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CA Department of Insurance

Fraud Assessment Commission

The Fraud Assessment Commission (FAC) is charged with allocating funding to fraud prosecutors statewide. The governor appoints members to the FAC who serve four year terms or until the governor appoints a replacement.

Originally, the FAC was comprised of five individuals representing self-insurers, insured employers, workers' compensation insurers, the President of the State Compensation Insurance Fund (SCIF), and an ex-officio member. By statute, SCIF is granted permanent membership on the FAC.

In September 2003, with the passage of AB 749, two additional commission members representing organized labor were added. Presently, there are seven FAC members.

Fraud Assessment Commission Members

Lilia Garcia - Ms. Garcia was born and raised in East Los Angeles, was appointed to the Fraud Assessment Commission in June of 2007 representing labor. Ms. Garcia is the executive director of the Maintenance Cooperation Trust Fund (MCTF). The MCTF is a statewide janitorial watchdog organization that investigates janitorial contractors for employment law violations. Over nine years o foperation, the MCTF has assisted in the collection of more than 27 million dollars for immigrant janitors in the United States and Mexico, and has brought in more than 4,000 jobs from the predatory economy into compliance with minimal standards thereby providing more stable employment for janitors and a level playing field for responsible contractors throughout California.

Donald Marshall - Mr. Marshall was appointed to the Fraud Assessment Commission in January 2010 representing workers' compensation insurers. Since 2003, he has served as vice president of the national anti-fraud program for Zenith National Insurance Company where he previously held the positions of vice president of special investigations for then Zenith affiliate company, CalFarm, from 1996 to 1999 and manager of investigations for Zenith from 1993 to 1996. Mr. Marshall was director of special investigations for GatesMcDonald, a nationwide insurance company, from 1999 to 2003 and was previously special investigations coordinator for California Casualty Insurance Company from 1991 to 1993. He is a member of the National Health Care Anti-Fraud Association, Northern California Fraud Investigators, and International Association of Special Investigation Units.

Carol Newman - Ms. Newman was designated by the President of the State Compensation Insurance Fund (SCIF) as the designee to the Fraud Assessment Commission. She has served as General Counsel for SCIF since October 2008. She has more than 25 years of high-level corporate legal experience with private insurance companies. Prior to joining SCIF, Ms. Newman served as vice-president and associate general counsel for the Fireman's Fund from 1998 to 2007. Newman began her career in the insurance industry as an attorney for RLI Corporation in 1983. The following year became general counsel and eventually corporate secretary. Prior to this she served as an assistant states attorney in Peoria County, Illinois, as a public service attorney representing elderly tenants in subsidized housing. From 1986 to 1998, she served as general counsel for Interstate National Corporation and also rose through the ranks to become senior vice president and corporate secretary.  A unique resource, for nearly 100 years and through many economic cycles, State Fund has continually served California's employers and employees. Established by the California Legislature the State Compensation Insurance Fund is a self-supporting, non-profit enterprise that provides workers' compensation insurance to California employers at cost with no financial obligation to the public.

John Riggs - Mr. Riggs was appointed to the Fraud Assessment Commission in January 2010 representing self-insured employers. Since 2003, he has served as manager of workers' compensation for Disney Worldwide Services. Previously, Mr. Riggs was director of risk management for 99 Cent Stores from 2002 to 2003 and served the California Casualty Management Company as vice president from 1999 to 2001 and regional claims manager from 1993 to 1998. He was the workers' compensation branch claims manager for Zenith Insurance Company from 1987 to 1993 and an independent claims consultant from 1986 to 1987. Riggs is a member of the California Self Insurers Association, California Workers' Compensation Institute and Southern California Self Insured Council.

