A Spanish woman was reportedly exposed following allegations that she had been claiming disability pension for an inability to speak following a work-related incident for the past 16 years.
According to reports, the unidentified woman was awarded benefits from her company’s insurance policy after being attacked and injured by a customer at her job, which constituted a work-related injury.
It’s understood that she was diagnosed with post-traumatic stress disorder and the loss of her ability to speak following the incident. After reviewing her case, Social Security granted the woman a permanent disability pension, the insurer was deemed responsible for the costs.
Following years of insurance benefits, her woman’s case began to unravel after the companies hired an investigator to investigate irregularities found during routine case reviews.
According to reports insurer responsible for covering her disability benefits noticed that none of the specialists she visited following the incident (an ophthalmologist, an orthopedist, and a dermatologist) had recorded her inability to speak in their reports after reviewing her medical records.
The bizarre findings compelled the company to independently hire a team of doctors to reevaluate the woman’s condition, with at least one psychiatrist indicating signs of possible fraud.
Suspicions which was uncovered by the investigator whom she unknowingly gave articulate, clear responses after he pretended to ask for directions.
Such overwhelming evidence resulted in the High Court of Justice of Andalusia (TSJA) ruling in the insurance company’s favour of the insurance company to end the payments.