Just Released! Discreet Investigative Practices Result in the Perception that Suspicious Workers' Compensation Claims Go Uninvestigated
Our latest investigation examined three separate allegations that BART employees were committing workers’ compensation fraud and that, in some cases, BART failed to investigate.
We found that the allegations were unsubstantiated. We did not find that BART’s Third-Party Administrator (TPA) had failed to investigate any of the claims that were brought to our attention.
Specifically, we examined the following cases involving nine employees:
- A medical evaluation arranged by the TPA confirmed one employee's work-related injury.
- A second case involved two employees—one residing out of state (which did not disqualify them from benefits) and another with an alleged undisclosed income, which is still under review by the TPA.
- The final case involved six employees—five were investigated for potential fraud, while one was not, as their claim was denied and closed before incurring any costs.
Confidentiality laws require workers’ compensation investigations to be conducted discreetly to protect all parties involved. As no fraud was substantiated, this report does not include recommendations.
We encourage you to review the summary video and full report for detailed insights:
Insert report and video
Thank you for your continued interest in our work. For access to all BART Office of the Inspector General reports, please visit our website at www.bart.gov/oig.
Sincerely,
Claudette Biemeret
Inspector General
Email: InspectorGeneral@bart.gov
Phone: 510-464-6141