A workers compensation private investigator tells it all

I have worked as a [workers compensation] private investigator for approximately 7 years, handling Worker’s Compensation and Third Party Injury Claims. During my work I was aware of matters that I consider pertinent to this inquiry:

A workers compensation private investigator tells parliament how it really is

  • Collusion between Investigators and / or Company staff occurred with medical practitioners examining injured claimants, information on such claimants being passed on for identification, location and other purposes. In other words, these medical practitioners were not acting independently of the Insurer.
  • Film evidence was conveniently edited and / or destroyed if it was not of suitable material for disputation of alleged or claimed injuries.
  • Bluff tactics were undertaken to persuade claimants to settle their claim. An example of this was attending Court with large film spools casings containing small rolls of film evidence. I also have evidence of:
  • Doctors providing grossly misleading medical reports to the Insurer’s, such evidence supporting and / or reinforcing an attitude of working in harmony with the Insurer’s as opposed to being independent.
  • Doctors medical reports and interviews not corresponding,indicative of gross error / corruption / bias on the part of such medical practitioners.
  • Doctors being unwilling to make amendments to such grossly misleading medical reports when brought to their attention.
  • Ignoring of cover-up of facts between Doctors / Lawyers / Investigators.
  • Investigators providing written reports to the Insurers that do not correspond with film evidence, thereby being misleading in their content,yet ignored by Doctors / Lawyers / Court when screened for evidence either prior to or at Trial, thereby indicative of what I perceive to be and evidently tantamount to corruption within the Court/ Legal system, pertinent to Injury claims. An example of this is where a claimant displays restriction in movement and expressions typical of experiencing pain, yet such evidence is ignored.
  • Selective use of video surveillance by Investigators, in what appears indicative of a cover-up.
  • Allegations/charges of fraud against the claimant when in essence I believe that the means employed against the claimant were tantamount to fraud.
  • Claims by a Worker’s Compensation agent, based upon confirmation from the Investigation company, that certain film evidence taken for identification purposes has been discarded, when in fact the company policy reveals that such evidentiary material is never discarded.
  • Attempts by a Worker’s Compensation agent not to reveal what it terms “sensitive information on the file that potentially could jeopardise the success of ~their~argument which will have ramifications for the management of (their) file and potentially the ‘Scheme’.
  • Film evidence presented to the Court being largely edited, in what was termed “presentable form… (and / or) abridged into a version” together with corresponding written notes, indicative of questionable procedure within the Court / Legal system, pertinent to Injury claims.
  • Factual evidence/ exhibits presented to the Court being fabricated for the specific purpose of disputing an injury claim, indicative of questionable procedure within the Court / Legal system, pertinent to Injury claims.

I have compiled cases to this effect for the specific purpose of exposing what I believe to be corruption within the Court/ Legal system, pertinent to Injury claims, and for assisting others to be aware of the true state of affairs within the Court / Legal system. My compilation is continuing. I rely heavily on the Whistleblowers Protection Act 1993 in doing so.
It is my [the workers compensation private investigator] belief, as a result of these experiences, that:

  • the alleged high cost of disputing alleged fraudulent claims is unnecessary, if not entirely lacking in honesty/ integrity / benevolence/ altruism to society in general.
  • the methods used are extremely questionable, if not fraudulent themselves, as they are based upon deception of a higher degree by an industry that largely claims itself to be a victim of fraud.
  • such methods/ aspects require exposing thereof in the public interest.

Peter Reynolds

[Source: http://www.aph.gov.au/house/committee/ewr/wkc/subs/sub09.pdf]

I say, good on you, Mr Reynolds, for exposing the truth – wish more private investigators would!

3 Responses to “A workers compensation private investigator tells it all”

  1. But no lawyer acts “for justice” — they’re aware of the political games.  Lawyers are acting like politicians.   Advising claimants that “if you don’t take this deal, the costs will go up, and the extra payout won’t be worth the loss” …. that’s the behaviour of a POLITICIAN …  NOT A LAWYER.

    We have lawyers, who are supposed to argue the case for their client, agressively, and seeking to present the truth, and have it heard, and the court determine it as to the true facts.

    However, it’s systemically not happening.   The lawyers for the insurance industry are routinely acting for this “maximal agressiveness in litigation” — presenting the case for their clients (the insurer) as dramatically in their favour as they can — lying, mishandling of evidence, fraudulant collection of evidence.  Making “but it’s okay because we hired contractors — we weren’t the ones commiting these sins, it was the people we paid” … (yet at the same time, hiding behind the FOI act when reports from these consultants are requested, by rejecting requests for them to be made available under section 30 (1)  (where it takes more than a paragraph to explain how they “interpret” the act such that they can argue the consultant is an “officer” — the ATO would not consider the contractural arrangement to be employment)…

    But the mere fact of making this claim puts the burden of arguing for truth and reasonableness back on the victim, which it is simply too costly and burdonsome to argue.

    If the system truely must work in such an adverserial way, then I contend that the TAC should be responsbile for fully financing the victims lawyer, and the law should require the victims lawyer to argue as agressively as they can, to the same standards of “lying cheating for benefit” as the insurers lawyer.  And the court should be required by law to seek truth, and rule to simplify law, and condemn and punish the lying and cheating, and the abusive processes as a method of making the costs of litigation cheaper for society.   (but even if this step isn’t done, the making cheaper part, the insurer, who is the driving factor behind “increasing costs due to games designed to take advantage of an assymetry of power” should be held liable for financing the increases in cost to the victim due to these games.  The victim is an unwilling participant in this highly agressive, adverserial and abusive process.   And we as society must act to protect these people who are unable to fight for their rights under the law.

    The more cases that occur, where victims are underrepresented, further creates the asymeteries that enable victims to be abused.

    And right now, our goverment is not only “allowing” it, but is downright complicit in it.   Both liberal, and labour governments.  Systematically moved towards further enhancing the abuse of victims, rather than protecting their rights as citizens.

    And they don’t have much of a voice to fight back.   We don’t have much of a voice.   Because even when we do speak, nobody listents.   Or if they do listen, it’s a sympathetic heart, and “can’t do much in reality, because the politics of the situation forces us to allow victims to be abused”

    It’s not good enough.   We do not live in a civilised society.   And if we do not live in civilised society, then we should stop pretending.  Pick up rocks and stones, and send the people who presume to preside over us, and set one set of rules for us, and then proceed to ignore those rules themselves, with pathetic excuses and justifications.   Either we stand up, work wtihin the system, all of us, as citizens, to remove them from power, and institute a government of justice, fair go, or we must bear arms, and stage a civil war.

    This isn’t just about insurance.

    It’s about life on this planet.


  2. Mr Rod Trevor, how can you sleep at night?

    • These people, people like Mr Trevor, are without morals.

      They destroy the lives of innocent people for their own short term financial gain.

      Anyone who, at a tribunal or other hearing who has video or other surveillance evidence presented before them, should seek access to all notes, all records, all telephone call, all orginal footage in relation to such matters.

      All those presiding over such tribunals should routinely reject surveillance reports outright where there is evidence of tampering or where all related information is not put before them.

      People like Mr Rod Trevor need to be held to account.

      They are little more than failed high school students holding a camera.

      I'll tell you how December 26, 2011 at 12:16 pm