San Diego County District Attorney’s Office Files Felony Charges

Tuesday, May 5, 2026 | 218 | 0

May 5th, 2026

The Special Investigative Unit of RJN Investigations Inc. was recently notified by the San Diego County District Attorney’s office as to the formal charges filed based upon the submission of a documented referral.

In this particular case, the claimant was employed as a city firefighter. As the claim progressed, the proactive claims examiner requested a social media investigation to be performed by the RJN SIU. In that report, it was discovered that the claimant’s family owned a surf experience shop with reference to the claimant being a coach for surfing lessons.

Upon receipt of this report, the examiner then authorized surveillance which resulted in several hours of video evidence of the claimant engaging in physical activities, including working out at the gym and surfing. During the timeframe of the surveillance, the claimant was collecting TTD benefits.

Upon providing the video evidence to the primary treating physician, a significant change of medical opinion was made. As such, in accordance with the regulations supported by the California Department of Insurance, the RJN SIU formally referred this case to their fraud division as well as to the San Diego County District Attorney’s office. Upon completion of a detailed criminal investigation by the CDI , the claimant was formally charged with multiple felony counts of insurance fraud.

ABOUT R.J.N. SIU:

Formed in 1996, the RJN SIU Division was created to assist California employers, governmental agencies, insurance carriers and TPA firms in securing professional assistance so as to detect, investigate and prosecute insurance fraud. To date, the unit has trained well over 4,000 examiners, and the documented referrals by this unit have resulted in over 260 convictions for workers’ compensation insurance fraud in California. In just the last four years, we have secured $ 2,172,027.00 in court-ordered restitution on behalf of our valued clients.