SIGNS OF FAKE INJURIES ON
WORKER’S COMPENSATION FRAUD
As an employer you can follow all safety rules, create a happy and safe work environment, pay your employees on time, manage internal conflicts, stop illegal acts, and more, but you can never ever completely eliminate fraud from the workplace, especially Worker’s Compensation Fraud, a fraud that constantly raises insurance premium and kills many businesses every year.
According to the National Insurance Crime Bureau (NICB), workers’ compensation fraud is the fastest-growing type of insurance fraud, costing approximately $7.2 billion per year.
The following is a list of the most common signs or behaviors that indicate that an employee may be committing Workers Compensation Fraud:
The employee claims that the injury occurred before or just after a weekend, strike, or holiday. Chances are that the worker may be lying as he/she may have actually sustained the injury over the weekend while working on a side job, working out at the gym, playing football, etc.
- The employee claims that the injury occurred when he/she was working alone, so there are no witnesses to the injury. Chances are that the worker is lying about the injury if he/she normally works with others.
- The employee claims that the injury occurred at certain time, date, place, and manner, then later changes the story several times in an inconsistent or suspicious manners. Chances are that the worker is lying about the injury if he/she keeps changing the story.
- The worker claims that the injury occurred several weeks or even months ago and that he/she does not even remember the exact day, and has no good explanation as to why he/she delayed reporting the injury on time. Chances are that the worker is lying about the injury if he/she delayed reporting it and does not remember much about it.
- A dissatisfied or troubled worker, all a sudden, files a claim stating that he/she got injured. Chances are that the worker is lying about the injury if he/she has behavioral problems, needs an extended vacation, needs easy money or is facing an imminent termination or expiring contract.
- The worker has filed similar claims in the past with previous employers. Chances are that the worker is lying about the injury if he/she has received significant payments in the past and wants to receive more easy money.
- The worker claims that he/she is injured but refuses to take diagnostic tests, like X-Ray or MRIs, prefer to see a chiropractor, retains an attorney right away and want a fast settlement. Chances are that the worker is lying about the injury if he/she refuses diagnostic tests that can reveal the absence of injuries.
- The worker claims that he/she is injured while working and then becomes unavailable, does not return phone calls or emails, refuses to take a light-duty work, and refuses to return to work at all. Chances are that the worker is lying about the injury if he/she become unavailable as this may indicate that the worker had a plan to leave your company but with a bigger check.
- The co-workers do not believe that injury occurred at all, or that the injury occurred at work, or that the worker is saying the truth about the injury. Chances are that the worker is lying about the injury if his/her co-workers do not believe the injury story or have seen him/her working at another company, working on a side job, practicing a sport or conducting activities inconsistent with the alleged injury.
If you are seeing 3 or more of these symptoms in your employee, chances are that you are dealing with a fraudulent claim. Accusing him/her is not going to solve your problem but can make it even bigger. Instead, call Drakonx Investigators today, we are experts in finding the true, obtaining strong evidence and exposing the workers’ compensation fraud. Call us at 866-224-1245