Joel Sherman - Mr. Sherman is the Director of Safety, Workers' Compensation and Regulatory Compliance for Grimmway Farms, a large vegetable grower/packer/shipper based in Kern County, California. Mr. Sherman oversees three departments responsible for safety and workers' compensation issues for more than 7,500 employees and contract laborers.  A graduate of California State University Bakersfield, Mr. Sherman has more than thirty years experience in the safety and workers' compensation field. He has served in a variety of capacities including claims adjuster, loss control consultant, policy services representative, and as the workers' compensation liaison for a large industrial medicine practice. A certified self-insurance administrator, Mr. Sherman presently teaches Introduction to Workers' Compensation at CSUB, and was also certified by the state as a continuing education provider for Qualified Medical Evaluators. He has just completed the second year of his term as chairman of the board of directors of the California Coalition on Workers' Compensation (CCWC) and was actively involved in the comp reforms of 2004. Mr. Sherman has been a presenter, or acted as panel moderator, at numerous business and educational seminars.

Jiles Smith - Mr.Smith was reappointed to the Fraud Assessment Commission in January 2010 representing insured employers. He has served as a commissioner since 2006. He has been senior manager of regional safety and security for Grainger Industrial Supply since 2007 and previously held the same position from 2001 to 2004. Mr. Smith was risk manager for the Riverside Transit Agency from 2004 to 2007, assistant director of safety for JB Hunt Transportation from 1999 to 2000, and safety and workers' compensation manager for Roadway Express from 1995 to 1999.

Douglas Williams - Mr. Williams is the Business Manager for Iron Worker's 433 and is a newly appointed Fraud Assessment Commission member who is representing labor. In 1994, Mr. Williams started as an executive board member as an elected officer in Local 433. As a business representative for the union, he has worked with several state agencies on enforcement issues in the construction industry.  Mr. Williams has been working as an iron worker for 43 years, first starting as an apprentice to a position of Field Superintendent. He has been a member of the Joint Apprenticeship Training Committee since 2000.

 
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Fraud Assessment Commission Meetings
The date of the next Fraud Assessment Commission meeting will be posted here when it has been scheduled.  Please check back.
Previous Meetings of the Fraud Assessment Commission
Agendas Summaries
September 10, 2014 AgendaThe summary of the September 10, 2014 meeting has not been released yet. Please check back. 
June 18, 2014 AgendaThe summary of the June 18, 2014 meeting has not been released yet. Please check back.
January 15, 2014 Agenda January 15, 2014 Summary
September 11, 2013 Agenda September 11, 2013 Summary
June 12, 2013 Agenda June 12, 2013 Summary
January 09, 2013 Agenda January 09, 2013 Summary
September 12, 2012 Agenda September 12, 2012 Summary
June 20, 2012 Agenda June 20, 2012 Summary
January 11, 2012 Agenda January 11, 2012 Summary
September 14, 2011 Agenda September 14, 2011 Summary
June 15, 2011 Agenda June 15, 2011 Summary
February 09, 2011 Agenda February 09, 2011 Summary
November 16, 2010 Agenda November 16, 2010 Summary
September 08, 2010 Agenda September 08, 2010 Summary
June 16, 2010 Agenda June 16, 2010 Summary
February 10, 2010 Agenda February 10, 2010 Summary
September 09, 2009 Agenda September 09, 2009 Summary
June 17, 2009 Agenda June 17, 2009 Summary
January 13, 2009 Agenda January 13, 2009 Summary
September 16, 2008 Agenda September 16, 2008 Summary
June 17, 2008 Agenda June 17, 2008 Summary
January 08, 2008 Agenda January 08, 2008 Summary
September 11, 2007 Agenda September 11, 2007 Summary
June 13, 2007 Agenda June 13, 2007 Summary
March 01, 2007 Agenda March 01, 2007 Summary
November 29, 2006 Agenda November 29, 2006 Summary
July 27, 2006 Agenda July 27, 2006 Summary
June 20, 2006 Agenda June 20, 2006 Summary
January 18, 2006 Agenda  January 18, 2006 Summary
December 14, 2005 Agenda December 14, 2005 Summary


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