Workers compensation provides a monetary payout to employees injured during the course of their employment. Workers compensation fraud occurs when an employee, or employer, tries to game the system and lie in order to manipulate the size of the payout. Employees lying about or exaggerating their injuries is the most common form of workers compensation fraud.
Common Types of Workers Compensation Fraud
- Injury with no witnesses
- Delayed reporting of injury
- Delayed seeking of medical attention
- Injured while off work
- Filing multiple claims
- Injury occurs after employment termination
Techniques for Uncovering Workers Compensation Fraud
Private investigators use a variety of skills and tools to get the information they need during a workers compensation fraud investigation. Some of the most common investigation techniques include:
- Surveillance – A combination of audio, video, photography and other types of surveillance are used to determine if an employee is as injured as claimed.
- Interviews – Reaching out to coworkers, friends, family, and other people who know the claimant to learn whether fraud has been committed and to what extent.
- Background checks – Researching any relevant information about the subject and the case in question. This can include character and social investigations using social media, a review of past claims and their outcome, and uncovering any previous litigation the subject was involved in.
- Gathering evidence – If a private investigator finds evidence of insurance fraud, they can help employers cut off workers whose claims are illegitimate.
If you are an employee or employer with suspicions of workers compensation fraud, contact B Lauren Investigations today. Our team is licensed in New Jersey and New York and has worked a wide array of workers compensation fraud cases. Call today for more information.