Workers Compensation Claims
What is Workers Compensation Fraud?
Workers compensation fraud occurs when a claimant, employer, or health care provider knowingly lie in order to gain an advantage, savings, money, or other benefits. While many people believe that workers compensation fraud solely consists of employees lying about or exaggerating their injuries, workers compensation fraud can involve both employers and employees.
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.
Background checks and records research
An investigation into worker's compensation fraud may include checking medical records, employment records, and other records. Private investigators may also run background checks to see whether a worker has filed numerous compensation claims in the past or if the company has a history of misclassifying employees.
Interviews and research
Workers compensation investigators may interview colleagues, friends, family, and other individuals to learn whether there is an issue of fraud and, if so, how great.
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.
Can Investigators Help Workers Not Receiving Adequate Workers Compensation?
Yes, investigators can also help workers who are not getting adequate insurance money from workers comp claims. If a business or an insurance company is not paying workers comp to a genuinely injured worker, a private investigator can gather evidence about the company or insurance company in question. This can help an injured worker get the money they deserve.
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