WORKMAN’S COMP INVESTIGATIONS
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WORKMAN’S COMPENSATION INVESTIGATION
One of the significant types of fraud involves workers compensation. This type of fraud occurs when a claimant, employer, or health care provider knowingly lie in order to gain an advantage, savings, money, or other benefits.
INDICATORS AND CIRCUMSTANCES OF EMPLOYEE FRAUD
- No witnesses to injuries
- Reporting Delays
- Delays seeking treatment and/or misses appointments
- The injury occurred during off hours
- Financial stress
- Filing multiple claims
- The injury occurs when an employee is terminated
INDICATORS AND CIRCUMSTANCES OF EMPLOYER FRAUD
- Denial of valid claims
- Issuing disability checks late
- Intentionally misclassifying the type of work and the workforce
- Does not purchase insurance for employees
- Retribution to claimants
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