DEPOSITIONS AND DISCOVERY – STRATEGIC USE IN FRAUD DEFENSE AND CLAIM RESOLUTION
Introduction: The Crucible of Truth
If the recorded statement is the opening salvo in a workers’ compensation investigation, then depositions and formal discovery are the crucible where a claimant's story is tested by fire. It is in this formal, adversarial setting—governed by the California Code of Civil Procedure and conducted under penalty of perjury—that vague narratives are forced into specific facts, credibility is rigorously assessed, and fraudulent claims often begin to collapse under the weight of their own contradictions. While the Workers’ Compensation Appeals Board (WCAB) operates with a degree of informality, the discovery process, particularly the deposition, is a structured, high-stakes legal proceeding that can determine the ultimate outcome of a claim.
This chapter provides an in-depth, strategic guide to mastering the full arsenal of discovery tools available in California workers’ compensation defense. We will move far beyond the basics, exploring not just how to conduct a deposition, but why and when to deploy specific tactics to maximum effect. We will dissect the art of strategic questioning, from building a foundation of undeniable facts to laying the perfect trap for impeachment. You will learn the precise, step-by-step methodology for introducing surveillance footage and documentary evidence to dismantle a claimant's testimony in real-time.
Furthermore, this chapter will serve as your comprehensive legal and practical resource, detailing the statutory authority for every discovery action, from deposing witnesses under Labor Code §5710 to compelling the production of records with a Subpoena Duces Tecum. Through extended analysis of key case law and recent examples of successful fraud prosecutions, we will illustrate how the evidence gathered through discovery is not just used for settlement leverage, but forms the very backbone of a successful fraud referral to the District Attorney. This is your playbook for transforming discovery from a routine procedure into a powerful engine for uncovering the truth and achieving a just resolution.
The Legal Arsenal of Discovery
To effectively wield the tools of discovery, a claims professional must first understand their legal foundation and scope. These are not informal requests; they are legally mandated procedures with the full force of the court behind them.
A. The Right to Depose: Labor Code §5710
The fundamental right to depose any party in a workers' compensation case is enshrined in California Labor Code §5710. This powerful statute entitles any party to take the testimony of an injured employee, a witness, a treating physician, or a medical-legal evaluator. Key provisions of this code include:
Location and Cost: The deposition must be taken at a location within 100 miles of the deponent's residence, unless the parties agree otherwise. The defense is responsible for reimbursing the claimant for lost wages and reasonable travel expenses incurred to attend their deposition.
Physician Depositions: LC §5710 also specifically allows for the deposition of physicians, a critical tool for challenging the conclusions of a Primary Treating Physician (PTP) or a Qualified Medical Evaluator (QME).
Audio and Video Recording: The code expressly permits the deposition to be recorded by audio or video, a best practice that captures not just the words spoken, but the tone, hesitation, and demeanor of the claimant, which can be incredibly persuasive evidence.
B. The Rules of the Game: California Code of Civil Procedure (CCP)
While the WCAB is the venue, the rules for conducting discovery are largely imported from the California Code of Civil Procedure. Understanding these rules is essential for ensuring the evidence gathered is admissible.
CCP §2025.010 et seq.: This section provides the general rules for oral depositions in California, covering everything from proper notice requirements to the conduct of the deposition itself.
CCP §1985 & §2020.410: The Subpoena Duces Tecum (SDT) The "SDT" is arguably the most powerful written discovery tool. It is a legal order compelling a person or entity to appear at a specific time and place and, crucially, to produce specific documents or records. The scope is vast and can be used to obtain:
Complete Medical Records: From prior treating physicians, urgent care centers, chiropractors, and pharmacies to uncover undisclosed pre-existing conditions.
Employment and Personnel Files: From current and former employers to verify work history, disciplinary actions, and prior injury claims.
Financial Records: From the Employment Development Department (EDD) to check for concurrent applications for unemployment or state disability benefits.
Gym and Club Memberships: Records that can place a claimant at a specific location and provide insight into their physical activities.
Academic Records: To verify educational background or identify periods where a claimant was not working.
C. Other Key Discovery Tools
Beyond depositions and subpoenas, the defense arsenal includes several other valuable tools:
Interrogatories: These are written questions sent to the opposing party, which must be answered in writing under oath. They are useful for gathering basic factual information before a deposition.
Requests for Production of Documents (CCP §2031.010): Similar to an SDT, this is a written request served on the opposing party (the applicant) demanding they produce relevant documents in their possession, such as photographs of the injury, diaries, or communications with medical providers.
Requests for Admission: These are written statements that the opposing party must either admit or deny. They are used to narrow the disputed issues by forcing the applicant to concede certain facts (e.g., "Were you playing basketball on June 15, 2025.").
