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Workers’ Compensation Private Investigations & Insurance Fraud Private Investigations FAQs
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When people get hurt or even die on the job, they need social insurance to help protect them and their families from additional hardships due to economic loss. Therefore, the United States instituted Workmen’s Compensation Insurance into the American workforce in the 1900s. Employers must pay into a system that pools the money into an insurance pool and pays out benefits to injured workers. Most of the time, this system works out well and everyone is happy. When workers abuse the system and pretend to be hurt when they are just fine, problems arise. ☹
Fortunately for employers and insurance companies, our private investigation agency in Deer Creek, OK has Workers’ Compensation Fraud Private Investigators at our private investigation agency in Oklahoma City that conduct Workers’ Compensation fraud investigations and insurance fraud investigations on their behalf. These skilled private investigators in Oklahoma City and private detectives in OKC at our private investigation agency in Guthrie take the guesswork out of Workmen’s Compensation Insurance and help keep the cheaters honest.
The owners of our private investigation agency near me have put together a series of Workmen’s Compensation Fraud Private Investigations and Insurance Fraud Private Investigations FAQ to help others overcome Workmen’s Compensation Insurance fraud through their Workmen’s Compensation fraud investigations and insurance fraud investigations and to answer any questions both current and potential clients might have. These Workers’ Compensation Fraud Investigations and Insurance Fraud Investigations FAQ are as follow:
Workers’ Compensation Insurance was first passed in Wisconsin in 1911, and then other states finally followed suit. Its purpose was to help employees who become injured or sick on the job, as well as those who die from their work-related injuries or illnesses. In times past, employers could have cared less if their workers got injured, sick, or even died on the job, but society finally evolved to the point where communities decided to begin to protect them. Thus, the states required employers to pay certain amounts per employee into a special Workers Compensation Insurance fund that pays out benefits to employees or their families when they become sick, ill, or even die on the job. That way the employees and their families do not suffer from grievous economic loss, notwithstanding their physical injuries, and/or sicknesses, and/or death.
Insurance fraud private investigators and Workers’ Compensation fraud private investigators at our private investigation agency in Mustang, Oklahoma conduct insurance fraud private investigations and Workmen’s Compensation Insurance private investigations. Insurance companies, lawyers, and businesses hire insurance fraud private detectives and hire Workers’ Comp. fraud detectives from private investigation agencies in The Village, Oklahoma to help determine if persons of interest (POIs), typically employees claiming to have gotten sick or injured while on the job, are faking their injuries/illnesses or are indeed injured/ill.
Businesses, insurance companies, the Workers’ Compensation Board (WBC), and the law firms that represent them do not wish to pay out benefits to people faking injuries. Indeed, whenever someone fakes an automobile injury or workplace injury or illness and claims Workers’ Compensation benefits, it causes the employer’s Workers’ Compensation Insurance rates to go up or the other automobile driver’s or home owner’s vehicle insurance rates to rise. Thus, all the parties mentioned above, while most of the time seeking to pay out fair amounts for valid claims, seek to limit their financial liability and legal exposure due to frivolous and fraudulent claims.
Individuals accused of insurance fraud and/or Workers’ Compensation fraud also choose to hire the best insurance fraud private investigators and hire the best Workmen’s Compensation fraud private detectives from the best private detective agency to conduct insurance fraud private investigations and/or Workmen’s fraud private investigations on their behalf. Whether innocent or guilty, these individuals do not wish to have anyone deny their benefits, nor do they wish to go to jail for insurance fraud or Workers’ Compensation Insurance fraud.
When an individual seeks to hire the best Workers’ Comp. private detective or to hire the best insurance fraud private investigator from the best private investigation agency in The Village, that person is wanting Workers’ Comp. private detectives or insurance fraud private detectives from our private investigation agency in Oklahoma to limit their liability legal and financial liability with their insurance fraud investigations and Workers’ Compensation Insurance investigations. They also want to take advantage of our significant contacts for criminal defense attorneys in Oklahoma City, OK and a bail bondsman in OKC that writes bail bonds in OKC, if needed.
