
SIU Criminal Filing
Hair Stylist Claimant | Felony Insurance Fraud Charges Filed
Los Angeles County, Calif., April 10, 2018 — This case involves a 21-year-old female hair stylist, who is alleging a specific injury to her back. The claim was accepted and TTD benefits were paid.
Throughout the course of her medical treatment, the claimant reported significant complaints of pain and injury, causing her treating physician to deem her Temporarily Totally Disabled. The claimant denied working activities to the QME and PTP.
Argus West surveillance and social media investigations revealed that the claimant was actually working for a new employer, doing the same type of work that she did for the insured. Subpoenaed records from the subsequent employer found the claimant had filled out the new-hire paperwork the same day she resigned from the insured. Despite this, the claimant continued to collect TTD benefits and report significant pain and limitations.
Argus First SIU prepared and submitted a full Documented Referral Package to the Los Angeles County DA’s Office on March 9, 2017. Criminal charges were filed on April 10, 2018 and an arrest warrant is pending. The final restitution figure is pending conviction but is estimated to be upwards of $49,395.71.