The In’s and Out’s of Workers' Compensation Fraud
The Assurance Solution to Managing Workers' Compensation Fraud
No matter the industry, workers’ compensation (WC) claims aren’t going anywhere. You can do everything at your organization to create a safe workplace, but unfortunately, injuries will still occur. What happens when an employee gets hurt at work, and they seem to be embellishing their injuries or when you think an employee got hurt outside of work and is claiming a workplace injury? If you think one of your employees is exaggerating or claiming fraudulent injuries, Assurance is here to help.
Workers’ Compensation Fraud:
- Presenting a false claim
- Exaggerating an injury
- Getting hurt outside of work and claiming the incident occurred at work
- Claiming a prior injury was caused at the workplace
Signs an Employee Is Abusing Workers’ Compensation:
If you believe an employee is committing workers’ compensation fraud, here are some signs:
- Monday morning injuries – when the alleged injury occurs on a Monday morning, this could mean the injury occurred over the weekend.
- No witnesses – if no one witnessed the accident occur there’s a chance the employee could be falsifying the incident.
- Contradictory descriptions – if the employee’s story of the incident changes each time, there’s reason to be concerned about the truth of the incident.
The Assurance Difference
Assurance has exclusive access to the one and only attorney in Illinois working solely on WC fraud. Norm Burdik, Illinois WC Fraud Consultant, contributed to the writing of the fraud statute in 2011 when Illinois revised its workers’ compensation law. He knows the ins and outs of the fraud submission process and hasn’t been turned down in over three years. Norm provides Assurance clients with the following support:
- Helps generate a game plan when an employer believes an employee is committing fraud.
- Helps determine if there’s evidence of workers’ compensation fraud and how to document evidence.
- Assists the employer in proving fraud is prevalent in the situation.
- Provides guidance on presenting the case to the Illinois Workers’ Comp Fraud Unit.
For more information on workers’ compensation fraud, contact your Assurance representative.
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