Workers Comp Fraud

Claimant fraud is the most talked about kind of fraud. It is also the type that employers are in the best position to help uncover. Claimant fraud happens when employees knowingly lie to collect benefits. They may claim an injury was work-related when it wasn’t, exaggerate an injury, or secretly continue working while collecting benefits.

Southland Detective Agency LLC has uncovered countless workers compensation fraud claims and helped employers recover the claims. Usually when a workers comp claim is proven fraudulent the claimant is most often charged with a crime. This in turn allows the employer who was defrauded to recoup all of the money paid to the claimant, usually in the form of restitution or sometimes a judgement.

Red Flags for Workers’ Compensation Fraud

Disgruntled employee. The employee has a motive to fabricate the claim.

Employee is hard to contact. The employee may be working another job while collecting benefits. Also known as, “double-dipping.”

New employee. Statistically, the newer the employee is, the more likely the claim is fraudulent, especially if other red flags appear.

No witnesses. Make note of alleged accidents with no witnesses.

Varying accounts of accident. The injured worker may describe the accident differently to the employer and the doctor, or witness accounts may differ from the injured worker’s account.

Accidents on Fridays or Mondays. Accidents that occur on Fridays or Mondays should raise suspicion, especially if other red flags appear.

If you suspect a fraudulent workers comp claim contact us.

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