Uncovering Workers' Compensation Fraud

Nationwide, fraud costs the insurance industry billions of dollars each year. It’s sometimes called the hidden tax because each of us absorbs these monies in the cost of goods and services each year. Workers’ compensation fraud impacts legitimate business owners. Workers’ compensation premiums are based on numerous factors, and as a result, filing fraudulent claims drives up premiums for all businesses. Additionally, businesses that don’t have workers’ compensation or report inaccurate payrolls are potentially able to under-bid legitimate businesses on jobs. This OnDemand Webinar will help you understand what workers’ compensation fraud is, what a good investigation entails and how to avoid the pitfalls. This program will also explain how workers’ compensation fraud cases are prosecuted and why some cases cannot be prosecuted, as well as provide some valuable prevention tips that will save you time and money.

Authors

Agenda

Overview and Types of Fraud

• Claimant
• Employer
• Medical Provider

Investigation

• Red Flags
• Making the Case
• Potential Pitfalls, Including Pretexting

Prosecution

• Levels of Proof
• Criminal and Civil Process

Prevention

• Zero Tolerance
• Increase Awareness
• Documentation and Training

Additional Formats