surveillance
tigations “A female employee went out on a Workers Compensation claim due surveillanceto the repetitive motion injury “carpal tunnel syndrome” in both wrists. surveillanceShe and her doctor indicated that she had a fairly severe case of carpal tunnel and could not use either arm or wrist for lifting, twisting or typing. surveillance”Surveillance was approved, and initially we did not see any evidence contrary to the claimant’s allegations. But rumors persisted in the workplace that the claimant was not as injured as she claimed. “As the holiday season was surveillanceapproaching I suggested that we conduct surveillance near Christmas, surveillancethinking we might find the claimant involved in holiday activities inconsistent with her claimed injuries. surveillanceWe were quite amazed to see and film the claimant, over both weekend days, putting up outdoor Christmas lights and decorations outside the house. This included climbing a ladder and even getting up on the roof, untangling Christmas lights, lifting lights and decorations over her head, and using a staple gun to place the lights on the outside of the house. She did surveillanceall this with no hesitation or obvious signs of discomfort or disability. “We later learned that the claimant was separated from her husband and was the person responsible for all the ‘chores’ around the house. In this case, that included surveillanceclimbing up on the roof and preparing the house with all the signs of Christmas cheer. “Once the film of this festive weekend was shown to the claimant’s attorney, the holiday season became a lot less cheery for him and his client.” Another victory for truth, justice and lower insurance premiums. Author’s Resource Box Tom Reitze is President of David Morse & Associates (http://www.davidmorse.com) , an independent investigations and claims adjusting company with 41 offices in 15 states.David Morse & Associates Fraud Chronicles 7: Perils Of Car Maintenance Author : Tom Reitze Submitted : 2006-12-27 00:00:00 Word Count : 661 Popularity: 35 Tags: insurance fraud, insurance premium, fraud, fraud busting, insurance costs Author RSS Feed Insurance fraud is a crime, defined as “when someone knowingly and with intent to defraud, presents or causes to be presented, any written statement that is materially false and misleading to obtain some benefit or advantage, or to cause some benefit that is due to be denied.” In simpler terms, insurance fraud means that someone submits an insurance claim that is not an accurate reflection of what happened, usually to receive money. In the Workers Compensation arena, this often means the person claims some degree of disability, saying they are injured and cannot work, when in fact they can work. In other words, in fraudulent cases, the person says they’re injured but they really aren’t, or are not injured as badly as they claim. When a case is suspicious, containing “red flag” indicators of possible fraud, an investigator is often brought in to find out the true facts of the case. David Morse & Associates (http://www.davidmorse.com) investigates suspicious cases, conducts surveillance, and if an insurance claim is found to be fraudulent, turns the information over to the insurance company. This is a case from the David Morse & Associates Investigations archives, Part 7 of the surveillanceFraud Chronicles, involving a case where the person claiming to be disabled was found to be doing strenuous work on her vehicle. The Perils of Car Maintenance By Jim Smith Deputy Director, DM&A Investigations “Normally car maintenance is an activity that is good for morale and poses no threat to the individual providing care for his or her equipment. But a person claiming disability surveillanceand attempting to collect Workers Comp benefits ought to know better than to clean a car, increase tire pressure, open and close garages and perform similar tasks. The potential of a large ‘gift’ from Workers’ Compensation would theoretically incline the truly devious person to require such tasks to be performed by a spouse, a ‘significant other’ or a hired hand. “Our female subject claimed left arm, left leg and back injuries and was collecting benefits. She was reportedly using a cane. The assignment was for two days of surveillance. “The subject’s residence was one of ten units, not visible from the street. But as luck would have it, the garage was right on the street and it turned out that our subject felt strongly in matters of vehicle maintenance. We were able to obtain video footage of her checking air in all four tires, using a pump to add air to all four tires, and then washing the car. Or to be more accurate – the mini van. The stretching and contortions necessary to clean the roof of a mini van when you are five foot one inch tall require more than an absence of disability – true dexterity and great balance are a vital nechttps://www.synology.com/en-global/surveillance/7.1