Perils of Car Maintenance in Work Comp Fraud

Saturday, March 10, 2007 | 0

By Jim Smith

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 and 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 4 tires, using a pump to add air to all 4 tires, 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 5 foot one inch tall require more than an absence of disability - true dexterity and great balance are a vital necessity. Needless to say, all this involved a lot of bending, crouching, twisting, stretching, use of the left arm in lifting, etc. No sign of hesitation or pain. Not a cane in sight.

Next we were instructed to get film of the subject's arrival at the Workers' Compensation Appeals Board, her departure from home prior and her arrival at home afterward. She left home without a cane, walking with no sign of pain. She arrived at the hearing and only then did the cane come out of the trunk of the car. In all the time we had observed her, this had been the first appearance of the cane. Her gait for the first time developed a slight hesitation.

But all that was short lived. By the time she was home, she was apparently feeling fine, the cane went back into the trunk and she walked into her residence with ease.

Our subject was playing hardball and took this case to trial before the Workers' Comp Appeal Board. But when her attorney viewed the film, the matter settled for a fraction of the demand, saving tens of thousands of dollars.

Jim Smith is the deputy director of DMA Investigations. DMA Investigations (http://www.dmainvest.com) is an independent investigations company with 45 offices in 15 states, specializing in investigations of possible Workers Comp fraud and abuse.

-------------------------------

The views and opinions expressed by the author are not necessarily those of workcompcentral.com, its editors or management.