HL-2026-04754

Workers comp claimant observed performing labor inconsistent with reported disability. Additional context: complaint received via email on 5/22/2026. Reporter identified as verified caller. Facility of interest: Miami P&DC (Southern District, ZIP 33152). AI triage suggests routing to Health Care Claimant Fraud program area with 62% confidence based on lexical and pattern similarity to 3 prior complaints.

Reporter alleges pattern consistent with health care claimant fraud at Miami P&DC. Language cues, named entities, and reference to prior incidents suggest a predication-worthy referral. Model matched 62% to 7 prior complaints in this program area over the past 180 days.