There’s a common misconception that people who file worker’s comp claims are “faking.” According to L&W Investigations, a private investigations franchise specializing in insurance fraud, roughly 80 percent of all claims filed are legit, from people genuinely hurt and entitled to a worker’s compensation claim.
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In bright orange letters, the sign in the window says “Yes We’re Open.”

But take a look at the black gate and lock that stretches across the front of Shoes N More at 2903 W. Western Ave., and you’ll see a different story.
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Fraud is costing the UK £20bn a year, the police say, as they plan to expand their efforts to tackle it.

The City of London Police is recruiting for a national fraud crime force, claiming that the impact of the crime is second only to drug trafficking.

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Legislators and workers’ compensation officials say they can only guess at the level of fraud and attempted fraud by workers and employers in Wyoming.
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Private investigators have been hired to conduct an internal investigation at Waukegan High School, following the arrest of two security guards in January for alleged pay irregularities.
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The employment status of both a Huron firefighter and police officer are expected to be determined next week, city manager Andy White said.

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Insurance companies should be careful they only employ private investigators that operate to high standards and within the law, says the Association of British insurers.

The ABI has worked with the Information Commissioner’s Office and the private investigator (PI) industry to publish guidelines on the use of PIs by insurers when investigating potentially fraudulent claims.
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A New Jersey doctor pleaded guilty Thursday to falsifying medical records and insurance claims.

Dr. Farouk Al-Salihi, of Jersey City, admitted making the fraudulent claims in January and February 2006. The patient whose papers Al-Salihi forged turned out to be an undercover investigator from the New Jersey Office of Insurance Fraud.

Al-Salihi will appear before Hudson County Judge Vazquez on June 15 for sentencing. He faces up to 18 months in prison and a $10,000 fine.

An insurance adjuster who embezzled more than $45,000 from the Woodland Hills company where he worked pleaded guilty to conspiracy and fraud charges and was sentenced to a year in county jail and five years probation, a prosecutor said Thursday.

Van Nuys Superior Court Judge Michael Kellogg also ordered Jacinto Antonio Barrientos to pay $45,199 in restitution to Unitrin Insurance Co., where the San Fernando Valley man, 35, committed the crimes over a 13-month period beginning in June 2005, prosecutor Loren Naiman said.

More than 60 men and women have been swept up in a five-county dragnet across the Central Valley on insurance fraud and related charges.

“Today’s arrests have dealt a death blow to these elaborately organized schemes. By working together, we’ve crippled their ability to continue their concerted rip-off of the system,” says California Insurance Commissioner Steve Poizner.

The arrests were made in Kern, Kings, Tulare, Fresno and Merced counties.

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