Original Articles

  • Division’s Latest Amnesty Program Intended to Boost Reporting by Claims Adjusters

    The California Division of Workers’ Compensation (DWC) is rolling out its second amnesty program of 2017 intended to persuade claims adjusters to comply with state reporting requirements for workers’ comp data. The goal is to increase the amount of Subsequent Report of Injury (SROI) data that makes it into the Workers’ Compensation Information System (WCIS) […]

  • Company Officials Charged in Electrocution

    The Orange County District Attorney has filed criminal charges against the safety coordinator and two other principals of Five Star Plastering, based in Laguna Hills. Its employee was involved in a 2014 electrocution. The employer itself also faces charges. A two-man crew was erecting a banner at the Mission Viejo High School stadium to support […]

  • Insurance Department nabs trio for billing fraud

    The California Department of Insurance arrested three individuals including a registered qualified medical evaluator (QME) in a scheme to defraud health insurers by artificially inflating bills. The three face charges of conspiracy to submit at least $380,000 in fraudulent bills for laboratory services. Arrested were Dr. Edward Albert G. Balbas, chiropractor Jon Brunelle, and Alejandra […]

  • Applicant attorney suspended, awaits sentencing

    State officials suspended a Southern California applicant attorney from practicing law in California, and the attorney is awaiting sentencing for tax fraud. The fraudulent activity stemmed from reputed charitable donations that were actually payments for client referrals. The California State Bar suspended attorney Ronald Mix’s license indefinitely effective September 26. The move follows Mix’s conviction […]

Curated Content Articles of Interest from Around the Web

  • Former Sacramento USD employee caught dancing after injury

    A former janitorial employee of the Sacramento Unified School District who was caught on camera dancing has pleaded guilty to workers’ compensation fraud. Investigators found that while he was off work with claimed back and leg injuries, he had been working as a dancer at a nightclub. Elk Grove News

  • ‘Why California should be more like Alabama’

    “California has a well-earned reputation of being business unfriendly, and according to one analysis has lost over 1,700 companies in the past decade. … Our state’s workers compensation loss adjustment ratio is twice as high as Alabama’s, meaning we are paying more due to litigation and permanent disability claims,” writes Tom Manzo president of Timely […]

  • LAPD officer pleads not guilty to workers’ comp fraud

    A 47-year-old Los Angeles police officer who faces workers’ compensation fraud charges pleaded not guilty last week. The case stems from a medical claim filed in 2015 by the nine-year LAPD veteran, who prosecutors allege engaged in certain physical activities over several months in 2016 and lied under oath in a deposition. mynewsLA

  • Former Ohio officer to serve 90 days for false report

    A 38-year-old former Ohio police officer, who caused a major police response by falsely reporting that he was shot in the line of duty last April, has been sentenced to 90 days in jail on charges that included workers’ compensation fraud. Cochocton Tribune