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Workers Comp Fraud Costs Employers Dearly

March 2nd, 2008

Be alert for the possiblity of a workers comp claim being fraudulent.  Pay special attention when:

  • Your employee has a history of multiple claims, and is thus an experienced claimant, especially when they are in a short period of time.
  • Longer absences than seem necessary and an unwillingness to come back to work.
  • Your injured employee has problems at home - financial or domestic.
  • Timing of the claim is suspicious - around layoffs, or completion of of a project that means they may no longer be needed.
  • Your first notice of a claim comes from a lawyer or medical clinic.
  • The injury follows disciplinary action, demotion or being passed over for promotion.
  • There are no witnesses to the accident, or witnesses to the accident conflict with the claimant’s version or with one another.
  • The accident or type of injury is unusual for the claimant’s line of work.
  • Frequent changes of physicians during the claim or after returning to work.
  • Fellow employees report suspicions.

If you suspect fraud in a workers comp case, notify your insurance company.

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