Tips for Identifying a Fraudulent Workers’ Compensation Claim

Tips for Identifying a Fraudulent Workers’ Compensation Claim

Red Flags That Could Signal a Workers’ Compensation Claim is Fraudulent 

As a business owner, it’s important to know how to protect your company from scams. Unfortunately, some employees can make false workers’ compensation claims that cause enormous damage to your business and hinder your company from helping those that need it. Keep in mind these red flags that could indicate an employee is committing fraud.

  • The accounts of the injury are contradictory.

It’s easy to make up a story about how an injury occurred. However, it can be difficult to remember the finer details of a story when it’s fabricated. Filing a claim often means that the employee has to describe the event several times. If each story is not adding up, it could be a sign that they are lying.

  • The timing is coincidental.

Did the injury coincide with employee termination, reprimand, or demotion? If an employee doesn’t feel good about the company, he/she may take advantage of the workers compensation’ system. Likewise, an injury that occurs on Friday but isn’t reported until Monday is highly suspicious.

  • The employee has poor communication.

A tell tale sign that the employee has filed a fraudulent claim is when physicians, caseworkers, or human resource personnel have difficulty contacting them. A truly disabled claimant will be communicative and generally helpful about their case.

Protect your business from falling victim to fraud with these tips! Contact Chambers & Company Insurance Brokers to get started on the right policy for your business and vehicles.


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