Workers’ compensation insurance is designed to protect employees who suffer from work-related injuries and illnesses by covering medical costs and providing for lost wages while employees are unable to work. However, when an employee fakes an injury to collect compensation and paid vacation time, it is considered workers’ comp fraud, which is a crime.

If you’re an employer and you suspect your employee is faking an injury, here are the most common tell-tale signs:

• The injury allegedly occurred on Friday but did not get reported until Monday.
• There were no witnesses to the work-related injury.
• Sketchy details or vague and/or conflicting descriptions.
• Tight financial situation at home.
• Employee is difficult to contact.
• Misses medical appointments.
• Engaged in activities not consistent with the injury.
• Post-termination injury claims.
• Claimant has a history of frequently changing physicians, addresses, and places of employment.
• Claimant has filed suspicious or litigated claims in the past.
• Employee refuses treatment.
• Employee has a rigorous hobby.

If you see two or more of these signs from your employee, it could suggest a problem. A workers’ comp claim can significantly increase your insurance premiums.

There are several methods to investigate fraudulent workers’ comp claims. One of these methods includes video surveillance of the claimant. Videotaped evidence has been a very effective tool in negotiating and settling workers’ comp claims. The best option is to hire a workers’ compensation defense investigator who has the experience and tools to discover fraud.

For help with workers compensation claim investigation, call us at 1-888-812-9993 or email us at info@supereyepi.com.
We will gather enough evidence and conduct surveillance to prove a fraud claim.