What Are Signs of Workers Compensation Fraud?

1/14/2019

Understanding Workers Compensation Fraud

The definition of workers compensation insurance is as follows; "Workers' compensation is a form of insurance providing wage replacement and medical benefits to employees injured in the course of employment in exchange for mandatory relinquishment of the employee's right to sue their employer for the tort of negligence". Unfortunately, today there are many people who file false workers compensation claims because they want to get paid and not have to work.

Key Indicators of Workers Compensation Fraud

Below are some of the actions or information to look out for to see if you may need an investigation done to prove false workers compensation claims by an employee:

Reports from Colleagues: Information from other employees that they saw the individual acting fine (not hurt)
Inconsistent Behavior: Small slip ups where the claimant forgets they are supposed to be hurt and moves in a comfortable or normal manner
History of Claims: Multiple claims submitted in the past
Lack of Witnesses: No witness to the injury
Changing Stories: Changing the story to how the event/injury occurred
Delayed Medical Treatment: Delay in receiving medical treatment
Unusual Injuries: Injury that doesn't make sense for the persons job duties
Preemptive Knowledge of Job Termination: Worker knew he/she may be let go soon
Disgruntled Employees: Individuals have recently shown dissatisfaction with their job or have had conflicts with management.

Why Understanding Workers Compensation Fraud is Important

Whether you are a single-employee company or a large corporation with thousands of employees, our unemployment and insurance compensation investigations can help save you time and money. A fraudulent worker’s compensation claim or an employee who is collecting unemployment while working “under the table” can cost you thousands of dollars.

If you believe you may be the victim of workers compensation fraud please call us at 800-448-5429 and we can help you establish an investigation to get the truth.