How a Workers’ Compensation Private Detective From a Private Investigation Agency Can Detect Workmen’s Compensation Fraud During Workers’ Comp. Fraud Private Investigations
Workmen’s Compensation Fraud is a type of insurance fraud common to workers. It involves deliberately giving wrong accounts or concealing the right information about an injury or illness to receive Workers’ Compensation benefits. This fraud mostly involves workers, but employers, medical care providers, and insurance companies could also partake in it, depending on the nature of the case.
Here, we focus on Workmen’s Compensation Fraud by workers and how a worker’s compensation private detective in Oklahoma, from a private investigation agency in OKC, can detect the fraudulent act during a Worker’s Comp Fraud investigation in Oklahoma City.
Why Do Employees Commit Workers’ Compensation Fraud and What Are the Common Types
Experienced worker’s compensation private detectives in Oklahoma City from a private investigation agency in OKC reveal that the basis of every Workmen’s Compensation Fraud in OKC is to receive workers’ compensation benefits unjustly, particularly the monetary and days off benefits. This can be due to the following:
- Financial issues
- Intending layoffs
- No medical insurance
- Sense of entitlement, etc.
Here are the common types of Workmen’s Compensation Fraud a worker’s compensation private detective in Oklahoma City can detect during a Workers’ Comp Fraud investigation in OKC:
False Injury Claims
This Workmen’s Compensation Fraud occurs when a worker or an employee claims benefits for an injury that didn’t occur, a pre-existing injury, or an injury that wasn’t work-related. Workers’ Compensation benefits are only for work-related injuries or injuries within the work area.
Any injury claim that falls within the three listed possibilities is false, and receiving benefits for it is fraudulent. Most perpetrators of this crime usually falsify medical documents to back their claims, which is another crime on its own.
Exaggerating Injury Severity
Sometimes, the worker’s compensation private investigator in Oklahoma City may establish that an injury truly occurred within the work area, but the worker exaggerated the severity to get more than the appropriate Workers’ Compensation benefits. It is another common type of Workmen’s Compensation Fraud in OKC.
Deliberately Not Returning to Work or Not Reporting a Return to Work
Some workers unnecessarily prolong their healing process to continue receiving benefits without working. While others resume discreetly and keep collecting Workers’ Compensation benefits when they’re no longer entitled to them.
Worker’s compensation private detectives in Oklahoma, from private investigation agencies in Yukon, OK, working for insurance companies in OKC, reveal that employers sometimes exaggerate or falsify employees’ work-related injuries or illness to get worker’s compensation benefits from insurers.
It is equally possible for insurers to commit this crime by denying legitimate claims or refusing to pay benefits on time. Below, we consider ways a worker’s compensation private detective in Oklahoma from a private investigation agency in OKC can detect Workmen’s Compensation Fraud via workers comp fraud private investigation.
Detecting Workers Comp Fraud: How a Workers’ Compensation Private Detective Can Expose the Truth
A worker’s compensation private detective in Oklahoma City from a private investigation agency in Oklahoma can leverage different Workers’ Comp Fraud investigation techniques and methods to detect possible foul play in a claim for workers’ compensation benefits. Here are some of the methods:
Cross-Examine Presented Proof
Most times, medical documents and physical bandages are the proof workers present to claim workers’ compensation benefits. A worker’s compensation private detective near me can verify the authenticity of these medical documents by seeking the help of a trusted medical professional or visiting the medical provider and asking helpful questions which may reveal the truth.
The medical provider should be able to ascertain whether or not the claims are right, but in some cases, the medical provider may be conspiring with the worker. Hence, the worker’s compensation private investigator in Oklahoma must seek other medical professionals before or after questioning the worker’s medical provider.
Physical and social media surveillance can help reveal the truth about the nature of a worker’s claimed injury. If it’s falsified, the worker will likely slip up around his/her residence. The worker’s compensation private detective in Oklahoma can take pictorial and video evidence of the alleged injured worker doing things that a real injury would hinder. It is a piece of solid evidence to nail the offender.
Reviewing public and private databases, getting in touch with previous employees, and checking criminal records are some of the background checks the worker’s compensation private detective in Oklahoma City can do. It reveals whether the injured worker has a history of Workers’ Comp Fraud in Oklahoma. Having a similar history puts the worker under more intense scrutiny.
Establish Whether the Injury is Work Related
The worker’s compensation private detective in Moore, OK, from a private investigation agency in Yukon, Oklahoma, can establish the cause of the alleged injury by visiting the acclaimed accident site. The claimant (allegedly injured worker) must be ready to reveal the location without resistance.
The worker’s compensation private detective in Oklahoma can visit the given location to find the possible cause of the injury. The PI could do this by reviewing surveillance footage, asking relevant questions from the possible witnesses, and comparing the accident described to the state of the site.
Interrogate the Claimant
The worker’s compensation private detective in OKC from a private investigation agency in Yukon, OK, can detect a Workmen’s Compensation Fraud by questioning the claimant during the Workers’ Comp Fraud investigation. Things to look out for when questioning claimants include eagerness to settle out of court, changing stories, no authentic documents to back loss claims, similarity in alleged new injuries and pre-existing ones, and other things that may feel out of place.
Evidence (surveillance footage, social media posts, witness statements, background records, and other relevant documents) presented by the worker’s compensation private detective in Oklahoma City to the client can help the client determine whether the claimant is being honest.
A worker’s compensation private detective in Moore, OK, from a private investigation agency in Yukon, Oklahoma, should be able to reveal Workmen’s compensation Fraud during a workers’ comp fraud investigation in OKC, using the methods highlighted above.