TIP OF THE WEEK

 

                                                                    November 6, 2009

 

Did you know...? 

 

Caught on Tape:  Skydiving on Worker's Comp?   Skydiver, Wrestler Among Those Allegedly Exaggerating Injuries to Collect Benefits

 

(Story was reported on Good Morning America November 2, 2009)

 

When the economy goes down, fraud goes up.  Authorities say it's happening right now with insurance fraud when people may fake or exaggerate injuries to collect lucrative benefits. 

 

The Connecticut State's Attorney Office said Garrett Dalton was willing to do anything to stay home from his job as a prison guard and keep collecting worker's compensation.  State investigators charged him with felony fraud after his supervisor at the New Haven Correctional Center spotted him in drag running in a 40-yard dash sponsored by a radio station.  Dalton, of Naugatuck, Conn., entered a not guilty plea and is expected back in court in a few weeks.

 

"Desperate workers can be very imaginative when they smell worker's comp money," said James Quiggle of the Coalition Against Insurance Fraud.  Insurance investigators said these cases cost real money -- billions of dollars a year -- and they're on the rise because of the recession.  "As long as you have a down economy, you're going to have people trying to scam the system just to save their own hides and bail themselves out from a difficult situation," Quiggle said.

 

Fraud Puts Former Judge Behind Bars

 

Judge Michael Joyce used to send people to prison.  Now he's behind bars himself, convicted of two counts of mail fraud and six counts of money laundering.  Joyce, who was an appellate court judge in Erie, Pa., claimed a 5-mile-an-hour car crash made it impossible for him to do the things he loved, like scuba diving.  But photos surfaced of Joyce, 60, diving in Jamaica at the same time he was making insurance claims.  His claims resulted in a big payday -- $440,000.  Joyce has always maintained his innocence and said his injuries were real.  He's appealing his conviction.

 

The Pennsylvania attorney general says Michael Taris tried to claim insurance money after he said he'd slipped on some spilled coffee at a 7/11.  But then investigators found photos of Taris, a professional wrestler known as Mr. Motion who is used to faking falls and injuries, wrestling when he was supposedly injured.  Taris pleaded guilty to insurance fraud and was sentenced to three years' probation.

 

Authorities say 28-year-old Jacob Bancroft from Hudson Falls, N.Y., claimed he injured his back while working as a press operator and collected insurance benefits for a year and a half before the bottom fell out from under him when investigators found video of him skydiving.  They say he also participated in hot air ballooning, hiking, firefighting and heavy construction.  What brought Bancroft down to earth?  "Here we had someone who in essence boasted about his outside activities, advertised them on his Facebook page.  And that sort of evidence doesn't come along every day," Nachman said.  Bancroft entered a plea of not guilty, and his attorney did not return calls for comment.  His high-flying case is proceeding toward a trial.

 

Not every injured employee is attempting to fraud their company or the system.  This story is just an illustration of a few examples of people who did commit fraud and got caught doing it.

 

Full story can be viewed on ABC’s webpage at http://abcnews.go.com/GMA/ConsumerNews/caught-tape-alleged-insurance-fraud/story?id=8970466.

 

 

 

 

***We are now open Saturdays at our Independence location from 9am – 1pm to serve your occupational medicine and urgent care needs***

 

 

 

*Please feel free to forward this information to any member of management in your company who would benefit from it.*

 

To view the Tip of the Week in Spanish please visit our Tip of the Week library at http://www.ohscompcare.com/totw/


To learn more about services OHS-COMPCARE has to offer, contact our Client Services Team at (816) 561-2105 option 1 or by e-mail at customerservice@ohscompcare.com.  You can also visit us at www.ohscompcare.com.

 

Why choose us?  Because OHS-COMPCARE has a physician on call 24/7/365 days a year to respond to our client's needs.

 

 

OHS-COMPCARE now featuring Adult Quick Care (Urgent Care Services) has seven (7) area clinical facilities:

 

Independence Clinical Facility

Johnson County Clinical Facility

St. Joseph Clinical Facility

Grandview Clinical Facility

19000 E. Eastland Center Crt, St. 200

10415 Lackman Road

904 Edmond Street

13830 S Us Highway 71

Independence, MO 64055

Lenexa, KS 66219

St. Joseph, MO 64501

Grandview, MO 64030

816-478-9299

913-495-9905

816-233-7702

816-761-4664

After Hours Available

*Now open Saturday 9am – 1pm

 

 

 

 

 

 

 

KCMO/Broadway Clinical Facility

KCMO/Front Street Clinical Facility

Wyandotte County Clinical Facility

 

1650 Broadway

6501 East Commerce, Suite 110

1333 Meadowlark Lane, Suite 200

 

Kansas City, MO 64108

Kansas City, MO 64120

Kansas City, KS  66102

 

816-842-2020

816-483-5550

913-596-2774

 

 

 

Adult Quick Care provides Urgent Care to Adults and Adolescents Age 14 and Older. 

No appointment is necessary at Adult Quick Care.

 

When you are sick or have a new injury, Adult Quick Care is your affordable, time saving choice for quality care.

 

 

To learn more about Adult Quick Care please call 816-559-6320 or visit www.adultquickcare.com.