Advanced Investigations

I Think My Employee is Faking a Workers’ Comp Claim. What Should I Do?

workers' comp claim

If you suspect your employee of filing a fake workers’ comp claim, please continue reading, then contact one of our skilled Connecticut workers’ compensation claim investigators today.

How common are false workers’ comp claims?

While workers’ compensation is a crucial lifeline for many employees who sustain legitimate and very significant injuries during the course of doing their job, one-fourth of all insurance fraud cases stem from workers’ compensation fraud. Many times, especially if the employee holds a position of trust, the crime will go unnoticed and undetected. That being said, it is by no means a “victimless” crime. In fact, it could cost you, your other employees and your business dearly. You should not let them get away with it.

What are the warning signs of a false workers’ comp claim?

The warning signs of workers’ compensation fraud are many and varied, but some of the most common are as follows:

  • Disgruntled employee: An employee who has been reprimanded or denied a vacation request is not an uncommon culprit.
  • Hard-to-reach employee: If you have trouble contacting an employee on medical leave that may mean he or she is working another job while collecting benefits.
  • New employee: The newer the employee, the greater the likelihood the claim is fraudulent.
  • No witnesses: If no one can corroborate the story, then it might be untrue.
  • Different stories: If the story varies from you, medical professionals, peers and/or witnesses, that may indicate deception.
  • Day of the accident: Accidents on Monday mornings or Friday afternoons should be viewed with suspicion.
  • Late reporting: Valid stories should be reported immediately or have a reasonable explanation for why they were reported late.
  • Employee’s history: If your employee has a history of changing jobs, physicians or addresses, he or she may be trying to hide something.
  • Employee refuses treatment: If the employee refuses to see a physician who will examine the extent of the injury, he or she may be lying about the injury.

If you noticed these or any other unsettling signs, you should strongly consider retaining the services of one of our skilled Connecticut corporate private investigators who will provide you with the information by:

  • Conducting exhaustive screening processes before hiring employees
  • Increasing security and monitoring
  • Instituting programs that focus on post-injury monitoring and care
  • Partnering with medical providers who specialize in work-related injuries
  • Establishing fraud policies and programs that eliminate second chances after workers’ comp fraud
  • Increasing training for employees

To run your business effectively, you need answers, so please give us a call today.

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If you are someone who requires a private investigator, you can turn to us. For years, Advanced Investigations has been helping individuals achieve the peace of mind they deserve and need to go on living happy lives. No matter your circumstances, contact Advanced Investigations today so we can help.

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