in 2009 and now I'm having seizures I just wish I could go back to work I was so much happier this ss disability is a joke

  36. I noticed these stories never talk about the lazy investigators that will touch your property like flattening your tires to catch you changing the flat! If you have a legitimate case these pieces of $h!T will try anything

  37. As a person who is TRULY DISABLED ( I was born with a disease that progressively eats away at my bones. (I have bone TUMORS that look, act, and FEEL like someone with bone CANCER, ) I started out with one tumor in my thigh bone and now have tumors in my skull, ribs, both thigh bones, the lower leg bones in my right leg, and BOTH FEET. I also have multiple tumors in my pelvis. Further, I have multiple endocrine disorders.
    I worked since I was 15 y.o.and finally had to apply for permanent Disability at 42 y.o. I worked after each one of my surgeries ( 28 on my legs and spine alone, and I worked when I had a fractured femur for 3 WEEKS before the docs were able to figure out what was wrong with me as the fracture was "hidden" in my upper hip area and no x-ray could detect it.
    WHY a person would WANT TO LIVE THIS WAY, I WILL NEVER UNDERSTAND!! I would much rather be able to get up every day with a PURPOSE!! Somewhere that I had to go!! I HATE living like THIS!! I don't have a husband or boyfriend to wake up with every morning. My children are too old to need their mother, And the ONE that DOES, lives with his dad and Dad's new girlfriend/wife!! And I've had to move back in with MY MOTHER!!
    We have a nextdoor neighbor who hurt his KNEE an has applied for disability! And, he wanted to know if we'd like him to cut our grass for "cheap"!!! I just had to laugh!! (we already have someone that does it already,) But, REALLY??!!
    And what REALLY makes me angry, is seeing him out walking his dog!! UGG!!!

  38. what is his side of story? I AM A SCAMMER AND MY BS GOT EXPOSED. 😂😂😂 some people are born idiot's. thinking I am smarter than the rest of the world.

  39. Road goes both ways, I pulled my lower back ligaments so bad I couldn't walk to get the incident report sheet. I asked my manager to get it for me several times she forgot and I was STILL WORKING in too much pain to remember to keep reminding her. I missed 2 weeks work no pay and I came back stupid early and still hurt because I couldn't get comp.

  40. The work comp system protects assholes like this, it's corrupt & it's far beyond the scope of a simple blog. Suffice to say, if you're a small business owner in California, the fastest way to drive your company into the ground is to take on the liability of hiring an employee. That's why we outsource jobs overseas, communist countries aren't as communist as we are.

  41. I understand not lifting 3 suitcases at once, moving furniture, or wrestling, but what is an injured worker supposed to do? Stay home depressed 24/7 in bed for months?? You have to get groceries, pick things up, drive, and live life. Whilst healing. Healing is emotional as well as physical.

  42. My mother had cancer. She could work a little, but certainly far from full capacity. Her endurance was very limited. But since she could "function", her disability was denied. Through several appeals, we eventually got a letter approving her disability. The letter was dated on the date of her death.

  43. why don't they do a show on how walmart screws us by having there own work comp is that cheats people when there Dr says you need back sergury from a injury and the sergury makes it worse and there DR Says Oh well. ,,,bend over now you can barley walk there dr says it's mostly hereditary but your dad is 89 mom 80 and don't have back problems at all

  44. it's a funny hit and miss….I live with a disability of not being able to walk someday, almost in crawl mode, but still clean offices for a living….just glad I have a job!

  45. They're all pieces of shit but the ones that still fight it after being caught are on another level. These ass hats have no shame at all.

  46. Yet we don't shame people living off welfare .. You know the same folks who get free housing / food and don't work and have no excuse to not work . Esp single mom's

  47. I hate people that commit fraud.

    This guy was obviously fucking around.

    But… there are people willing to push through pain to get something done. It doesn’t mean they are well enough to work full time. But… pushing though pain to get a few things done… is what a real person should do.

    But fucks, like the ones shown on the video, deserve to have a splintered 2×4 rammed up their asses for a week straight.

  48. Man this is bullshit I really do have a bad back & I want to work cause disability doesn’t pay you shit you try living on disability

  49. call a hotline to report insurance fraud ? with how bad insurance companies fuck us up the ass ? How bout no ! as far im i see it they are getting back a little of what they dish out ! Go Gett'm

  50. There are SO many, 1 is too many!!!, claiming workman's comp or false disabilities, also "hiding" income to collect food or cash assistance. Right, their free money comes out of our pockets. This money should go where it belongs; to the government or to those people who are truly disabled.

  51. Hi, I'm on disability. I have good days and I have bad days. How do you know those people are just having a good day?

    Everyday is different for me. There are days that I wake up in pain and just stay in bed all day crying and crying. Other days, I wake up with no pain and lots of energy! I can walk and run!!! Then, the next hour, everything hurts again. Pain comes and go.

    I wish people would give these people the benefit of the doubt. You don't know if they are having a good day. Sometimes God gives us a good day.

  52. We know there are lazy bastards out there. But in you are in the workers comp. You cannot even cut ur own backyard because your going to get fucked

  53. The ime doctors or as they call them independent medical exam doctors are the ones that should be investigated for fraud. Writing up fraudulent doctor reports that lean towards the insurance companies way because that's what they're paid to do.

  54. These are the people that make it hard for the real injured workers . All the court hearings and insurance docters you have to go to and then you can still be turned down .

  55. Sure there is b.s. but this is also a big F.u to the insurance company you can say there is sh.t going on with the insurance company

  56. The last guy sounds guilty as shit! Gee why are u so pissed if u aren't doing anything wrong con artist? Liar,liar pants on fire, lazy assed greedy bitch! Get a damn job!

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