The Strategic Deposition: More Than Just Questions
A deposition should never be a random fishing expedition. Every deposition must have clear, strategic objectives tailored to the specific facts and red flags of the claim.
A. Why Depose? The Core Objectives
Lock in Testimony: To get the claimant's full story on the record, under oath, leaving no room for them to change it later.
Assess Credibility: To observe the claimant's demeanor, truthfulness, and likability. How will they present to a judge? Are they believable?
Uncover New Information: To discover new facts, witnesses, or undisclosed prior injuries that were not revealed in the initial investigation.
Set Up Impeachment: To get the claimant to commit to specific statements that can be directly contradicted by surveillance footage or documentary evidence.
Evaluate Settlement Posture: To gauge the claimant’s resolve and their attorney’s strategy, which helps in valuing the case for settlement.
B. When to Depose? A Matter of Strategic Timing The timing of a deposition is a critical strategic decision. There are three primary windows, each with its own advantages:
Early-Stage Deposition (Post-Claim Filing): An immediate deposition can be useful to lock in the claimant’s story before they have been overly coached by their attorney or have had time to refine their narrative. It’s a raw, unfiltered look at their initial account.
Mid-Stage Deposition (Pre-QME/AME): Deposing the claimant just before their medical-legal evaluation can be highly effective. The testimony can be used to frame specific questions for the doctor and ensure the evaluator has a full and accurate picture of the claimant's history and the injury mechanism, not just the claimant's subjective version of events.
Late-Stage Deposition (Post-Surveillance): This is the most common and often most powerful timing. After gathering concrete evidence (surveillance, subpoenaed records), the deposition is used as the venue to confront the claimant and impeach their credibility.
C. Who to Depose? Casting a Wide Net While the claimant is the primary target, other individuals can provide crucial testimony:
Percipient Witnesses: Coworkers who witnessed the incident can corroborate or contradict the claimant’s version of events.
Supervisors: Can testify about the claimant's job duties, performance, any pre-injury disciplinary issues, and the timeline of when the injury was reported.
Medical Experts (PTP, QME, AME): A physician’s deposition can be used to challenge their conclusions, probe the basis for their apportionment findings (or lack thereof), and confront them with surveillance evidence that contradicts their patient's stated limitations.
Billing Specialists: In cases of suspected provider fraud, deposing the billing manager of a medical facility can uncover fraudulent or upcoded billing practices.
The Art of Questioning: A Masterclass in Deposition Technique
The effectiveness of a deposition hinges on the skill of the questioner. The attorney must be a master of the "funnel technique"—starting with broad, open-ended questions to elicit a narrative and then methodically drilling down to specific, closed-ended questions that leave no room for ambiguity.
Phase 1: Building the Foundation (The Broad End of the Funnel) This section is designed to make the claimant comfortable while gathering a trove of background information that can be cross-verified.
Sample Questions: "Tell me about your educational background." "Walk me through your employment history since you finished school." "Describe your family situation."
Phase 2: Locking in the Narrative (The Injury) Here, the attorney gets the claimant's official story, under oath.
Sample Questions: "Describe for me, in your own words, everything you did on the day of your alleged injury, from the moment you woke up." "Tell me every single detail you can remember about the incident itself." "Who was the very first person you spoke to after it happened?"
Phase 3: The Medical and Prior Injury Inquisition This is an exhaustive exploration of the claimant’s entire medical history, designed to uncover any information that could be used for apportionment under Labor Code §4663.
Sample Questions: "Have you ever in your life seen a doctor, chiropractor, or physical therapist for pain in your [injured body part]?" "Have you ever been involved in any motor vehicle accident, even a minor fender bender?" "Have you ever filed any other type of insurance claim for an injury?" "List for me every hospital or urgent care clinic you have visited in the last 10 years."
Phase 4: The ADL Trap (Activities of Daily Living) This is where the claimant is pinned down on their specific physical limitations. The questions are intentionally granular and mundane.
Sample Questions: "Are you able to prepare your own meals?" "Who does the grocery shopping in your house?" "Are you able to do laundry?" "Can you walk your dog?" "What are your hobbies? Have you engaged in any of them since the injury?" "What have you done for recreation in the last 30 days?"
The Showdown: Strategically Introducing Evidence
This is the climactic phase of a post-surveillance deposition. The goal is to use the evidence gathered to impeach the claimant's testimony and destroy their credibility. The "Commit and Confront" technique is paramount.
The Tactical Sequence:
COMMIT: Before showing any evidence, the attorney must get the claimant to commit to a specific, absolute denial under oath. The questions are sharp and direct.
Attorney: "Since your injury on January 5th, have you done any lifting over 10 pounds?"
Claimant: "No, absolutely not. My doctor said I can't."
Attorney: "Are you certain? You're testifying under oath today. In the last six months, you haven't done any heavy lifting at all?"
Claimant: "That's right. I can't."