If you are an individual, business, insurance company, or attorney seeking to hire a Workers’ Compensation Insurance fraud private investigator or insurance fraud detective from our private detective agency in Shawnee, OK to conduct insurance fraud investigations or Workers’ Compensation fraud investigations on your behalf, then contact us today for more information! Our Workers’ Compensation fraud detectives and insurance fraud detectives at our private investigation agency in Piedmont, Oklahoma stand ready and willing to assist you. 😊
Hopefully when you are asking this question, you do not mean to physically beat a Workmen’s Comp. detective from a private investigation agency in Guthrie, OK who is conducting Workers’ Comp. investigations on behalf of a company, law firm, insurance company, or individual. Let us instead assume you simply wish to outsmart a private detective for Workmen’s Compensation Insurance fraud private investigations.
There are several ways to try to beat an insurance fraud private detective or a Workers’ Compensation fraud investigator who is conducting insurance fraud investigations or Workmen’s Compensation fraud private investigations on you. Assuming you are the supposedly “sick” or “injured” employee who is faking the injury or illness, this partial list of ways to avoid suspicion are as follow:
- Do not do anything listed in the “red flag” questions below in this set of FAQs. Do not draw attention to yourself or show discrepancies in your paperwork! This includes your attorney and physician.
- Do not engage in ANY physical activity whatsoever.
- Walk with a limp.
- Spend most of your time inside, and keep the blinds drawn and the windows shut.
- If you leave the house at all, only do so to go to medical appointments, the pharmacy, the hospital, etc.
- Walk with a limp, if you claimed you had and injury affecting the lower half of your body.
- Use Door Dash or Uber Eats, instead of going out to eat.
- Always use a cane, walker, crutches, or wheelchair, when going outside, if you claimed an injury to your lower half of your body.
- Have witnesses, alibis, and medical professionals in line to back up your injuries and/or illness.
- Better yet, please do not try to cheat the system. It hurts everyone. ☹ If you do, enjoy prison, a$$hole. 😉
Workers’ Comp. fraud detectives from private investigation agencies near me often conduct Workmen’s Compensation investigations by conducting surveillance upon individuals who are thought to possibly be faking injuries and illnesses. Workers’ Comp. investigators conduct surveillance by following persons of interest (POIs) around to see what they are doing and whom they are with.
Persons who are too injured or ill to work are not out actively working at other jobs, running miles around their neighborhood or at the gym, moving heavy objects, riding on jet skis, etc. Instead, they are lying in bed, getting therapy treatments at the chiropractor, physical therapist, or other medical services provider. They are making trips to the pharmacy for prescription medications, etc.
When our Workers’ Compensation fraud investigators from our private investigation agency in Ardmore witness persons of interest (POIs) engaging in these activities that are otherwise abnormally physically straining for persons who are sick or injured while conducting Workers’ Compensation fraud investigations, they know that something is amiss. Of course, surveillance is not the only strategic tactic that our Workers’ Comp. detectives from our private investigation agency in Altus, OK employ to catch people cheating the Workers’ Compensation benefits program.
Many Workmen’s Compensation fraud investigators from our private investigation agency also actively monitor the social media accounts of persons of interest (POIs) during Workmen’s Comp. investigations. A private detective for Workers’ Compensation fraud investigations from our private detective agency in Warr Acres know all too well that many POIs post all about their activities online, and some POIs get so sloppy that they willfully post incriminating photos about their situations that show them alive, well, and very physically active!
Our private investigators of Workers’ Compensation fraud investigations at our private detective agency in Duncan, OK also know that there are many “red flags” that draw enormous amounts of suspicion during Workmen’s Compensation claims. The owners of our private detective agency have addressed what these common red flags are in a separate question, but licensed Workmen’s Comp. fraud detectives with our private detective agency in Bethany, OK who understand these and spot these when reviewing paperwork evidence during Workmen’s Comp. fraud investigations can always testify in court and through their written reports.
These are just some of the many ways in which private detectives for Workers’ Compensation fraud investigations at our private investigation agency in Nichols Hills, OK can help businesses, law firms, insurance agencies suspecting employees of Workers’ Compensation Insurance fraud as well as employees accused of Workmen’s Compensation Insurance fraud with our Workers’ Comp. fraud investigations and insurance private investigations.
