workers’ comp fraud News

California Man Pleads Guilty to Defrauding Tribe Through Workers’ Comp Scam

A Northern California man has pleaded guilty to defrauding an Indian tribe for millions of dollars as part of a workers’ compensation scam. The Sacramento Bee reported that 46-year-old Gregory Chmielewski last month pleaded guilty to two counts of fraud. …

13 Indictments Handed Down in Massive Workers’ Comp Fraud Scam

An investigation into what’s being called one of the largest cases of workers’ compensation health care insurance fraud in California Department of Insurance history led to 13 indictments announced today against seven Southern California-based medical professionals. This is the second …

Nine Californians Nabbed in $24M Alleged Workers’ Comp Billing Scheme

Detectives with the California Department of Insurance arrested nine people involved in a complex scheme allegedly targeting more than 230 workers’ compensation insurers and self-insured employers. Siblings Francisco Javier Gomez, Jr., 32, and Angela Rehmann, 38, owners of G&G Interpreting …

Workers’ Comp Hearing Rep. in California Caught Cashing Dead Client’s Settlement

A California workers’ compensation hearing officer was arrested for allegedly trying to steal a settlement check from his client. Department of Insurance detectives arrested Ramon Humerto Otero, 37, of Adelanto, and Efrain Heredia Ojeda, 43, of Corona, on multiple felony …

California Siblings Sentenced For Workers’ Comp Fraud

A California brother and sister who owned a landscaping service won’t contest charges that they duped several workers’ compensation carriers out of more than $200,000. Michael George Mello Jr., 37, and his sister Mary Catherine Rodriguez, 38, owners of Sacramento, …

More Small Employers Using Video to Detect Workers’ Comp Fraud

Trust is hard to come by, and the proof for that cliché is now in the pudding – at least in the world of workers’ compensation. While roughly one-in-10 small business owners say they’re concerned that one of their employees …

Medical Chain Pleads Guilty to Work Comp Fraud, Repays Texas Mutual $6.5M

Nova Healthcare Management, headquartered in Houston, Texas, entered a plea of guilty to felony workers’ compensation fraud related charges, according to an announcement by Texas Mutual Insurance Co. and the Travis County District Attorney. According to the court documents, Texas …

Labor Advocates Question Florida Immigrant Workers’ Comp Arrests

Florida Chief Financial Officer Jeff Atwater touted the arrests of more than 100 immigrant agriculture workers last July as an effort to crack down on the costly problem of workers’ compensation fraud. But it quickly became apparent the raid on …

California Legislator Indicted for Taking Bribes in Workers’ Comp Scheme

The Los Angeles Times is reporting that state Sen. Ron Calderon has been indicted in a corruption case and accused of taking about $100,000 in bribes from a hospital executive in Southern California who ran an alleged workers’ compensation scheme. Federal authorities …

Washington Couple Must Pay $224,000 For Workers’ Comp Fraud

A Washington couple received jail time and will have to reimburse the state more than $200,000 after they reportedly both filed fraudulent workers’ compensation claims in 2009. Jaime Beroth, 63, and her husband Lawrence Beroth, 67, of Tacoma, were sentenced …