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Fight Workers Comp Fraud & Abuse

workers' comp Investigation

Best in Class Claims Investigation

Members of the claim management team play many important roles when it comes to claim …

Best in Class Claims InvestigationRead More

Complete A Better Accident Investigation

Famous last words in an insurance office are that the next claim is never going to be the next …

Complete A Better Accident InvestigationRead More

One Critical Step To Start Any Injured Worker Investigation

  As workers' compensation stakeholders, there's one step we need to do following a …

One Critical Step To Start Any Injured Worker InvestigationRead More

Can You Spot the Workers Comp Fraud Red Flags?

Combating fraud in workers’ compensation claims is a skill that can prevent much frustration and …

Can You Spot the Workers Comp Fraud Red Flags?Read More

stop workers comp fraud

Pro-Actively Stop Workers’ Comp Fraud Before It Starts

Large workers’ compensation insurers will have a special investigations unit (SIU) dedicated to …

Pro-Actively Stop Workers’ Comp Fraud Before It StartsRead More

workers compensation red flags of fraud

The RED FLAGS of Workers Comp Fraud

A critical part of controlling workers’ compensation costs is to put into place solid investigation …

The RED FLAGS of Workers Comp FraudRead More

Surveillance is Often Used Incorrectly

Surveillance in Workers’ Compensation

  Surveillance in workers’ compensation plays an important role in resolving claims and …

Surveillance in Workers’ CompensationRead More

workers comp claims leadership

Responsibilities of a Workers’ Comp Claims Investigation Leader

  Central to successful leadership is attention to detail, solid work ethic and …

Responsibilities of a Workers’ Comp Claims Investigation LeaderRead More

TEN Steps Every Adjuster Should Perform In a Workers Comp Claim Investigation

10 Steps Every Adjuster Should Perform In a Workers Comp Claim Investigation

  When you go online and read your adjuster's file notes about your claims, do you know what …

10 Steps Every Adjuster Should Perform In a Workers Comp Claim InvestigationRead More

Detecting Workers’ Compensation Fraud

Detecting Workers’ Compensation Fraud

  Workers’ compensation fraud continues to be a problem.  Members of the claim management …

Detecting Workers’ Compensation FraudRead More

Surveillance is Often Used Incorrectly

Members of the claim management team need to be creative when investigating workers’ compensation …

Surveillance is Often Used IncorrectlyRead More

Five Clues an Injured Employee is Dragging Out a Workers Compensation Claim

Five Clues an Injured Employee is Dragging Out Their Workers Compensation Claim

Now and then one comes across a claimant who knows the twists and turns of the workers’ …

Five Clues an Injured Employee is Dragging Out Their Workers Compensation ClaimRead More

Effective Workers’ Comp Claim Investigation Techniques

Effective Workers’ Comp Claim Investigation Techniques

Members of the claims management team are called upon to investigate claims and make determinations …

Effective Workers’ Comp Claim Investigation TechniquesRead More

Surveillance Can Be Very Beneficial Tool for Workers Comp When Used Properly

10 Red Flags Indicating Need For Surveillance in Workers’ Comp

  When fraud is suspected, or the injured employee appears to be malingering, surveillance …

10 Red Flags Indicating Need For Surveillance in Workers’ CompRead More

7 Types of Workers’ Comp Claims That Raise Questionable Red Flags

7 Types of Workers’ Comp Claims That Raise Questionable Red Flags

  Most workers compensation claims are legitimate. Unfortunately, there will be times when …

7 Types of Workers’ Comp Claims That Raise Questionable Red FlagsRead More

5 Tips – How to Use Surveillance to Prove Workers’ Comp Fraud

There are jurisdictions where workers comp is very employee-friendly, and it seems the employee can …

5 Tips – How to Use Surveillance to Prove Workers’ Comp FraudRead More

5 Scenarios to Use Surveillance to Stop Workers’ Comp Fraud

  Surveillance is expensive.  The cost of a private investigator (PI) to establish the …

5 Scenarios to Use Surveillance to Stop Workers’ Comp FraudRead More

workers' comp Investigation

4 Essential Elements of Work Comp Claims Investigation

  It is important for even the most experienced claims handlers to brush up on their claims …

4 Essential Elements of Work Comp Claims InvestigationRead More

Steps to Take for 5 Common Areas of Employee Workers’ Comp Fraud

When employees file fraudulent workers compensation claims, not only are they stealing from the …

Steps to Take for 5 Common Areas of Employee Workers’ Comp FraudRead More

Inside Tips & Tricks for Effective Social Media Investigation

Fraud, waste and abuse (FWA) continue to be a significant driver in workers’ compensation program …

Inside Tips & Tricks for Effective Social Media InvestigationRead More

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