Original Articles

  • 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 […]

  • DWC Releases Report on 2013 Claims-Handling Practices of Workers Comp Administrators

    The California Department of Industrial Relations Division of Workers Compensation (DWC) Audit Unit has released a report to the state legislature on 2013 audits that specifically focuses on the claims-handling practices of workers comp administrators. The report finds that 70 claims businesses representing California workers comp carriers and self-insured employers failed to pay a total […]

Curated Content Articles of Interest from Around the Web

  • Widow sues airline, claiming 88-year-old husband’s death was job-related

    A federal lawsuit filed against Spirit Airlines by the widow of baggage handler who died at 88 years of age charges that her husband, a two-time Olympic wrestler, died of complications brought on by a work-related injury, and that the airline has refused to pay the resulting medical bills, which reportedly have reached $1 million. […]

  • Ohio BWC rep to speak in Lima August 21

    Michael Fannon of the Ohio Bureau of Worker’s Compensation will discuss workers’ compensation fraud with the Lima Exchange Club at Milano Cafe on August 21. Lima News

  • Georgia: Former correctional officer charged with fraud

    A Georgia correctional officer is accused of providing false documents related to a purported 2015 injury. The state claims he filed a workers’ compensation claim in December of 2015, and altered medical documents relating to the injury and presented them to her employer to get additional time off work. WALB

  • New York surgeon charged with workers’ comp fraud

    New York officials say a 69-year-old Utica orthopedic surgeon submitted false bills over the course of more than two years to defraud the state of New York out of more than $14,000 in workers’ compensation claims. On several occasions he allegedly was conducting medical exams near Buffalo at the same times he was billing for […]