December 15, 2017

CA Postal Worker Charged with Workers’ Compensation Fraud

Banning, CA – Jackie Sebastian, 60, from San Jacinto was arrested by Department of Insurance detectives May 22, 2014. Sebastian, a Postal Service Mail Processing Clerk, is facing felony insurance fraud and grand theft charges for submitting 249 false claims for mileage reimbursements associated with an allegedly fraudulent workers’ compensation claim.

“Some individuals are under the misconception that cheating the workers’ compensation system a little bit is not going to land them in trouble,” said Commissioner Dave Jones. “These small deceptions can quickly add up to a significant amount of money. Honest consumers are punished for these crimes by paying increased premiums to make up for the fraud loss.”

A joint investigation revealed that Sebastian had filed a workers’ compensation claim for $65,273.43 for transportation costs associated with mileage to and from her medical appointments. Sebastian filed a total of 249 claims and received $13,990 for mileage reimbursement, which according to department detectives was not associated to any legitimate medical or pharmacy visits.

If convicted Sebastian faces a maximum of five years in jail, a possible fine and full restitution. This was a joint investigation between the California Department of Insurance, the United States Postal Service Office of Inspector General and the United States Department of Labor Office of Inspector General.

Source: CA DOI

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