Fraud Busting at 12,000 Feet, The Fraud Chronicles 5:

Workers Compensation costs are a crisis for USgoing down. And this is why they provide extra
businesses today. Many states have passedlow gearing on the vehicles recommended for this
major reforms to try to ease the burden onroad. Thank goodness I had all the film I needed,
businesses. One reason Workers Comp costs arebecause it was now necessary, actually vital, that
so high is because of fraud. Some people claimI concentrated on bringing my rental vehicle back
they are completely disabled, and collect monthlyinstead of leaving it several thousand feet down
disability checks, when they are actuallythe vertical cliff on the right.
completely able to work or do other physical"After a few miles, I was thinking that I was
activity. Insurance fraud is against the law, and itgetting the hang of this and would live until
hurts everyone by raising insurance premiums.tomorrow. Then, while negotiating a small stream
( sponsored by independent investigators Davidthat crossed the mule trail and drops off the
Morse & Associates, gives information andedge into oblivion, I got a flat tire. As I got out of
resources on how to fight insurance fraud. Thethe vehicle and stepped into 6 inches of freezing
site also features stories of successfulcold water, I realized that I was still suffering
investigations that have resulted in the bust of afrom oxygen deprivation, quickly found a place to
fraud perpetrator. And when a fraud perpetratorsit down as far from the edge as possible and
is busted, that helps to bring insurance premiumsput my head between my knees.
down."For those of you who have not experienced the
Over the years, David Morse & Associatesattempt to breathe at 12,000 feet above sea
investigators have been led on many unusuallevel, let me give you a brief description. The
excursions by subjects in the course of theirbody feels very heavy, there are pains
personal activities, unaware that they hadeverywhere, particularly the head and heart, and
investigative company. But this case exceeds allone wonders how a function like breathing that
others in both altitude and difficulty.one took for granted suddenly became an
Fraud Busting at 12,000 FeetOlympic competition.
Andy Schwarz, Investigations Manager Los"After some minutes of sitting there it came to
Angelesme that I had to change this tire. But I was too
"Our subject had been collecting benefits forexhausted to even look for the jack, let alone get
some time based on his assertion of totalit out of the car. Slowly it dawned on me that I
disability. I started in Denver at the subject'swas in trouble and toward the end of afternoon it
address. Turned out his wife was there, but theis going to get really, really cold. Just then another
male individual we got on film was not theoff road vehicle came down the hill and stopped.
subject. Too bad we weren't doing divorce work -The driver and passengers offered to help which
I could have closed the file.I thankfully accepted. They changed my tire and
"A canvass of the neighborhood turned up thecheerfully sent me on my way down in front of
fact that the subject was living in the mountainsthem.
five hours west of Denver. I arrived late that"It seemed like the worst must be over. But then
afternoon and immediately obtained film of theI hit the switchbacks, hairpin turns in the road as
subject working under an old car, crouching,it snakes down a place where no road should
crawling, bending and lifting objects of varyingever go. I made the first, but on the second I
weight and size. Our subject was looking prettywent into it just a hair too fast and the back end
spry.of the jeep got loose, finding gravel over near the
"I quit at dusk and return the next morning. Ouredge. The hair on my arms was standing straight
subject and friends depart in a jeep and head outup as I planned a leap from the jeep - and then it
of town. And then uphill, a very steep hill on astopped. Even after catching my breath, no easy
very old and tattered dirt road. Fortunately thetask at this altitude, I could not bring myself to
subject and myself were not the only onesstart back down.
putting our vehicles through their paces on this"My benefactors from the tire changing in the
mountain trail, and I could follow without appearingstream showed up moments later. From the
out of place.position of the jeep and my very pale
"I had rented a jeep for this assignment and Icomplexion, they know exactly what happened.
was thinking that was a particularly brilliant moveAn older gentleman from the party took control,
on my part. I found out later that standard issueoffered to drive me down the hill, and I was
jeeps and other 4-wheel-drive models are notsaved. It was during this part of the trip that I
recommended for this trail, only vehicles fittedlearned we have just crossed Black Bear Pass,
with special protective plates underneath andone of the more difficult off-road adventures
special low gearing in order to ease wear and tearavailable in the United States, and one which kills
on the brakes coming down. But as we startedfour or five people every year. I learned about
up I was oblivious to my under-equipped condition.the modifications made to vehicles to be used in
"As we proceeded the road was getting worsesuch adventures. And of course I learned a lot
but I was getting great film of the subject'sabout my benefactors, a family that makes the
vehicle performing superbly in difficult conditionstrek twice a year and has been doing so for 15
and rattling its contents (including the subject)or 20 years.
severely. I got film of stops at look-outs and our"Someone put the oxygen back into the air and I
subject's confident maneuvers on foot over,found my disposition remarkably improved. I was
around and on large rocks.alive and without broken bones, and the pains in
"The road was now a mule trail with a sheer dropthe head and muscles were distant memories.
off on one side, cliffs on the other. It was gettingThe car rental company did not notice the
very cold and I was having trouble with the thinpermanent indentations my fingers left in the
air. Turning the wheel felt like hauling asteering wheel. Life is good. Best of all, I had film
hundred-pound sack from side to side.and the subject is well and truly busted."
"Just when I thought conditions cannot get worse,Another victory for truth, justice and lower
they did. We started down hill. It turns out thatinsurance premiums.
going up was a walk in the park compared to