R.J.N. INVESTIGATIONS, INC.
TUSTIN, CA

RJN Investigations, Inc. is an employee based investigative firm providing an array of professional services to government entities, insurance carriers, third party administrators, municipalities, self insured entities, and Fortune 500 corporations nationwide. Established in 1987, our business philosophy of providing our clients with quality investigative findings in a timely and cost efficient manner has not changed. Our ultimate goal is to build a unique level of trust and confidence with our clientele so as to establish a long term committed business relationship. A sampling of the "company " we proudly keep are : Mike has been employed with R.J.N. since 1996 and has held the position of Surveillance Director since 1997.  His role is to insure the proper scheduling of subrosa cases as instructed by clients, in addition to maintaining the highest level of investigative standards for the field investigators. Mike directly manages the case supervisors who assist in the overall task of developing pre-surveillance data, investigative plans, monitoring daily field operations, reviewing surveillances for quality, and assessing our work product to make additional recommendations to clients for the defense of a claim. Vice President of Business Development since 2007, Mr. Gomez comes to our company with over 20 years of experience in the Insurance industry.  He is the former Vice President -Western Region for GlobalOptions, Inc., a National Investigation Company.  During his tenure at GlobalOptions, he was responsible for the operation of this territory, which included 3 offices and over 75 investigators throughout the Western U.S.   Prior to this, he directed the Western Region of Confidential Business Resources, formerly Gallagher Bassett Investigative Services, which was sold to GlobalOptions, a publicly traded company in 2005. He played a major role in establishing a National SIU unit for a major TPA.  Mr. Gomez has been a guest speaker at numerous national and local conferences on Fraud and SIU topics. Mr. Gomez has a B.A. in Business Administration from Whittier College and is a licensed Private Investigator in California and Texas Miriam as been employed with RJN Investigations, Inc., since July of 1989. As Vice President of Operations, Miriam provides overall direction and guidance to the operational activities of the organization, with the objective of maximizing growth and profitability as well as day-to-day leadership and management to all company operations functions. She manages organization operations, by directing and coordinating activities consistent with established goals, objectives, and policies. In addition, she implements programs to ensure attainment of business plan for growth and profit. She provides direction and structure for operating units. It is her task to develop and create strategies and policies aligned with organizational goals, provide mentoring and guidance to subordinates and other employees. Physician Arrested By DEA Agents on Federal Charges of Illegally Selling Narcotic Prescriptions Physician Arrested By DEA Agents on Federal Charges of Illegally Selling Narcotic Prescriptions In Home Care Provider Convicted of Insurance Fraud In Home Care Provider Convicted of Insurance Fraud Insurance Commissioner Dave Jones announced that 32 million dollars in grants will be distributed to District Attorneys in California by the Department of Insurance in order to support their efforts in investigating and prosecuting workers’ compensation insurance fraud. “Without question, workers’ compensation insurance fraud is a problem that brings a significant cost with it in California,” Commissioner Jones said.  “During any time, especially during these challenging economical times, these types of fraud places a significant added burden on the system.  We have an obligation to provide protection to injured workers who require both care and compensation so they are able to get back to work as quickly as possible, while also ruling out fraud perpetrated by those seeking to gain the system.” Each year, the Fraud Assessment Commission determines the grant funding based upon assessment placed on California employers.  CDI leads the workers’ compensation grant review panel that reviews and makes grant funding recommendations based on multiple criteria including previous year’s performance based on applications submitted by counties.  Subsequently, the panel then sends the recommendation to the insurance commissioner who accepts or amends the panel’s recommendations.  Upon completion, the commissioner’s recommendation is submitted to the Fraud Assessment Commission for advice and consent.  Employee cancels or fails to keep appointment or refused a diagnostic procedure to confirm an injury. , 2018 the Special Investigative Unit of RJN Investigations, Inc. was formally notified by the Los Angeles County District Attorney’s Office as to issuance of a felony arrest warrant for the claimant based upon the submission of a documented referral. In this particular case, the claimant was a Drywall taper who allegedly sustained an injury to his ankles, neck and lower back on November 30, 2015. The claimant was placed on modified duties with the restrictions that he must wear a walking boot on his right ankle and sit down work only. Red flag indicators were subsequently detected by the claim examiner who in turn proactively authorized the SIU to initiate surveillance measures. The surveillance level investigation found the claimant to be working in the same capacity for another employer. Discreet investigative measures were implemented and it was indicated that the claimant was earning $22.00 an hour in cash. When questioned during his deposition, the claimant stated that he had been unable to drive or work for his employer or any other company since the date of injury. When questioned by the PQME, the claimant continued to deny secondary employment which was a misrepresentation based on surveillance video. In compliance with the regulations set forth by the California Department of Insurance, the case was then referred by the RJN SIU to the Los Angeles County District Attorney’s Office as well as the California Department of Insurance Fraud Division. Upon completion of a detailed criminal investigation by the LADA, the claimant was formally charged with 3 counts in violation of Insurance Code Section 1871.4 and Penal Code 664-118(a) The claimant’s arraignment was to take place on March 20