How Do Workers’ Compensation Fraudulent Claims Affect You?
Billions of dollars in premiums are collected by insurance companies that provide Workers’ Compensation Insurance coverage to businesses and municipalities of all sizes. Premiums are predicated upon the risk within a specific category of work being performed. As an example, a clerk would not be considered a high risk while a construction worker who works on high rise buildings would be a high risk. In other words the more likely to be injured on the job the higher the premium. However, that is not the problem within the Workers’ Compensation Insurance industry. The problem lies with fraud.
The Beginning of Workers’ Compensation Fraud Investigations
Back in 1991 our CEO Robert Mann of Worldwide Intelligence Network first started to investigate alleged fraudulent Workers’ Compensation cases the insurance industry in California was burdened with thousands of claims. Employees were filing claims to collect a check every month without having to work for living. Stress was the most frequent claim and all an employee had to do back then was say they were too stressed to work and then they would find themselves an attorney to file their claim for them and offer to give the attorney a percentage of what they collected. Then the attorneys would refer these fraudulent claimants to doctors that would verify that the claimant was simply too ill to return to work due to stress on the job. The claims back then were off the wall and at that time, Hughes Aircraft was the largest employer in the state of California. Hughes lobbied Sacramento heavily to have the legislature pass a law that quantified what constitutes an actual work related stress claim that realistically was actually caused by an employee’s work environment. A new law was passed that rid the claimants’ ability to simply claim stress due to their work place. Once the new law was passed medical clinics that specialized in Workers Compensation medical claims were shut down all across the State as were the law firms that perpetrated fraudulent stress claims with the Workers Compensation Appeals Boards up and down the state. District attorneys were called upon to form a special division to prosecute those who were perpetrating fraud upon the State’s insurance companies.
Claims went from 85% to 5% within a year and eventually the insurance industry was able to reduce the Workers’ Compensation insurance premiums to business owners and municipalities and businesses grew exponentially. Here we are in 2013 and it appears that we are nearly right back to where we were in 1991. Claims are being filed like crazy because so many employees have been laid off or fired due to the economy and they fear their unemployment insurance won’t be able to sustain them until they find gainful employment. Our job here at Worldwide Intelligence Network is to fairly investigate suspected fraudulent claims and report our findings back to our clients, the Workers’ Compensation insurance companies. It’s a never ending battle between the good and bad in this country. When businesses are forced to pay increased premiums while struggling through surviving a very difficult an economy it slows the growth of our economy not only here in the USA but around the world. We actually need much stricter laws dealing with fraudulent claims.
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BIOGRAPHY OF AUTHOR ROBERT MANN
Robert was born in New York and as a youngster moved to California with his family where he now resides. Robert became an ardent reader of suspense novels and cultivated a passion for solving mysteries at a very young age. Twenty-six years ago he founded the Worldwide Intelligence Network which is an accomplished licensed California and New York Private Investigation company. Today his investigative skills encompass a broad range of diverse investigative assignments all presented on his company’s website.
Worldwide Intelligence Network’s investigative assignments have taken Robert around the world where he often worked alongside with associates native to the country where the assignments took him.
Several valued and well-respected prestigious law firms from coast to coast have retained the services of Worldwide Intelligence Network as well as public and private corporations, government agencies such as the County of Los Angeles and the City Attorney of Los Angeles, Metropolitan Transit Authority of Los Angeles. Robert and his team of investigators serve small business owners, multi-national corporations, celebrities, and high-net-worth individuals. Worldwide Intelligence Network is ranked among the “Five Best Private Investigation Companies in America” by Conde Nast Publications.
Culturally savvy and globally-minded; Robert became an expert at interviewing, researching, assessing, writing/editing, and reporting with a keen understanding of the law, evidentiary procedures, and validation of admissible evidence, as well as applicable fraud statues at the State and Local levels.
One of Robert’s most memorable investigations took place in Ho Chi Minh City, Vietnam (formally Saigon) where he was retained to conduct an extraordinary challenging and dangerous investigation of his client’s son’s murder. After concluding that investigation and identifying the killers, Robert felt compelled to write a novel “The Assignment” that was published and received excellent reviews.
Robert was continually being asked to provide Bodyguard services by his clients, and thus he acquired a license to offer Bodyguard Services around the world. SOME OF ROBERT’S INVESTIGATIVE ACHIEVEMENTS ARE:
He has saved his insurance company clients hundreds of thousands of dollars by exposing fraudulent claims.
He located millions of dollars of embezzled funds overseas which led to a very favorable settlement.
He prevented an innocent client from being convicted of bribing a Federal Agent; The case was dismissed.
He located two runaway children within hours of their parent's requests.
He exposed a criminal conspiracy perpetrated by father and son upon an elderly woman with a terminal illness. Both were captured and convicted to five years in prison.
He revealed both unfaithful and faithful spouses in hundreds of infidelity assignments.
He identified who stole tens of thousands of dollars in jewelry from an elderly woman with dementia and had that person arrested.
Asked to locate an employee of a law firm who went missing he found out that she had been murdered by her significant other who when confronted by the Los Angeles Police Department, took his life.
Robert personally connects with all of his clients and potential clients to make sure they are presented with the best investigative options and personal protection services. ROBERT MANN’S CREDENTIALS AND AFFILIATIONS
California Private Investigator’s License, 14745
Private Investigator’s License New York, #0311124
California Private Patrol Operator’s License #15757
POST Certified on Background Investigations Course
Member of the California Association of Private Investigators CALI
Qualified Provider of MCLE by The California State Bar
Robert provides Pro Bono Investigative Services to the Public Counsel of Los Angeles.
Public Counsel is the largest pro bono law firm in the nation.