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Article #16: Fraud Busting at 12,000 Feet, The Fraud Chronicles 5:

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






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