An ex-State Compensation Insurance Fund (State Fund) employee has been recognized for his interpreting business success that translated over 600,000 fraudulent dollars into his pocket book. For his hard work, Rodolpho Gaona received the Los Angeles county jail holiday package that will now cost him $500,000 to check out of. Gaona, also known as Norberto... Read More

As the lights go out on California’s energy crisis, they seem to now be beaming brightly on a whole new array of fiscal predicaments, which includes the State’s workers’ compensation system. Hitting on one aspect of why workers’ compensation costs are through the roof, Peter Gorman, vice president at Alliance of American Insurers, told the... Read More

A greedy claims examiner will soon trade in her business casual wardrobe for a State issued orange jumpsuit. For her second time in six months, Elisa Guillermo was arrested Dec. 5 on charges that she issued payments to phony physical therapy providers. All things considered, the million plus dollars Guillermo funned out of her two... Read More

The state recently called a woman on her bluff after she attempted to enhance her monthly financial fetch from her welfare checks with a work comp check. San Bernardino resident, 37-year-old Emilia Sanchez was faced with the decision of getting a job and losing her welfare benefits or staying unemployed to keep the checks rolling... Read More

It looks as though a Southern California softball team, sponsored by an unsuspecting insurance company, is headed for the lockers after the Feds decided it was time to play hardball. An investigation conducted by Postal Inspectors and IRS-Criminal Investigation agents revealed that a dirty claims supervisor had set up an elaborate scheme that made over... Read More

A shot has been fired over the bow of the Los Angeles County Sheriff’s Department warning employees that fraudulent workers’ compensation claims won’t be tolerated. Out on $30,000 bail, 36-year-old Deputy Robert Justin was charged Oct. 24 with six felony counts for filing a false workers’ compensation claim. Five of the counts were for insurance... Read More

Instead of the standard potential five years in state prison and fines up to $50,000 for committing insurance fraud in California, a Mariposa County man is looking at 25 to life. Going up on his third strike, Mario Moreno was arrested Oct. 7 after it was discovered he made several misrepresentations concerning his physical abilities... Read More

It’s the end of the road for a workers’ compensation fraud Ironwoman and her chiropractor. After a few triathalons and a slew of claims that transpired over a seven-year period state fraud investigators and Kings County authorities finally caught Charlotte Chapman-Allyn catching her breath. Chapman-Allyn filed a workers’ compensation claim in 1995 that was reported... Read More