Sample Case Interview Claimants

Ms. Barillas claimed she is the Human Resources Manager as she was willing to cooperate in providing any information about the Claimant’s alleged CT claim. During her interview with the Investigator, the witnesses appeared forthcoming with her answers. Ms. Barillas claimed she had been the HR Manager since December 2011. She said a portion of her duties is to determine the appropriateness and amount of worker's compensation claims; investigates individual claims for eligibility for workers' compensation benefits; ensures that all legal and procedural requirements are met for the processing of claims. She also assists her employees with the completion of the workers’ compensation documentation when needed.

The personal information she had about the claimant is that he resided at 348th East 90th Street, Los Angeles, CA 90003 and per his W2 forms the claimant is married and has dependents which he has not
She said on 11/3/14, the claimant was under the medical care under the care of Reynaldo B. Castillo, M.D., at All Care Medical Group, Inc. She said the doctor's note did not specify the reasons for the Claimant to be entirely placed off from work for three days until he would return to work on 11/6/14. She said the Claimant did not specify his medical diagnosis as to why he had to be off from work for this medical reason.

She said the Claimant in 1/29/15, had also provided her with a second doctor's slip from the All Care Medical Group, Inc. where the claimant was placed under the medical care of Pierre Espenan, P.A., from 1/29/15 through 2/23/16. During the time of his three weeks away from work, she did not question the doctor’s office to provide their reasons to place their employee off from work for a considerable amount of time without pay. (See Attachments 015,