CONFRONT: Only after the claimant is locked into their denial is the evidence revealed.
Attorney: "I'm showing you what's been marked as Defense Exhibit A. This is a date-stamped video. Do you recognize the person in this video, taken on April 15th of this year?"
(The video plays, showing the claimant helping a friend move, lifting heavy furniture.)
Attorney: "Sir, is that you in the video?"
Attorney: "And are you lifting what appears to be a sofa?"
This sequence is devastating to a claimant’s credibility. It transforms the case from a dispute over medical opinions to a clear-cut case of a claimant lying under oath. The same technique is used for documentary evidence, such as social media posts showing strenuous activity or business licenses for an undisclosed side job.
Case Studies in Discovery and Deception
A. Lemus v. PUC: The Power of Contradiction In this key case, a claimant's deposition testimony about his severe physical limitations was directly contradicted by surveillance footage showing him performing heavy labor. The WCAB found that this contradiction amounted to willful misrepresentation, leading to a significant reduction in his benefits and highlighting the legal power of using deposition testimony to set up impeachment via surveillance.
B. News Example: The U-Haul Mover (Orange County DA, 2024) In a 2024 press release, the Orange County District Attorney’s Office announced the conviction of a warehouse worker for workers' compensation fraud. The worker had claimed a debilitating back injury and testified in his deposition that he was "essentially bedridden" and could not lift more than five pounds. However, investigators had obtained a copy of a U-Haul truck rental agreement in his name, dated two weeks after his deposition. They subpoenaed GPS data from the truck, which showed it traveled from the claimant's home to another address. Surveillance was then conducted at that address, where the claimant was filmed for over two hours unloading heavy boxes and furniture from the U-Haul. At his criminal trial, the prosecutor played his video deposition testimony and immediately followed it with the surveillance footage. The jury convicted him in less than an hour.
Deposing Experts: Challenging the Medical Narrative
Deposing the QME or AME is a critical, advanced tactic, especially in high-exposure cases. The goal is to challenge the foundation of their medical report.
Key Areas of Questioning:
Basis of Opinion: "Doctor, what percentage of your opinion was based on the subjective complaints of the claimant versus the objective medical evidence?"
Review of Records: "Doctor, did you review the transcript of the claimant's deposition before writing your report?"
Confronting with Evidence: "Doctor, I am showing you a video of the claimant lifting a 50-pound cooler. Would this activity be consistent with the physical restrictions you placed on him? If you had seen this video before writing your report, might it have changed your opinion regarding the extent of his disability?"
A successful expert deposition can force a doctor to amend their report, significantly altering their apportionment or impairment findings and drastically reducing the value of the claim.
Pitfalls and Best Practices
Common Pitfalls to Avoid:
Tipping Your Hand: Do not reveal your surveillance or documentary evidence before the claimant has committed to a denial under oath.
Improper Notice: Failing to provide proper legal notice for a deposition can result in it being canceled and sanctions being awarded.
Leading the Witness: While some leading questions are allowed, badgering the witness or asking overly argumentative questions can be counterproductive and draw an objection.
Best Practices for a Defensible Discovery Process:
Meticulous Preparation: The attorney, claims examiner, and investigator should have a strategy session before any deposition to review all evidence and plan the line of questioning.
Always Video Record: The visual and auditory impact of a video deposition is far greater than a cold transcript. It captures the sighs, the pauses, and the body language that tells the true story.
Prepare Your Own Witnesses: If you are presenting a supervisor or coworker for deposition, they must be thoroughly prepared by counsel to ensure they provide clear, concise, and factual testimony.
Strategic Timing of Depositions:
The timing of a deposition is a critical strategic decision. It should not be a routine, check-the-box event but instead should be timed to maximize its impact based on the stage of the investigation and the overall case strategy. Each claim is unique, and the timing is dependent on the facts of each individual claim.
Early Deposition (Post-Claim Filing):
Objective: To lock down the claimant's story as early as possible, before they have been extensively coached or had time to refine a fabricated narrative. This is crucial for establishing a baseline of facts regarding the AOE/COE and their initial alleged limitations.
Advantage: Captures the "freshest" version of their story, making later contradictions more glaring. It also helps in assessing the claimant's initial credibility and demeanor.
Risk: At this early stage, the defense may not yet have all the contradictory evidence (like surveillance or prior medical records) needed for a full impeachment.
Mid-Claim Deposition (Before QME/AME Evaluation):
Objective: To gather specific testimony that will be used to frame the questions and provide context for the medical-legal evaluator. The goal is to get the claimant to commit, under oath, to specific statements about their prior history and current activities that can then be presented to the QME/AME alongside contradictory evidence.
Advantage: This allows the defense to directly influence the medical-legal report by ensuring the evaluator has the claimant's sworn testimony to compare against the facts.
