Filed Under:Claims, Investigative & Forensics

Hospital Employee Surrenders After Making False Workers’ Comp Claim

Emily Kathleen Everett, also known as “Emily Hegner,” 34, surrendered on March 9, 2011 to the San Francisco County Jail after a variety of charges were brought against her relating to a workers’ compensation claim she filed after a supposed July 19, 2007 on-the-job accident.

Claiming she slipped and fell in a puddle of water, injuring her right wrist, left knee, and hip area, Everett began collecting disability benefits. After the accident, she was seen wearing a wrist brace and walking with a cane, and also alleged severe back spasms.

The case was forwarded to the Fraud Division of the California Department of Insurance on Feb, 27, 2008, by Intercare Insurance Services. Everett denied participation in any sporting events, claiming the cane helped ease pain, during a visit to an orthopedic surgeon in September of 2008. She said her inability to walk long distances prevented her from returning to work.

An investigation revealed that Everett participated in the Muir Woods Marathon on April 12, 2008, where activity included a seven mile race involving running on rough terrain and climbing nearly 2,000 feet. She was also seen leaving a doctor’s appointment without the use of her cane.

It was determined that Everett used materials that misrepresented the severity of her supposed injuries, including the cane, wrist brace, and handicap placard she had requested from her physician. She also misled her physician with verbal exaggerations, claiming she suffered from pain “85 percent of the time.”

Wanted for $120,000 for making a false or misleading statement to support a claim, perjury, grand theft, knowingly failing to disclose an event, and preparing false writing related to a workers’ compensation claim, Everett had received $9,529 in disability benefits. Payments on Everett’s claim totaled $50,267. The case is currently being prosecuted by the San Francisco County District Attorney’s Office.

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