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Texas Mutual Builds Case Against Carpenter

13 Mar, 2008 WorkersCompensation.com

                               

Austin, TX (CompNewsNetwork) - Texas Mutual Insurance Company reported today that a Travis County court sentenced Donald Miller of Yoakum on workers' compensation fraud-related charges. The court sentenced Miller to one year of probation. It also ordered him to pay $2,132 in restitution to Texas Mutual Insurance Company, plus a $500 fine.
 
Miller reported a job-related injury while working as a carpenter for Orr & Zinke General Contractors, headquartered in Yoakum. He claimed he was unable to work as a result of the injuries, and Texas Mutual Insurance Company began paying him income benefits.

Meanwhile, a Texas Mutual® investigation uncovered evidence that Miller was working as a self-employed contractor remodeling a private residence while receiving income benefits. Investigators call this type of scam double-dipping because the claimant collects benefits for being too injured to work when he or she is, in fact, gainfully employed. Texas law requires claimants to contact their workers' comp carrier when they return to work.

Left unchecked, double-dipping and other workers' comp fraud can lead to higher premiums for all Texas employers.

The Miller investigation was part of Texas Mutual Insurance Company's zero tolerance for fraud policy. The company maintains three teams of investigators permanently assigned to investigate every report of suspected fraud.

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