At AIC Companies, we take pride in our commitment to uncovering fraudulent activities in workers’ compensation cases. In a recent surveillance investigation, our team achieved a groundbreaking outcome that resulted in a lifetime ban on benefits for a claimant found guilty of committing a 114-a violation (fraud). We are thrilled to share the details of this case study, showcasing the power of surveillance in delivering justice and protecting our clients from fraudulent claims.
Understanding New York Workers’ Compensation Law 114-a:
Before delving into the case study, let’s explore the legal framework that underpins our success. New York Workers’ Compensation Law 114-a empowers the Workers’ Compensation Board to disqualify claimants from receiving lost time benefits if they knowingly provide false information for obtaining compensation or influencing any related determinations.
The Importance of Surveillance:
Surveillance plays a crucial role in proving the authenticity of a claim and detecting fraudulent behavior. In this case, we deployed our expert surveillance team to gather vital evidence that would substantiate the claimant’s misconduct. Our mission was to demonstrate the claimant’s egregious behavior before the judge, leading to both mandatory and discretionary penalties.
Our dedicated investigators successfully conducted surveillance, capturing approximately 100 minutes of footage of the claimant’s daily activities. Through meticulous observation, we uncovered inconsistencies in the claimant’s use of supportive devices. While she appeared to rely on a soft brace on her left knee during medical appointments, she conveniently abandoned it during other activities.
Thanks to our compelling surveillance evidence, the judge issued a Reserved Decision in our favor. Recognizing the severity of the claimant’s misconduct, the judge imposed both mandatory and discretionary penalties. The mandatory period correlated with the evidence we gathered, while the discretionary penalty extended the disqualification indefinitely, providing a powerful deterrent to fraudulent activities.
Our success in this case highlights the critical role surveillance plays in combating workers’ compensation fraud. At AIC Companies, we remain dedicated to protecting our clients from fraudulent claims and ensuring that justice prevails in every case we handle. If you suspect any fraudulent activity in a workers’ compensation claim, we urge you to collaborate with our experienced team to uncover the truth and safeguard your interests.
Together, let’s uphold the integrity of the workers’ compensation system and build a stronger, more transparent industry. If you have any questions or require our expert investigative services, please don’t hesitate to contact us. We are here to support you every step of the way.
Refer a Case Today by emailing Matt Anderson, [email protected], or calling 609-668-2191
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