Workers Compensation Fraud

Print this Page
Email a Friend
 



Worker's Compensation Fraud
One of the most common types of fraud being committed across the United States is worker's compensation fraud. This costs Americans an estimated $5 billion dollars a year. Employees commit worker's compensation fraud when they misrepresent and minipulate facts in order to recover financial benefits that they are not legally entitled to. In some instances, the employee making the fraudulent claim is working in collaboration with a medical physician who submits false medical reports suggesting that the employee is not able to return to work and requires further or on-going treatment and possible rehabilitation. The conspiring physician benefits in the fraud by billing the insurance company for the on- going treatment of the employee.  Another advantage to the employee is that, in almost every case, the employee is represented by a union attorney who responds rather quickly. Morrison Investigators are available to respond immediately to a work-related injury and document the chain of events and parties responsible for the injury or death. Our experienced surveillance investigators utilize state of the art technology to provide high-quality photographic and video (including night shots) documentation and resulting evidence.
 

 
How Can You Prevent Worker's Compensation Fraud?
If you suspect a co-worker or employee of having a questionable injury or possible claim, contact your employer or supervisor. Help put an end to this fraud that has resulted in companies across the country claiming bankruptcy and being forced to layoff thousands of honest employees.  Some companies have provided employees with toll free tip lines to report fraud.
 
Here are some patterns of behaviors that may suggest an employee may be falsely claiming to have sustained an injury on the job:
  • Claims to have suffered an injury, but no one else witnessed it.
  • Provides different stories of how they got injured on the job.
  • Delays seeking medical treatment for their injury.
  • Appears to have been injured while off work.
  • Appears to have been injured before being terminated from their job or prior a planned strike.
  • Has a record of filing multiple claims.

Worker's Compensation Fraud and the Law
In some states, employees caught engaging in workman’s compensation fraud could be required to repay the full amount of money they unlawfully claimed plus court costs and fines. Employers found committing worker's compensation fraud could also face felony charges if they knowingly alter payroll with the number of hours their workers put in to the Labor and Industries Department. The employer will also be held responsible for up to ten times the difference in payments due and the expense of checking the employer's records and books.
In other states worker's compensation fraud is taken just as seriously and violators can be heavily fined for it.