Worker's Compensation Red Flags:


Claim Fraud: Not injured at work (or not injured at all)

• Appears to have been injured, but no one else witnessed the accident.
  
• Gives conflicting stories as to how the injury occurred.
  
• Appears to have let a lot of time elapse between the injury and the date they first got medical treatment.
  
• Appears to have sustained the injury while off work.
  
• Appears to have been injured immediately prior to a planned strike or the completion of a job
  
• Appears to have been injured immediately prior to or after a disciplinary action against them.
  
• Appears to have been injured immediately prior to being terminated from their job.
  
• Moves out of the state or the country shortly after the alleged injury.
  
• Appears to have a history of filing multiple claims.

• Participate in recreational or other activities inconsistent with alleged injury.
  
• Claim dependents not in his legal/personal custody.
  
• Claim a spouse when not married.
  
• Misuse drugs or display drug-seeking behavior (prescription or non-prescription).
  
• Frequently change doctors ("doctor shopping").

• Be working while on time-loss.
  
• Be regularly away from home during normal business hours.
  
• Be receiving unemployment benefits while on time-loss.
  
• Be working and being paid "under the table" while receiving time-loss benefits.
  
• Be doing "volunteer" work while receiving time-loss benefits.

Key investigative Solutions can help. Contact us if you think you’re being cheated by insurance fraud.