Surveillance Footage Used in Wisconsin Workers' Comp Claim
A man on workers' compensation lifts heavy groceries and shovels snow while collecting benefits.
In this edition of Fraud Files we focus on a Wisconsin man on workers' compensation who had over $1.2 million paid out for the claim in 5 years. Only video surveillance shows the injury isn't all that severe. In the footage the man is seen chopping ice, shoveling snow and lifting groceries.
The man allegedly continued to receive ongoing pain management treatment from his Wisconsin doctor. Evidence later showed the doctor was billing $15,000-$20,000 a month for these treatments.
A judge found the insurance company was not liable for unpaid bills and stated they were not required to continue to pay for future treatments. Those unpaid bills amounted to over $250,000 and future medical expenses that were estimated as high as $11 million.
Anyone with information concerning insurance fraud or vehicle theft can report it anonymously by calling toll-free 800.TEL.NICB (800.835.6422) or submitting a form on our website.
About the National Insurance Crime Bureau: Headquartered in Oak Brook, Ill., the NICB is the nation's leading not-for-profit organization exclusively dedicated to combatting and preventing insurance crime through Intelligence, Analytics, and Operations; Education and Crime Prevention; and Strategy, Policy, and Advocacy. The NICB is supported by more than 1,200 property-casualty insurers, self-insureds, rental car, vehicle finance, and auto auctions. To learn more, visit www.nicb.org.