They're Cashing In Every Time You File a Claim — Inside the Fraud Machine Draining California Dry

What's in this episode:Rich Duffy went from landscaping to baby claims adjuster to one of the most respected SIU investigators in the country — the path was anything but straightWhy networking is the #1 weapon in fraud investigation — and why 1,000 LinkedIn connections means nothing if you never use themThe California workers' comp system is its own beast: ancillary service fraud (interpreters, copy services, DME, voucher schools) is where the real money is being stolenA $6,000 return-to-work voucher sounds small — until data shows one billing code costing $10 million a year with 60-70% of it going to fraudAttorneys filing workers' comp claims on clients who were just fired — without the client's knowledge — to fund their PI practice on the other sideThe SIBTF (Subsequent Injury Benefit Trust Fund) exploded from $5M to $100M in payouts — and almost no one is watching itFraudster attorneys get a perpetual cut of SIBTF payments for as long as the claimant lives. Let that sink in.The AI arms race: insurance carriers operate with guardrails. Fraudsters don't. Rich breaks down exactly why that gap is terrifyingPatients aren't patients anymore — they're widgets. Rich explains the economics behind why some doctors make more on kickbacks than on treatmentLatino and immigrant communities are being specifically targeted by fraud rings — often by members of their own community who know exactly how to exploit cultural trust in licensed professionalsThe future SIU investigator is part detective, part data analyst, part AI trainer — and Rich tells you what that actually looks like in practiceWhy prosecutors keep losing fraud cases — and what has to change for juries to actually care🎙️ New episodes drop weekly — subscribe so you never miss a guest.If this opened your eyes, hit LIKE — it's the single biggest thing you can do to help this show reach the people who need it most.Drop a comment below — What surprised you most? What do you want Teena to dig into next? We read every one.🔔 Hit the bell to get notified the moment a new episode goes liveSupport the show