California postal worker charged with workers’ compensation fraud

uspsoigBANNING, Calif. – Jackie Sebastian, 60, from San Jacinto was arrested by Department of Insurance detectives May 22, 2014. Sebastian, a Postal Service Mail Processing Clerk, is facing felony insurance fraud and grand theft charges for submitting 249 false claims for mileage reimbursements associated with an allegedly fraudulent workers’ compensation claim.

“Some individuals are under the misconception that cheating the workers’ compensation system a little bit is not going to land them in trouble,” said Commissioner Dave Jones. “These small deceptions can quickly add up to a significant amount of money. Honest consumers are punished for these crimes by paying increased premiums to make up for the fraud loss.”

A joint investigation revealed that Sebastian had filed a workers’ compensation claim for $65,273.43 for transportation costs associated with mileage to and from her medical appointments. Sebastian filed a total of 249 claims and received $13,990 for mileage reimbursement, which according to department detectives was not associated to any legitimate medical or pharmacy visits.

If convicted Sebastian faces a maximum of five years in jail, a possible fine and full restitution. This was a joint investigation between the California Department of Insurance, the United States Postal Service Office of Inspector General and the United States Department of Labor Office of Inspector General.

via Postal worker charged with workers’ compensation fraud.

  • BobbyBlue

    That is great!! Now what about all the people abusing FMLA? I know of several where I work that falsely obtain FMLA and call in every week or whenever they want without getting into any trouble. They even brag about it and tell you when they are going to call in! One person has FMLA for migraines and states that he has not had a migraine for eight years! We the honest people have to pick up their slack. If they worked anywhere else besides the USPS they would be fired! Would not be hard to bust these people if a little effort was put into it.

  • To to

    You are exactly right. We have a migraine headache one in our office 2. She has missed 2 months so far this year. Unbelievable what people can do to get out of work.

  • Fed up

    I agree that FMLA is a joke. 99 percent of the employees using it are scamming. The 1 percent that really need it are the ones who end up fired because they exhaust the 12 weeks and management is now forced to go after them or otherwise they can’t go after the slugs. The doctor who sign these papers should be held accountable too.

  • Mailhandler

    F M L A + Family Medical Leave Act! When they allowed the employee to use it for themselves, they messed up big time..

  • ck

    Talk to your union they protect them.

  • Don Roggensees

    prison ? what a parasite !