DIR Aims At Medical Fraud

The Department of Industrial Relations’ is bulking up its anti-fraud unit to find and take down medical providers who are cheating the state’s workers’ comp system. A veteran prosecutor will be leading the project. The team is charged with mining the vast amounts of data the state collects on every workers’ comp claim to find … Read More »

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Six Felony Convictions In Premium Fraud Case

The owner of a paving company pleaded guilty to six felonies and agreed to pay over $1.4 million in restitution to two workers’ comp carriers as part of a deal to end a workers’ comp fraud case. Maurosan Milhomem, the owner of Viking Pavers, Inc., copped to the charges related to workers’ compensation insurance premium … Read More »

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Alleged Serial Workers’ Comp Fraudster Arrested

The Contra Costa District Attorney’s Office is pursuing an 11-count insurance fraud case against Maria Mendoza for allegedly filing fraudulent workers’ comp claims against four different employers, as well as two suspect auto insurance claims. Mendoza was tripped up when she allegedly staged a slip and fall accident in front of co-workers as she was … Read More »

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DIR Allows Comp Scofflaws to Operate Uninsured

The Department of Industrial Relations’ data matching program for targeting likely uninsured employers helped shut down nine restaurants in the East Bay for operating without workers’ comp coverage. But DIR officials knowingly allowed the businesses to operate uninsured for nearly a year before acting. DIR spokesman Peter Melton said DIR has no explanation as to … Read More »

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