Workers' Compensation Fraud: Red Flags, Conducting Investigations, Defense Strategy, Best Practices for Prevention

WC fraud costs businesses billions of dollars each year. Fraud can be perpetrated not only by employees, but also employers, insurance companies, and healthcare providers.

Common types of fraud committed by employees include faking or exaggerating injuries, claiming injuries are work-related when they occurred elsewhere, or continuing to receive WC payments after they are healed. Employer fraud includes knowingly altering the facts of an injury to avoid paying a claim or underreporting wages or misclassifying employees to lower WC insurance premiums. And healthcare providers commit fraud when inflating medical bills or billing for services not rendered.

Investigations into potentially fraudulent WC claims are triggered by certain red flags, and when fraud is found to have been committed could result in serious penalties including criminal charges, hefty fines, and restitution.

Listen as our expert panel provides a comprehensive overview of WC fraud. The panel will examine what constitutes WC fraud, red flags that may signify fraud, and how to conduct a fraud investigation. The panel will also discuss what needs to be demonstrated to make a fraud claim and examine how to defend a party against such a claim.