Surveillance Footage Used in Wisconsin Workers’ Comp Claim

A man on workers' compensation lifts heavy groceries and shovels snow while collecting benefits.

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.

 

Insurance Fraud Headlines for June 15, 2015

Here are the top insurance fraud stories for today:

* Don’t Get Soaked With a Flood Car (AARP)

* Man sentenced to nearly 4 years in prison on insurance fraud (SFGate)

* Durham Man Charged With Insurance Fraud (NCNN)

* Ohio Man Repays $25K for Workers’ Comp Fraud (WorkersCompensation)

Insurance Fraud Headlines for June 4, 2015

Here are the top insurance fraud stories for today:

* Fraud alert: Avoiding flooded cars (KPRC-TV)

Tara Herndon

Tara Herndon

* Woman allegedly failed to report income on second job while on workers’ comp (Command Investigations)

* After the flood: How to spot and avoid damaged cars (Kelly Blue Book)

* North Carolina Woman Accused of Insurance Fraud Against American Modern (Insurance Journal)

Courtesy: WOIO

Courtesy: WOIO

* Former funeral home owner pleads guilty to fraud (WOIO-TV)

Insurance Fraud Headlines for May 26, 2015

Here are the top insurance fraud stories for today:

camero1* Nearly 500,000 Camero Thefts Have Occurred Since 1981(NICB)

* 30 more arrested for fire, water damage home insurance fraud (Tampa Tribune)

* Worker’s Compensation Fraudsters Caught Faking Injuries (ABC 20/20)

* An unusual car-theft trend hits Palm Springs (The Desert Sun)

* Car Sellers Beware, Attorney General Reports (Pine Bluff Commercial)

* Women, trucks, commercial vehicles prime targets for accident-stagers (Las Vegas Review Journal)

 

Insurance Fraud Headlines for May 1, 2015

Here are the top insurance fraud stories for today:

* NICB Wins PR Daily’s Video Award for “Best News Story” (PR Daily)

* Baton Rouge woman arrested in insurance fraud case (KNOE 8)

* Winston-Salem woman sentenced in arson at apartment building (FOX 8)

* Oklahoma workers’ comp commissioner resigns (NewsOK)

 

Insurance Fraud Headlines for April 22, 2015

Here are the top insurance fraud stories for today:

* New safety features reducing auto accidents (Insurance Information Institute)

* Three Virginia women face federal charges related to student loans, insurance fraud (IFA)

* Florida Man Ousted in Comp Fraud Case (Workerscompensation.com)

* Miami Man Sentenced for Identity Theft Tax Fraud Scheme Involving the Unauthorized       Use of Debit Cards (FBI)

* Toronto man charged with auto insurance fraud (Canadian Underwriter)

* Washington State Man Tackled in Comp Fraud (Workerscompensation.com)

 

Top Insurance Fraud Stories for April 20, 2015

Here are the top fraud stories in the news today:

* Michigan Auto Insurance Bills Passed by Senate (Insurance Journal)

* Alabama ranks No. 1 in most violent tornadoes (AL.com)

* BMX bike racer caught on camera admits defrauding state (Kitsap Sun)

* Police Chief Busted for Insurance Fraud in Northeast Alabama (WDEF)

* Man Accused of Insurance Fraud for Alleged False Claims (JDNews)

Former NFL Player Sued Over Workers’ Comp Claims

BradCulpepper

Brad Culpepper (left) lining up for the Tampa Bay Buccaneers in 1995 and alongside his wife, Monica, during the 2013 TV series Survivor.

Former NFL player Brad Culpepper is being sued by his insurance company after he took part in the television show Survivor even though, due to his disability rating, insurers say he should have been physically unable to compete.

Insurers are stating that two years ago Culpepper received $175,000 in workers’ compensation due to his ”low back pain and stiffness” before appearing on the series in 2013 alongside his wife Monica. The insurance company found it interesting that, after taking the money, Culpepper popped up on the hit CBS show Survivor looking anything but disabled or in pain. 

 

According to a civil lawsuit, Culpepper told doctors of “low back pain and stiffness which is almost always present,” and said he had “quite a bit of difficulty… getting into or out of the bath and performing heavy activities around his home.”

Yet, on the Survivor episode, aired in 2013 and filmed on a remote island in the Philippines, Culpepper leads his team through a series of strenuous tasks: paddling a canoe, diving under water repeatedly, retrieving large crates and stacking them on the shore.

 In this video clip, Culpepper shows ABC News correspondent Brian Ross the injuries he claims have led to permanent pain and disability.


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