Advanced Investigations

Understanding the Role of Private Detectives in Workers’ Compensation Investigations

work injury claim form with stethoscope and box of pills on top of an X-ray film medical and insurance concept

As a business owner, you are likely familiar with workers’ compensation. While many employee claims are legitimate, some individuals file false or exaggerated claims for financial gain. This can often go unnoticed until investigated. If you suspect a fraudulent workers’ compensation claim, it’s in your best interest to contact our Connecticut Workers’ Compensation Claim Investigators to discuss your situation and learn how we can assist you. 

What is Workers’ Compensation?

First and foremost, it’s important to understand that workers’ compensation is a type of insurance that provides financial support and medical benefits to employees who are injured or become ill while on the job. This insurance aims to safeguard the workers from the costs associated with their ailment and provide some level of assistance while they are recovering.

Generally, employees have to file a claim with their employer’s insurance provider and provide substantial proof of their injury or illness. The employer then bears the burden of processing the claim and paying out any benefits that the injured worker is eligible to receive. Unfortunately, employees may falsely claim or exaggerate their injuries to recover more benefits than they are actually entitled to receive. Workers’ compensation fraud leads to devastating financial losses for companies through higher insurance premiums.

How Do These Investigations Work?

Although most employees who file claims for workers’ compensation are injured or are deserving of the benefits, some employees file false claims to get more money. If you have any suspicion about a false or exaggerated claim at your business, you should consider hiring a private investigator.

When it comes to workers’ compensation investigations, private detectives employ various techniques to detect fraud. Surveillance is a primary method, involving secretly monitoring a worker’s activities to see if their stated limitations align with their actual capabilities. Investigations may also conduct background checks to uncover pre-existing conditions. Social media can reveal posts that contradict the claimant’s statements about their physical abilities or lifestyle. Witness interviews can also provide further information and identify potential discrepancies.

The primary goal of private detectives is to ensure that the injury was caused by the work-related accident and that the employee followed proper safety protocols, and whether their actions contributed to their work-related injury or illness. By gathering and analyzing this information, private detectives can help employers and insurance companies determine the legitimacy of a workers’ compensation claim.

At Advanced Investigations, we are prepared to help resolve disputes that may arise during the claims process. Our team can help you uncover the truth. Reach out today to discuss your concerns and learn how we can help you during these difficult times.

Paul Cicarella and His Team

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