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adjustercom.net - FraudFromInsideAndOutsideTheCourtroom

 


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Inside Job Ends Inside Cell
By Robert Warne - January 28, 2004

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The California Department of Insurance Investigation Division is prepared to make legal calamari out of an eight-legged work comp fraud operation.

Linda Anne Wiser must have thought that she and her eight accomplices would just blend into the regular claim process as they executed their version of a free checking plan over a one-year span.

Working as an adjuster for Chubb Insurance Company in Los Angeles, Wiser facilitated the issuance of 125 fraudulent checks to her associates. The estimated $318,000 in checks issued, were then cashed and Wiser would receive her cut of the action.

The DOI reported that along with Wiser, Lionel Dwayne Cannon, Constantino Rufus Hall, Marquette Duval Jenkins, James William Johnson, Melanee Ellise McInnis, Larry Gilbert Moss, Jr., Robert Christopher Raphael and Shannon Jemel Smith either remained in custody or posted bail which ranged from $25,000 to $100,000 for each individual.

All are facing felony grand theft charges for their part in the scheme.

In the Jan. 27 announcement, Insurance Commissioner John Garamendi said, "Today's developments underscore my department's commitment to investigate and prosecute the widespread abuse and fraud that drive up costs in the workers' compensation system."

He also emphasized that, “Serious reform to California's workers' compensation system must include changing its current culture, which encourages this kind of illegal activity.”

The San Bernardino County District Attorney's Office, Workers' Compensation Division is prosecuting the case.

 
 

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