Risk Mgt, Claims & Ins
Claims Management
WC Fraud

Commentary on the issue

Workers compensation claims investigators are increasingly scouring popular social networking Web sites

WC insurer experience and perceptions with printed warnings on the back of benefit checks

A number of red flag indicators

Also identifies claimant and policyholder red flags

Examples of fraud investigation tips including a sample company WC fraudulent claim policy

Building a Case for Criminal Prosecution

The claimant should be prepared by counsel to address the following subjects with the independent medical examiner

Red flags of possible WC fraud from the injured employee

Computer modeling makes the effort all the more effective

Cites sources that say that only 1-2 percent of WC claims are fraudulent

Detecting and preventing prescription drug fraud is a 1-2-3 process

Compounded medications pose a major fraud risk in the workers' comp space, and a major danger to patients

Advice for employers about workers making bogus WC injury claims when layoffs are on the horizon

Tips on Spotting Workers Compensation Fraud

Workers' compensation red flags for claims fraud

What Employers Should Know about Workers Compensation Claims

How to isolate fraudulent medical providers and tackle pain management fraud

Checklist of red flags that may indicate workers compensation fraud

Examples of employee, employer and health care provider fraud

Results of a 2009 survey

Red flags for WC fraud plus prevention steps

A discussion of the subject

New Jersey's definition of WC fraud

Helps shed light on pharmacy related fraud in WC

Detect the signs of potential fraudulent WC claims and take the appropriate action

Red flags checklist for claims professionals to use