Texas Mutual Insurance Company Workers Compensation Fraud

Texas Mutual Fraud Investigators

By Staff | Thu, 28 Feb 2008

January 7, 2008 - Texas Mutual Insurance Company recovered over $1 million in Texas workers compensation fraud last year.

As part of the company’s ongoing commitment to combat workers’ comp fraud, Texas Mutual Insurance Company investigators Victoria Quintana and William Muhr earned the designation of Certified Fraud Examiner (CFE) from the Association of Certified Fraud Examiners (ACFE).

ACFE provides anti-fraud training and education to its 40,000 members worldwide.

“This designation is a goal for all of our investigators,” said Tim Riley, manager of special investigations. “The information in the exam study materials reinforces lessons learned from practical experience.”

The four-part exam, administered by the ACFE, covers topics from criminology and ethics to identifying the types of fraudulent financial transactions in accounting records. The exam also covers legal elements of fraud and the legal ramifications of conducting fraud examinations, including criminal and civil law, rules of evidence, rights of the accused and accuser, and expert witness matters.

The special investigations department investigates cases of injured workers who knowingly collect benefits to which they aren't entitled. Investigators also pursue health care provider and attorney fraud, as well as employers who misrepresent their payroll to lower their premium.

“Among other things, as investigators, this certification enhances our credibility when testifying in a case,” added Riley.

For more information about the exam, visit www.acfe.com. For more information about Texas Mutual Insurance Company, visit www.texasmutual.com.

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