'Our place was fined': Overworked employee has to take on incompetent coworker's job, maliciously complies and gets boss in trouble

Advertisement
  • 01
    Furniture - "Make me [fix] coworker's work? Ok."
  • 02
    Font - Make me do fix coworker's work, ok S OC I had a coworker widely known to suck at her job (incl. submitting Medicaid claims) and untouchable due to her ahem close relationship with the sole provider of a vital service. Eventually our place was fined and the Mcaid license threatened. So my grand boss thought forcing overworked me to take over the claims was smart. Dumb!
  • 03
    Font - As bad as things appeared, within hours I uncovered at least 8 yrs of fraudulent claims as well as massive amounts of lost income due to unfilled claims. Within 3 days, I realized this would be a huge time investment, including me having to train myself on this specific type of claim. My grand boss refused OT but gave me a $250/yr raise (whoopie). She insisted the problems be ignored and just wanted fined paid & license secured.
  • 04
    Font - So AH me focused on the fraud already committed as opposed to lost or future income (opposite of boss's priority). It took weeks and lots of antacids but I compiled detailed proof. Then I called the Mcaid fraud center. To say hit the fan is a huge understatement.
  • 05
    Font - Next morning my supervisor and I are called in by boss. Apparently an anonymous (policy technicality) fraud report had been filed and by law she wasn't trying to find the reporter, just discuss the upcoming investigation. I quickly offered that I wasn't concerned about any retaliation so identified myself as reporter. (She was lazy & stupid but knew there would be a storm if she tried.) Our place had to refund mucho $$ to Mcaid which boss had to then explain to her many levels higher boss
  • 06
    Font - Acetabulum99. You are the reason life is good. You are fearless. I'm impressed and proud. fraud and the people that commit it. Thank Medicare you for being a genuine good human. 812 Reply Share
  • 07
    Font - IDICbeliever OP. It took turning 50 for my wimpiness to change to fearlessness - well really a "screw me and I will screw you X 10". Before I would have done it all but have remained anonymous. 471 Reply Share
  • 08
    Rectangle - canidyeplz. Good for you. May you never see backlash from this. 112 Reply Share
  • 09
    Font - BRA IDICbeliever OP Proud to say I was known to be willing to go to any lengths if I got screwed. So I continued to be a deliberate thorn in boss's side for 4 years until I quit with 15 mins notice (only because it took that long to pack my 10 yrs of crap) and 10 days before end of year reconciliation. Little did she know that unlike many of my coworkers and despite being single, I financially didn't need the job. 177 Reply Share
  • 10
    Font - WumpusFails What was the outcome of the fraud investigation? Was it deliberate, or just incompetence?
  • 11
    Font - IDICbeliever OP. Judged (1) lack of appropriate supervision (so fined, required reimbursement, and put on more frequent audit list) and (2) that employee's incompetence (did not even get a verbal warning). 70 Reply Share
  • 12
    Font - RyanNerd. Malicious Non-compliance. You didn't comply with what the boss wanted but instead did the right thing and gathered evidence of fraud and not only had the bravery to report it but during the investigation you had crazy courage to let everyone know you were the whistle-blower. 41 Reply Share
  • 13
    Font - tootom Malicious compliance, just not with the direct bosses instructions - but with the Mcare rules
  • 14
    Font - QuietLifter As a fraud investigator for Medicaid, I see very good things in your future. Get a degree in accounting/forensic accounting or business (if you don't have one yet) & come to work for either your state's Medicaid program or CMS in Program Integrity. And consider becoming a certified fraud examiner. We need people like you.
  • 15
    Yellow - DIY_Gal You identified yourself as the reporter?! I would have stayed anonymous I need your confidence!
  • 16
    Font - Tem 45 BA IDICbeliever OP. I wanted to enjoy her look more, and knew her grand boss was smart enough to know I could & would expose other things (different but actionable).
  • 17
    Font - virgilreality +1 Step 1: Buy a 6 pack of beer. Step 2: Update resume (include "finding lost income opportunity" and projections about amounts) and start a job search. Step 3: Continue with the investigation. Amass additional information about lost income for unfiled claims.
  • 18
    Font - Step 5: Sit back, drink said beer, and watch the world burn. Step 6: Accept new job, or accept promotion at current company. P.S - Document all activities and correspondence. Your attorney will thank you.

Tags

Scroll Down For The Next Article