Using various databases, your company can find investigative leads to follow according to Arthur J. Gallagher Risk Management Services, Inc. Looking for problems in the research you pull up could help you find holes in injury claims.
Often injuries are legitimate and certainly something a good company wants to take responsibility for. But occasionally red flags come up that prompt further investigation. In our modern age of information, there are some amazing resources available that can help investigate the veracity of a claim.
Ten Databases to Look Into When You Suspect Fraud
1. Use local, state and federal databases.
2. Go to regional courthouses to look for information that might mitigate the claim.
3. Work with claims handlers to establish what would add value to the file.
4. Research using databases to determine past injuries or pre-existing claims.
5. Does the claimant have Uniform Commercial Code filings? This means the claimant is borrowing money for a business. For example if the claimant cites a workplace burn injury but also owns a pizza parlor, this could encourage additional investigation.
6. Does the address history provide additional leads that could turn up previous claims from this employee?
7. Remember that almost everything is available on the internet such as EBay stores.
8. Look at www.pipl.com, www.spokeo.com or www.dirtsearch.org and other multiple search engines to help check many sites on one name, for example.
9. www.Bowl.com shows who is involved in bowling – if someone has a great bowling record but is supposed to be home due to injury, this site can be very helpful. (workersxzcompxzkit)
10. Use state fraud bureaus to access information and to help in prosecution.
"FRAUD PREVENTION" PODCAST click here: http://www.workerscompkit.com/gallagher/mp3 By: Private investigator with 25 years experience.
Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker or agen about workers' comp issues. ©2009 Amaxx Risk Solutions, Inc. All rights reserved under International Copyright Law. If you would like permission to reprint this material, contact [email protected]
