On Dec. 8, 2004, Sammy Barela Rios, of Madera, was arrested by investigators from the CDI Fraud Division and booked into the Madera county jail on four felony counts of workers’ compensation fraud and one felony count of perjury. If convicted on all counts, Rios could face up to seven years in prison.
The Madera County DA’s Insurance Fraud Unit is prosecuting the case. Rios is alleged to have presented a false claim for payment of a loss or an injury, stemming from his workers’ comp claim filed while working for the Madera School District.
Rios reportedly injured his left ankle while on the job for Madera School District on Feb. 12, 2003. CDI’s investigation uncovered witness statements that disputed his account of the injury, alleging that Rios was actually injured while working for another employer and that he provided false statements regarding how he had hurt his ankle.
It is also alleged that Rios fraudulently received approximately $2,215 in medical benefits from Claims Management Inc., the school district’s workers’ comp claims manager.
Topics California Fraud Workers' Compensation
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