Insurance Fraud NEWS

Coalition Against Insurance Fraud

Comp claimant caught bowling pleads guilty to defrauding insurer

Claimant ordered to repay $12,764 and serve 400 hours of community service

July 16, 2014, Los Angeles, CA — Workers comp claimant Ronald Fortune, 36, was working as a package handler for Golden State Overnight when he alleged an industrial injury and filed for workers compensation benefits.

While adjusting the claim, LWP Claims Solutions became suspicious and referred the case to Probe Information Services, a California-based investigations company. Video surveillance conducted depicted Fortune participating in bowling games in which he displayed no evidence of an injury, according to Probe.

Further, a search of social networking revealed online bowling scores which provided further evidence of Fortune’s participation in bowling games which he was off working collecting disability benefits. During a deposition, Fortune perjured himself when he testified that he enjoyed bowling but his injury had prevented him from bowling. He testified that he had not bowled since the injury occurred.

Fortune made further misrepresentations to medical providers when he cited that his pain that increased with lifting or other such activities.

Evidence proved that Fortune obtained workers comp benefits from Golden State Overnight to which he was not entitled and Probe Information Services referred the case to the Los Angeles District Attorney’s Office.

The district attorney filed criminal charges including a felony count of Insurance Code Section 1871.4(a)(1) for insurance fraud and a felony count of Penal Code Section 664/118(a) for attempted perjury.

Fortune was arrested and pled guilty to felony perjury. He was ordered to pay restitution of $12,764 to LWP Claims Solutions and Golden State Overnight, serve 400 hours of community service and three years of probation.

Source: Probe Information Services news release

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