Members of the claim management team play many important roles when it comes to claim …
Fight Workers Comp Fraud & Abuse
Complete A Better Accident Investigation
Famous last words in an insurance office are that the next claim is never going to be the next …
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 …
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
The RED FLAGS of Workers Comp Fraud
A critical part of controlling workers’ compensation costs is to put into place solid investigation …
Surveillance in Workers’ Compensation
Surveillance in workers’ compensation plays an important role in resolving claims and …
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
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
Workers’ compensation fraud continues to be a problem. Members of the claim management …
Surveillance is Often Used Incorrectly
Members of the claim management team need to be creative when investigating workers’ compensation …
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
Members of the claims management team are called upon to investigate claims and make determinations …
Effective Workers’ Comp Claim Investigation TechniquesRead More
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
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
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