QBE workcover Case Manager jailed for processing K165 fraudulent claims

case-manager-workcover-jailed-for-fraud

We don’t hear or see it often, but it surely happens more than you think – here is another , well hidden case of a recent workcover case manager, who worked for QBE in NSW, who was jailed for processing fraudulent claims in the sum of $164,466.07. Shame on you!

Time the emphasis was put on fraudulent case managers rather than the so called fraudulent injured workers!!!

NSW QBE workcoverCase  Manager jailed for processing K165 fraudulent claims

Lauren O’Flynn:the fraudulent workcover case manager (QBE)

29/11/2012
From November 2009 to February 2010, the defendant Lauren O’Flynn, a case manager employed by QBE, accessed QBE’s computerised claims management system on 48 separate occasions and processed fraudulent claims in the sum of $164,466.07.

After a WorkCover investigation the defendant was charged with breaches of section 178BA of the Crimes Act (NSW).

On 19 July 2012 the defendant was convicted by the Local Court and sentenced to imprisonment for 3 years. The defendant appealed to the District Court.

On 29 November 2012 the District Court re-sentenced the defendant to full time imprisonment for 2 years and 6 months, with a non-parole period of 15 months. The Court ordered the defendant to pay $164,466.07 in restitution.

 

[Kindly shared by co-author Trinny –Source: http://www.workcover.nsw.gov.au/lawpolicy/prosecutions/Pages/sp516.aspx]



This post has been seen 1086 times.

7 Responses to “QBE workcover Case Manager jailed for processing K165 fraudulent claims”

  1. Now this is the kind of fraud that governments and shock jocks should be spruiking instead of claiming all injured are committing fraud. I wonder if they hired one of their dickless PI’s to investigate, most likely not, they would have needed a sound case built on facts and not selective information.
    We do need to hear more of these cases as the true fraud as we all know lies with the insures and workcover.

    ahh workcover working hard to cover the illegal activities of their scheme agents

    Thumb up 0 Thumb down 0

  2. I notice that they allowed her to keep any interest earned over two and a half years on the 164K

    Thumb up 0 Thumb down 0

  3. Oh wait a minute, so nothing happened to QBE and they still run their business as usual???

    Thumb up 0 Thumb down 0

  4. QBE HAS PUT ME THROUGH HELL AND TREATED ME LIKE THE THIEF NOT THE VICTIM AND OFFERED TO BRIBE ME WITH A COUPLE OF THOUSAND DOLLARS AFTER CONCILIATION AND I TOLD THEM TO FUCK THEMSELVES HOW DARE THEY I AM A DISABILITY CARER AND GOT ASSUALTED ON SHIFT BY A DISABLED CLIENT BEEN GOING DOWN THE PATH OF HELL FOR ALMOST A YEAR NOW. I AM NOT BEING PAID AND QBE HAS ALSO REFUSED ME MEDICAL HELP AND CURRENTLY ON CENTERLINK SICKNESS ALLOWANCE. I AM DUE TO GO TO THE MEDICAL PANEL IN TWO DAY LETS HOPE THESE DOCTORS ARE NOT IN QBE POCKET – ITS CALLED A BRIBE – LET SEE IF THEY DO THE RIGHT THING SO I CAN GET MY LIFE BACK AND NO MORE DOWN THE PATH OF “HELL”
    Irene Perfetto

    Thumb up 0 Thumb down 0

    Irene Perfetto August 5, 2014 at 7:44 am
    • @Irene – terribly sorry to read that you (too) have been ill-treated by the work-over insurer. Did they give you a reason as why they denied your claim? It is good that you went to the Medical Panel, most are reasonable and hopefully they will be able to set the record straight. Keep us posted.

      Thumb up 0 Thumb down 0

      workcovervictim3 August 9, 2014 at 8:20 pm
  5. Some staff have no morals and tend to lie especially in my field as a Disability Carer. I wish I could mention my employer but I cannot cause it started with them loosing the work cover form listening to hear say from staff at work saying my injury and depression was caused from renovating my house, What a Joke it was a new home I purchased and had defects. I went through the correct channels, consumer affairs and building commission and builder complied and fixed defects. I even provided them a letter of proof from the builder when works were finished QBE and those lying staff are bastards. Then they questioned my photos I provided them proof there as well, smart phones don’t lie when pictures were taken. Which clarified all the lies and deception of the lies said against me by these lying staff who always targeted me on shift used me whilst they sat on there arses. But my job is special and so are the Clients I look after and they did not want a client focused, duty of care and I guess prejudice came into the equation I was the only white person that cared for clients. They just wanted to sit on there arses on the computer and smart phones whilst Irene was running around like a blow arsed fly doing my job and there’s. QBE claimed they had these witnesses but yet to provide me a copy of false allegation’s I emailed them rang them and no such proof was provided. QBE after about a week tried to Bribe me with a couple of thousand dollars, go away and not accept my claim. I got assaulted before many times in the field and same client as well, been bullied sexually harassed and never went down Hell work cover path. I handled all that but this assault took its toll on me and aggravated depression, the pain continual migraines tears dark thoughts nightmares, QBE and some insurance companies are frauds and no Duty of Care to injured workers. I went to conciliation my employer didn’t show up what does that tell neglect and no support to injured worker and the sour and no emotion on her face case worker from QBE looked down upon me and she made me feel like the criminal. QBE FACT STILL REMAINS I HAVE A LIGITAMENT CASE. As for the Medical Panel at the ACCS they are supposed to be independent doctors and I HOPE THEY ARE NOT IN QBE POCKETS OR ON A QBE BRIBERY PAYROLL??????
    I hope they do the right thing,God only knows, cause I have and are still suffering Path to Hell!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
    Irene Perfetto

    Thumb up 0 Thumb down 0