On February 1st, 2017

School Campus Monitor Convicted of Workers’ Comp Insurance Fraud A joint investigation including the California Department of Insurance, Fraud Division

MODESTO – A campus monitor who worked for the Stanislaus Union School District has been sentenced to 30 days jail, three years formal probation and ordered to pay $8,341.66 in restitution following a “no-contest” plea to felony insurance fraud.

During his employment as a campus monitor, in November 2015, John Heaton reported an on-the-job injury, filed a workers’ compensation claim, received medical treatment and workers’ compensation benefits. A follow-up investigation alleged Heaton presented false statements and material misrepresentations during a meeting with the school district’s Return to Work Specialist. Heaton reportedly misrepresented facts as it related to his physical abilities and limitations associated with the on-the-job injury.

Heaton pleaded no contest to insurance fraud on January 23, 2017.

This case was a joint investigation by the California Department of Insurance, Fraud Division, Probe Information Services, and the Amador County District Attorney’s Workers’ Compensation Fraud Unit.

“Insurance investigators have their hands full with the amount of insurance fraud that takes place in this state,” said California Statewide Law Enforcement Association (CSLEA).  “Working with local district attorneys and insurance companies, they are taking down these criminals one case at a time.  Insurance fraud of any type outrages most law-abiding citizens because we all pay the price in higher insurance premiums.”

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