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.
Source: NICB
