Spotting a Fraudulent Workers’ Compensation Claim
Business General Articles

Spotting a Fraudulent Workers’ Compensation Claim

  • January 24, 2019

How to Spot Workers’ Comp Fraud

Workers’ compensation fraud hurts business owners by causing higher premiums. That’s why at Falsken & Associates we take fraud seriously. We’re committed to helping your business work efficiently and stay well protected, which is why we’ve rounded up a few red flags that could indicate that workers’ compensation claim is fraudulent.

Signs of a Fraudulent Claim

Keep in mind that the following signs are not guarantees of a fraudulent claim, but their presence should make you want to take a second look at the claim in question.

  • The story doesn’t add up. If the workers’ count of their accident keeps changing, this could be a sign of dishonesty.
  • No one witnessed the accident. It’s possible that the employee was alone at the time of the accident, but if team members are usually together, this could be a potential red flag.
  • Timing is convenient. Did the claim come at a time when the employee got reprimanded or demoted? Unhappy employees are more likely to submit false claims if they feel disgruntled with the company.
  • The employee lacks in communication. When an employee gets injured, it’s likely that they want to resolve the claim quickly and get the help they need. If an employee misses appointments and cannot easily be reached, it could be a sign that they are hiding something.
  • The claim is reported late. If the incident happened on Friday afternoon but wasn’t reported until Monday morning, investigate the claim further.

These tips can help you to stay on top of workers’ compensation claims. Make sure you have the proper business insurance protections in place.  To find the right policies to address your needs, contact Falsken & Associates today.