San Diego Man Sentenced for Workers’ Comp Fraud

June 17, 2008

A San Diego man has been sentenced for insurance fraud. On May 21, 2008, Ramon Romo was sentenced to 180 days in San Diego Superior Court and ordered to pay more than $25,000 in restitution in addition to $680 in fines.

On June 6, 2005, Romo fractured his thumb while on the job, and filed a workers’ compensation claim with his employer, NASSCO. Several months later, he added claims for back, neck and right shoulder injuries, claiming the injuries occurred at the same time as his thumb injury. In December 2005, Romo testified under oath that his additional injuries were not preexisting. He repeated this claim during a qualified medical exam.

On two separate occasions in June 2006, Romo was videotaped lifting and carrying heavy materials including sheetrock and insulation. He was also seen carrying a young child. In October 2006, Romo told his medical examiner that he was unable to lift his two year-old child, and any objects exceeding 20 pounds.

California Department of Insurance (CDI) Fraud Division investigators additionally discovered that Romo had filed a workers’ compensation claim for neck and back injuries in 1998 with his previous employer, Airline Interiors. Because of his injuries at that time, he reached a settlement in March 2003 and received $26,000 for his injuries.

As a result of this investigation by CDI, NASSCO, and the San Diego District Attorney’s Office, Romo pled guilty to one count of insurance fraud, and ordered to pay $25,830.67 in restitution to NASSCO, his employer.

Source: CDI

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