Worker's Compensation Investigation / Insurance Fraud
It is estimated that workers’ compensation fraud costs the United States billions of dollars each year.
If you run your own business, are an insurance agent, or otherwise are responsible for employees or workers, a workers’ compensation investigation can help ensure that each of the workers filing a worker's compensation 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.
What is Worker’s Compensation Fraud?
Workers comp fraud is when a worker claims an injury he or she does not have or exaggerates the extent of their injury in order to file workers’ compensation claim. This may include the claimant engaging in other work around their home or with another employer. This can allow the worker to claim/receive workers’ compensation insurance that they are not entitled to. This also increases your Worker Comp insurance rate that you pay.
What Can We Do?
We use a combination of the latest technology, advanced experience, and a variety of techniques to uncover workers’ compensation insurance fraud:
Surveillance: Investigators may use mobile video, stationary video, covert video and other types of surveillance to determine whether an individual worker is as injured as they stated to be factual.
Interviews and Research: Workers compensation investigators may interview other workers, friends, family, trying to find out how extensive the worker's injuries are.
Background checks: A worker's compensation investigator may check medical records, and other records to determine whether a worker is truly injured. They 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: If there is fraudulent present, the investigator will document everything witnessed along with evidence of everything observed. This will all be provided to help employers and businesses prosecute fraud and cut off workers compensation claims that are not legitimate.