AOE/COE

Full Court Press

There are times when the claim reeks of fraud from the beginning. The examiner or the employer can react to red flags immediately. When this condition arises, simultaneous assignment of both AOE/COE and surveillance investigations can be an extremely effective. Chief among the many benefits of assigning an AOE/COE investigation and surveillance together is the certain knowledge of where the subject will be on the day the statement is to be taken.

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While we have handled many cases in this manner, one standsout as a particularly good example. The EE was claiming almost 100% knee disability. She had her statement with our AOE/COE investigator and a doctor’s appointment scheduled for the same day, so we knew she would be active. Our investigator arrived early and was alerted to a slight movement at the door of the second story entrance to her home. Quite suddenly, the EE exited and dropped a file of papers down her steps. The investigator obtained excellent film as she moved quickly, gracefully and without apparent difficulty to retrieve the documents in several trips. Her walking and bending skills, demonstrated on steep steps, appeared completely unimpaired. (more…)

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Sweet Little Old Lady…NOT

Ladies of a certain age come in all varieties, as do 20-somethings and 30 somethings. The baby boom generation of ladies, like all generations of women and men alike, includes the good, the bad and the ethically challenged.

Featured imageMy inclination is to give little old ladies the benefit of the doubt, having had a very kindly grandmother who was good for cookies, cake and the occasional dollar bill slipped into my pocket when Mom wasn’t looking. However, if “grandmother” is the cover and distraction used to get away with a fraudulent claim that comes my way, my fondness for my grandma isn’t going to help you. If your claim is bogus, I will bust you. (more…)