Ohio Intelligence Unit Identifies $29.5 Million in Fraudulent Benefits Received


Columbus, OH (WorkersCompensation.com) - The IU, which reviews BWC data about claimants, medical providers and employers to uncover fraud on a daily basis, detected 1,072 fraud allegations, resulting in $29,512,151 in savings. These results were generated in the 12 months of fiscal year (FY) 2014 alone. In their spare time, members of the unit also completed 3,991 data requests from the SID's special investigation units and analyzed case information. With the help of IU, SID was able to identify a total of $60.1 million in savings over the past year, according to statistics outlined in the SID FY 2014 annual report.

The IU served as the source of the allegation that resulted in the recent criminal conviction of Sandy Durieux. Durieux, of Stow (Summit County), who was convicted on Sept. 15 in Franklin County Court of Common Pleas of workers' compensation fraud, was ordered to pay $57,803.62 in restitution to BWC. Our SID investigation proved that Durieux was working as a licensed individual provider for the Ohio Department of Developmental Disabilities while receiving temporary total disability benefits and advising BWC she was unable to work at all.

We explained earlier this year how IU's data analysis and detection efforts examine not only information provided to BWC, but also that of our external partners. The IU exchanges data with other state agencies to detect fraud.



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