Workers Compensation Fraud Definition
Workers comp fraud is the exaggeration and/or fabrication of injuries that allow the worker to claim and receive workers compensation insurance that they are not entitled to.
What is a Workers Compensation Investigation?
A workers compensation investigation helps to examine the validity of a worker’s compensation claim. Unfortunately, people exaggerate the extent of their injuries or outright lie when filing a claim. A workman’s compensation investigation can verify honest claims and highlight dishonest ones.
Should I Use a Workers Compensation Investigation?
If you are an insurance agent, run your own business, or otherwise are responsible for employees or workers, a worker’s comp investigation can help ensure that each of the workers filing a worker's comp claim are entitled to the compensation they receive. This not only allows more money to be available for workers with genuine claims, but it also helps limit loss of manpower and loss of insurance money. If you are unsure, you can contact an investigator to learn more about how they can help.
What Techniques Do Investigators Use to Uncover Workers Compensation Fraud?
Surveillance - Investigators may use audio, video and other types of surveillance to determine whether an individual worker is as injured as they claim.
Interviews and research – Worker’s compensation investigators may interview colleagues, friends and family to try to find out how extensive the worker's injuries are.
Background checks - A private investigation into worker's compensation fraud may include checking medical records and other records to determine whether a worker is truly injured. Private investigators may also run background checks to see whether a worker has filed numerous compensation claims in the past or has been convicted of workers compensation fraud in the past.
Evidence gathering – Worker’s compensation investigators can gather evidence that may assist in un-covering worker’s compensation insurance fraud. This can help employers and businesses prosecute fraud and cut off workers compensation claims that are not legitimate.