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Fight Workers Comp Fraud & Abuse

Claims Investigations 101: What Every Claim Handler Needs to Know

Investigating a workers’ compensation claim is an important step in claims management, however it …

Claims Investigations 101: What Every Claim Handler Needs to KnowRead More

13 Indicators You Might Get Burned By Workers’ Comp Fraud

On November 18, 2015 the US Department of Justice in Eastern PA published a partial sentencing of …

13 Indicators You Might Get Burned By Workers’ Comp FraudRead More

Spotting Fraud to Reduce Work Comp Program Costs

The National Insurance Crime Bureau estimates that workers’ compensation fraud costs employers, …

Spotting Fraud to Reduce Work Comp Program CostsRead More

What Goes on Facebook Impacts Your Work Comp Claim

Social media is popular with a majority of Americans. The use of these outlets cover all spectrums …

What Goes on Facebook Impacts Your Work Comp ClaimRead More

How To Effectively Use Video Surveillance For Workers Compensation Fraud

Claim units rely heavily on video or photographic evidence to prosecute fraud or mitigate workers …

How To Effectively Use Video Surveillance For Workers Compensation FraudRead More

Effective Use of Surveillance in Work Comp

Surveillance is an important tool in the claims investigation process. In order for it to be a …

Effective Use of Surveillance in Work CompRead More

Underground Economy Promotes Workers Compensation Fraud

Prove It:   Just knowing that an employee is committing fraud in a workers’ compensation …

Underground Economy Promotes Workers Compensation FraudRead More

Using an Attorney to Resolve Employee Workers Compensation Fraud

The records show that fraud prosecution and restitution is falling far short in accomplishing the …

Using an Attorney to Resolve Employee Workers Compensation FraudRead More

Use Medical Adviser To Control Workers Compensation Fraud

Medical providers have the ability and power to commit and aid employees in workers compensation …

Use Medical Adviser To Control Workers Compensation FraudRead More

Employer Work Comp Fraud Is Considered Theft

When an employer commits workers’ compensation fraud, not only does the insurance company get hurt, …

Employer Work Comp Fraud Is Considered TheftRead More

The Work Comp Claim Isn’t Over Until It’s Over

Yes, this article honors Yogi Berra, but not for the reason you might think. His now famous phrase, …

The Work Comp Claim Isn’t Over Until It’s OverRead More

Use Investigation To Curtail Work Comp Claim Costs

Investigator Functions:   Using investigators during workers compensation claim handling …

Use Investigation To Curtail Work Comp Claim CostsRead More

Investigating The Monday Morning Injury

The start of the Fall season indicates a new time of year. From back to school time and hunting …

Investigating The Monday Morning InjuryRead More

Up to 39% of Work Comp Claims Involve Malingering

Most workers compensation employees would not think or stoop to actual fraud for a workers …

Up to 39% of Work Comp Claims Involve MalingeringRead More

Investigating Work Comp Fraud: Concealed Working Off The Books

If an employer has, say, a hundred or more workers who are semi-skilled, sooner or later there will …

Investigating Work Comp Fraud: Concealed Working Off The BooksRead More

Using Medical Record Searches to Stop Fraud

By: Carlos Ayestas, National Sales Director, GCS Investigations   In workers’ …

Using Medical Record Searches to Stop FraudRead More

The Beautiful Face of Workers’ Compensation Fraud

If you could ask employers “what does the workers’ compensation fraudster look like?” they would …

The Beautiful Face of Workers’ Compensation FraudRead More

Investigating A Work Comp Claim Can Make All The Difference

Investigating a workers’ compensation claim can make all the difference in the outcome of a case. …

Investigating A Work Comp Claim Can Make All The DifferenceRead More

Who Commits The Most Workers Comp Fraud?

The title of this piece was prompted by a blog-site discussion of who, besides claimants, commits …

Who Commits The Most Workers Comp Fraud?Read More

Using Social Media to Fight Workers Compensation Fraud

Most employees are honest. A few are not. When an employee presents an un-witnessed, subjective …

Using Social Media to Fight Workers Compensation FraudRead More

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