||It is estimated that workers compensation fraud costs the nation many billions of dollars each year. Workers comp fraud basically means that a worker claims an injury he or she does not have or exaggerates the extent of their injury in order to file a workers compensation claim. This can allow the worker to claim and receive workers compensation insurance that they are not entitled to.
What can a worker's compensation investigation do?
If you run your own business, are an insurance agent, or otherwise are responsible for employees or workers, a workers 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.
Our Investigators use a variety of techniques to uncover workers compensation insurance fraud:
Surveillance. Investigators may use audio, video, and other types of surveillance to determine whether an individual worker is really as injured as they seem.
Interviews and research. Workers compensation investigators may interview colleagues, friends, family, trying to find out how extensive the worker's injuries are.
Background checks and traditional investigative techniques. 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 gathering. Workers compensation investigators can gather evidence if they uncover workers compensation insurance fraud. This can help employers and businesses prosecute fraud and cut off workers compensation claims that are not legitimate.