Just as with anything else in life, the choice to hire a private investigator in Oklahoma City at a private investigation agency in OKC comes with inherent risks. A list of some of the risks associated when you hire a Workers’ Compensation fraud detective or hire some other private investigator near me from a private investigation agency near me are as follow:
- The Private Investigator in Oklahoma City From a Private Detective Agency in Piedmont, Oklahoma Turns Out to be Unlicensed.
- The Private Detective in OKC From a Private Investigation Agency in Tulsa, OK Does Something Illegal.
- Someone Catches the Private Investigator From a Private Investigation Agency in OKC, OK.
- The Private Investigator in Ardmore, OK From a Private Investigation Agency in Oklahoma City, OK Makes a Mistake in Judgment or From a Lack of Experience.
- The Private Investigator in Guthrie, Oklahoma From a Private Investigation Agency in Norman, OK Lies.
- The Private Investigator in Midwest City, Oklahoma From a Private Investigation Agency in Del City, Oklahoma Overstates Her/His/Their Qualifications.
- The Private Investigator in Moore From a Private Investigation Agency in Moore Fails to Show Up.
Can you see how the possibilities above could cause serious problems, when you hire a Workmen’s Compensation investigator or hire a process server near me from a private investigation agency in Enid? Most of the times, the problems above do not occur, but clients seeking to hire a private detective near me or who wish to hire a process server need to ensure they do their due diligence before locating a private investigator to conduct private investigations in Oklahoma.
Private Investigators in Broken Arrow, OK and Workers’ Compensation investigators at our private investigation agency in Enid, OK conduct all sorts of civil and criminal private investigations. The following is a partial list of some of the most common types of civil and criminal private investigations that private investigators near me and process servers near me from our private investigation agency near me handle:
- Unsolved Homicide Private Investigations
- Sexual Assault Private Investigations
- Cheating Spouse Private Investigations
- Workers’ Compensation Private Investigations
- Child Custody Private Investigations
- Arson Private Investigations
- Insurance Fraud Private Investigations
- Missing Persons Private Investigations
- Runaway Child Private Investigations
- Child Abuse Private Investigations
- Human Trafficking Private Investigations
- Sex Trafficking Private Investigations
- Nationwide Skip Traces
- Nationwide Criminal Background Checks
- Social Media Scans/Deep Internet Searches
- Sweeps for Hidden Bugs, Hidden Listening Devices, & Tracking Devices
- Surveillance & Countersurveillance
- Much More!
If you or someone you know need to hire a private investigator, need to hire a process server, or need to hire a skip tracer near me from our private investigation agency in Oklahoma City to conduct Workers’ Comp. investigations on your behalf, then please contact us today! 😊
The 7 main types of Workers’ Compensation injury/illness claims that are the most common are the ones listed below as follow:
- Injuries to the Eye or Eyes
- Sprains/Torn Ligaments
- Bone Fractures
- Trauma to the Body That is Cumulative or Continuous
These are not the only injuries and illnesses that Workmen’s Compensation covers employees for. Some construction workers sever their fingers, or they contract a serious disease or slip and fall, sustaining injuries to their body.
There are multiple items which Workers’ Compensation Insurance will not cover for workplace injuries. Our Workers’ Compensation investigators and Workmen’s Compensation fraud detectives at our private investigation agency are aware of the circumstances under which Workers’ Comp. will not pay anything to employees, while they recover from their injuries. These exceptions are as follow, and there are far more than only 4:
- Common Occurrence Incidents, Such as One-time Sicknesses Like Flu, a Head Hurting, Etc.
