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

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



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