Never Complain When You Win
Barry Zalma, Esq., CFE
Insurance claims expert, consultant at Barry Zalma, Inc. and author/Publisher at ClaimSchool, Inc.
Posted on October 3, 2023 by Barry Zalma
Chutzpah: Plead Guilty to Fraud, Receive Probation and Appeal the Conditions
See the full video at https://rumble.com/v3mg5vy-never-complain-when-you-win.html? and at https://youtu.be/Lz8QmpH26Pc
Raymundo Gonzalez appealed the condition of probation imposed
FACTS
In the claim, defendant alleged he was injured on September 5, 2013, after pulling irrigation lines when the tire of a tractor hit him on the right foot, causing him to fall. The injury was documented, and defendant saw a doctor at the end of the day. A worker’s compensation claim
In March 2016, defendant was examined by Dr. Stephen Choi regarding his ongoing claim. Defendant told Choi he had not suffered any prior injuries. Following a clinical exam, Choi was unable to make any specific findings regarding defendant’s left arm and right foot. Choi concluded, however, that defendant had full range of motion in both shoulders, elbows, hands, and joints. Choi reevaluated defendant in November 2016. Choi ultimately apportioned 25 percent of defendant’s injury to a preexisting degenerative disc disease, which was nonindustrial, and 75 percent to the injury incurred in September 2013.
The Effect of Surveillance
A new evaluation was completed in February 2018, after surveillance footage
A further investigation revealed defendant filed various claims for injuries while employed with other companies between 2001 and 2011. Defendant claimed he was not able to stand or walk for long periods of time and could not lift anything or bend. Defendant further stated he had never filed a worker’s compensation injury claim and never suffered an on-the-job injury. All these statements were in direct conflict with what was depicted in the video footage.
Defendant was charged? with three counts of insurance fraud and one count of perjury. Defendant entered a plea of no contest on count 1 and counts 2 through 4 were then dismissed under the plea agreement. On August 3, 2022, the trial court sentenced defendant to probation following the plea. A condition of probation, which was imposed without discussion or objection, was an electronic search condition requiring defendant to submit to a search of his electronic devices with or without a warrant.
DISCUSSION
A trial court may impose and require any or all of the terms of imprisonment, fine, and conditions as it determines are fitting and appropriate. A condition of probation will not be held invalid unless it
Because defendant’s trial counsel did not object Gonzalez claimed ineffective assistance of counsel
领英推荐
The Claim of Ineffective Assistance of Counsel
To establish ineffective assistance of counsel defendant must show
Unless a defendant establishes the contrary, the court will presume that counsel’s performance fell within the wide range of professional competence and that counsel’s actions and inactions can be explained as a matter of sound trial strategy.
The court’s review of the record revealed that defendant asked the court to be allowed to travel to Mexico during his probation to visit his grandchildren, who he apparently visited often. The court allowed such travel as long as permission was obtained from probation first. It is not unreasonable to conclude evidence of travel not cleared by probation could be found on a computer or other electronic or cellular device.
Was the Condition Overbroad?
The possible reasons discussed provide a satisfactory explanation for trial counsel’s decision not to object here. The type of evidence that might be found on a computer or other electronic devices would support the condition. Defendant’s intent to travel outside the jurisdiction while on probation could also be monitored through those devices, if probation had reason to suspect he traveled or was planning to travel without obtaining permission first.
Moreover the decision not to object to the electronic devices condition could be related to the decision by the trial court not to impose a jail sentence.
ZALMA OPINION
The facts established that Mr. Gonzalez was a serial workers’ compensation fraudster who was not injured but had successfully defrauded multiple employers only to be caught and prosecuted on his last attempt because investigators acquired video proving he had lied about his condition and work history. When his doctor saw the video he was offended and cut him off. To complain about the terms of probation and take up the time of the court of appeals was unmitigated gall (Chutzpah!) and should have resulted in more than a loss of the appeal but show a violation of probation sufficient to cause him to serve jail time.
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Safety and Health Specialist at State of Nevada
1 年Claim operators, aka fraudsters, oftentimes network together and strategize on claim planning and details. Most particularly if they are immigrant citizens newly learning the ropes to work the system. Kinda like women seeking a divorce network and strategies with experienced divorcees to gain above the allowable maximum amount in a divorce.