| |
|
|
|
| |
A claimant was receiving treatment for a compensable work-related injury, and over the course of several months, repeatedly submitted mileage reimbursement requests listing the home address that was a great distance from the treatment locations. The mileage reimbursement checks were averaging $1,000 per month.
The claims adjuster and the SIU investigator coordinated with a private investigator and determined the claimant was actually living blocks from the treatment facilities. Further investigation revealed the claimant was not entitled to this benefit based on their actual place of residence. Therefore previous mileage checks were obtained fraudulently.
The case was referred to the Attorney General’s office for prosecution and the claimant was charged with workers’ compensation fraud. The claimant pled guilty, received a five-year deferred sentence, and is on probation under the supervision of the Attorney General’ office while paying fines and restitution.
|
|
|
