Due to an anonymous tip, Texas Mutual Insurance Company will be recovering over $8,200 in restitution and will save over $26,000 in estimated future income benefits. Additionally, the confidential informant will receive a $1,000 reward. Texas Mutual said without the tip, it might still be paying income benefits to an Austin company’s worker who claimed he could not work, but secretly was employed at a new job. Despite being asked repeatedly, this employee continued to claim to his doctor and to Texas Mutual that he could not work or participate in any physical activity. The worker’s manager reported his suspicions about the claim last year and requested a review by Texas Mutual fraud investigators. Although the investigation supported the employer’s concerns, investigators could not establish enough evidence to prove fraud. About two months later, a confidential informant told the manager that the employee was working a new job while still collecting temporary income benefits. Based on the tip, investigators uncovered clear evidence that the claimant was physically active and working at another job. Texas Mutual discontinued income benefits and asked the Travis County District Attorney’s Office to prosecute the case.
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