The tools to fix California's workers' comp fraud problem already exist. The laws are written. The statutes are clear. So why is the fraud still winning?
Retired Kern County Deputy DA Kate Zimmermann spent over a decade building some of the most complex organized fraud cases in California — cases that took years, covered dozens of locations, and exposed schemes so sophisticated they were designed from the ground up to avoid detection.
In this episode of Fraudcraft, Kate doesn't pull punches. She talks about the training gaps that leave investigators unable to articulate what they already know is wrong. The institutional habits that let fraud slip through adjudication unchallenged. The long-game schemes that carriers fund without ever realizing it. And the simple, unglamorous fixes that nobody wants to do because they don't come with a press release.
This is the conversation the industry keeps almost having — but never quite finishing.
If you work in workers' comp, SIU, claims, compliance, or prosecution, this episode is worth your full attention.
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Disclaimer: The views of the guests are their own & may not necessarily reflect the views of Fraudcraft the podcast. However in order to incite change & understand problems, we need to present all of the sides of the system connected to fraud.
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