Example: If the defense has prior medical records showing a pre-existing condition, they can depose the claimant, have them deny the condition under oath, and then provide both the transcript and the prior records to the QME to address the issue of apportionment and credibility.
Late-Claim Deposition (Following Surveillance):
Objective: This is the classic "impeachment" deposition. The primary goal is to confront the claimant with their own contradictory actions after they have committed to a false narrative.
Advantage: This is often the most dramatic and effective use of a deposition in a fraud case. It can shatter the claimant's credibility, lead to a very favorable settlement or claim withdrawal, and provide the direct evidence of material misrepresentation needed for a fraud referral.
Risk: Waiting this long means the claimant may have already received significant benefits.
Pre-Trial Deposition:
Objective: To preserve testimony for trial, especially for witnesses who may be unavailable later. It also serves as a final opportunity to evaluate the claimant's strength as a witness and to pin down any final details before presenting the case to a judge.
Using Depositions to Introduce Surveillance: The Tactical Sequence
Lay the Foundation (Lock Them In): The attorney spends significant time questioning the claimant about their specific physical limitations, using the questions outlined above. They get the claimant to commit, repeatedly and unequivocally, under oath, to their inability to perform certain actions.
Attorney: "So, just to be clear for the record, you are testifying under oath today that you are physically incapable of lifting anything heavier than a gallon of milk, correct?"
Claimant: "That's right. My back pain is too severe."
Attorney: "And you have not done any yard work, such as mowing the lawn or lifting bags of soil, since your injury on January 1st?"
Claimant: "Absolutely not. I can't do any of that."
Pinpoint the Timeframe: The attorney then narrows the focus to the specific dates on which the surveillance was conducted.
Attorney: "Let's talk about last weekend. What did you do on Saturday, March 15th?"
Claimant: "Nothing. I was at home, resting, in pain as usual."
The Reveal (The "Gotcha" Moment): Once the claimant is fully committed to their false narrative for the specific timeframe, the attorney introduces the evidence.
Attorney: "I'm marking as Exhibit A, a digital video file. I'm going to play a short clip for you. Please watch the screen."
The attorney plays the surveillance video showing the claimant on Saturday, March 15th at a home improvement store lifting multiple 40-pound bags of soil into a shopping cart and then into their truck.
Attorney: "Sir, can you identify the person in that video?"
Claimant: (Often silence, or "That's me.")
Attorney: "I thought you just testified under oath that you were at home resting on March 15th and are unable to lift anything heavier than a gallon of milk. Can you please explain this video to the court reporter?"
The Aftermath: At this point, the claimant's credibility is irrevocably damaged. Their attempts to explain away the video are often contradictory and further undermine their case. This sequence provides a powerful, legally admissible record of their misrepresentation.
Subpoenas and Records Discovery: Broadening the Evidence Net
Depositions are for testimony; discovery is for documents. Using subpoenas to compel the production of records is essential for corroborating or refuting a claimant's statements.
Subpoena Duces Tecum (SDT)
An SDT is a court order compelling a person or entity to produce specific documents. In workers' compensation fraud, SDTs are used to obtain:
Complete Medical Records: From all prior and current treating physicians, hospitals, pharmacies, and chiropractors to uncover undisclosed conditions.
Employment and Payroll Records: From current and prior employers to verify work history, job duties, and earnings. This can also expose undisclosed concurrent employment.
EDD (Employment Development Department) Records: To verify claims for State Disability Insurance (SDI) or Unemployment Insurance (UI), which can be crucial in "double-dipping" cases.
Gym Membership Records: To confirm activity levels inconsistent with claimed disability.
Conclusion: The Ultimate Tool for Accountability
Depositions and discovery are not just routine procedural steps; they are the most powerful opportunities in the entire claims process to dismantle a false claim, uncover fraud, and control the trajectory of litigation. Through strategic questioning, the meticulous gathering of records, and the tactical confrontation with evidence, the defense team can shift the credibility battle decisively in its favor. In a system where billions are lost to fraud annually, mastering the art and science of discovery is not just good practice—it is an essential duty for every professional committed to defending the integrity of California's workers' compensation system.
The strategic timing of a deposition, whether early in the claim to lock down a narrative or later to spring the trap of contradictory surveillance, is a critical decision that can define the outcome of a case. The power of a subpoena to unearth a hidden history of prior injuries, undisclosed employment, or other critical documents cannot be overstated. When the evidence gathered through diligent discovery is skillfully wielded in a deposition, it can shatter a claimant's credibility, compel a favorable settlement, and provide the irrefutable proof needed for a successful fraud prosecution. As the WCAB continues to embrace virtual hearings and digital evidence, the power of a well-documented, video-recorded deposition transcript will only continue to grow, solidifying its role as the decisive arena where truth is demanded and deception is dismantled.
DEPOSITIONS AND DISCOVERY
4 Hours CE Credit
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