A workers compensation investigation helps to examine the validity of a workers compensation claim. Unfortunately, people exaggerate the extent of their injuries or outright lie when filing a claim. It is estimated that workers compensation fraud costs businesses billions of dollars each year (the California Department of Insurance estimated over $1.1 billion in fraud during FY2009-10 in California only). A workman’s compensation investigation can verify honest claims and highlight dishonest ones.
Workers Compensation 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. These claims end up costing money and a loss of productivity for the employer which, unfortunately is passed on to the consumer. When it comes to Workers Compensation Fraud, everyone pays.
Our investigators will discuss the specific red flags that were observed. Being aware of the particular red flags that led to consider fraud as a possibility will help our investigators conduct a more cost-effective and successful investigation.
Claims adjusters look for the presence of red flags in workers’ compensation claims to determine whether or not a claim is legitimate. Red flags consist of particular conditions or behaviors commonly found in fraudulent claims.
If you are an insurance agent, run your own business, 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. If you are unsure, you can contact an investigator to learn more about how they can help.
One of our experienced investigators can meet with you and discuss the options available to you.