Understand the Problem
The Sources of Workers’ Comp Insurance Fraud:
Workers misrepresenting injuries or receiving benefits from the wrong employer.
Professional scammers who work with crooked doctors and lawyers to file false claims. Many times they get caught through surveillance, social media monitoring, or medical provider records. Don’t try it.
Employers underhanded tactics, including: misclassifying workers and underreporting payroll.
When cheaters duck these responsibilities, honest employers pay higher premiums and employees are denied the treatment and help they deserve.
Fraud investigators and state auditors are watching.
Injured employees left without coverage often come forward.
Be the Solution
EMPLOYEES:
Report suspected fraud HERE.
Be aware that employer payments offered in cash "under the table" are fraud.
If you're injured and your company doesn't want you to file a claim, be suspicious.
Be honest about your injuries.Fraud is not worth jail and fines.
If others are committing fraud, report them.
EMPLOYERS:
If you suspect a bogus claim, notify your insurance carrier.
Look for delays between the alleged injury and the claim filing.
Verify medical treatment is actually related to the claimed injury.
Be suspicious of statements that conflict with the findings of medical providers and witnesses.
Be as knowledgeable as possible. When you see fraud happening, report it!