- Getting a Common Life Disease
- Pre-existing Conditions That Stemmed From Before the Person Began Employment
- Anything Stemming From an “Act of God,” or More Appropriately an “Act of Cat Goddess” 😉
- Clowning Around by the Employee That Causes the Injury
- Injuries Stemming From an Employee Suffering a Heart Attack
- Any Injuries Stemming From Repeated Trauma of a Mental Nature
- Any Illness or Injury Stemming From in a Fun Activity While Not on the Work Clock
- Any Illness or Injury Caused by an Employee’s Disregard for a Company’s Workplace Policies
- Any Injury or Illness From an Employee Initiating a Fight
- Any Injury or Illness Sustained While an Employee Committed a Serious Felonious Action of a Criminal Nature
- Any Illness or Injury That Occurred While an Employee was Under the Influence of Alcohol or was Using Illegal Drugs
- Any Injury or Illness That Occurred While the Employee was Not Working on the Clock
- Any Injuries or Illnesses That the Employee Could Treat or Have Treated With Beginner’s First Aid, Such as Minor Cuts and Scratches
- Any Injury or Illness Arising From an Intentional Act by the Employee to Harm Herself/Himself/Themselves or Others
As you can clearly see, many reasons and circumstances exist under which an individual will not qualify for Workers’ Compensation benefits. Indeed, the Workers’ Compensation Board or a Workmen’s Compensation fraud private detective need only prove that the injury or illness occurred due to one of the circumstances above to deny the person any Workers’ Compensation benefits, regardless of if the injured person is seen engaging in physical activity atypical for an injured person.
Every time an employee makes a claim on an employer’s required Workers’ Compensation policy, the rates go up. Thus, employers and their attorneys alike also have a vested interest in ensuring that as few employees who need financial benefits due to an injury on the job receive fair and equitable financial compensation. ☹
There are many “red flags” which indicate a suspicious situation concerning a Workers’ Compensation benefits. Workers’ Compensation investigators and Workmen’s Compensation detectives from our private investigation agency in Ponca City, Oklahoma know what these red flags are and know what to look for, as they conduct Workers’ Compensation investigations and Workmen’s Compensation private investigations. For the benefit of our current and potential clients, these common red flags of Workers’ Compensation fraud are as follow:
Suspicious Actions by the “Injured” Employee:
- Any Medical Reports Turned in That Differ From the Employer’s Initial Report of Injury or Illness
- Medical Treatment Sought by the “Injured” Employee That do Not Match Up With the Injury or Illness the Employee First Complained of
- When the Employee Turns in Bill Statements for Medical Treatment for Injuries and/or Illnesses Other Than What the Employee Initially Complained of
- Whenever an “Injured” Employee Will Not Obtain Medical Testing or Exams to Confirm “Injuries”
- Whenever an “Injured” Employee is Excessively Disdainful About a Modified Work Position or Coming Back to Work
- In Circumstances Where the Employee Continues to Own and Work at a Second Job/Company
- In Cases Where The Employee has a Past History of Questionable “Injures” or “Illnesses”
- The Employee Claims to Have Located the Lawyer, Physician, or Medical office Via a Suspiciously Unknown 1-800 Number or Supposed “Friend”
- The Employee is Unreachable at Home While Supposedly “Hurt”
- When the Employee Starts an Injured Worker Compensation File With Another Boss
- The Employee is Starting to Retire, is Currently on Probation, is Actively Engaged in a Labour Dispute, Dislikes Her/His/Their Current Job, Has a Bad Work History/Bad Performance Record, or is Currently in Trouble at Work
- The Employee was Involved in an Automobile Accident or was in Some Other Accident Recently.
- The Employee Seems Suspiciously Too Familiar With the Workmen’s Compensation Process
Red Flags About the Sickness or Injury Itself:
- The Accident/Sickness is Devoid of Witnesses
- The “Injured” or “Sick” Employee Takes a Long Time to Report the “Injury” or “Sickness”
- Co-workers are Gossiping That the Employee Fakes the Injury/Illness
- The “Illness” or “Injury” Takes Place at the End of the Day on a Friday or Very Early on a Monday Morning
- The “Accident” or “Illness” is Unrelated to the Worker’s Specified Job Duties
- The “Injury” or “Illness” Happens in an Area of the Job Site That the Employee Rarely Ever Goes to
Suspicious Actions by the Doctor/Lawyer:
- The Physician Provided Treatment to the “Injured” or “Ill” Employee that are Irrelevant to the Stated Etiology and Symptoms of the Initially Stated “Injury” or “Illness” per se.
- The Physician Turns in Notes and Other Reports That are Irrelevant to the “Injury” or “Illness” the Employee Originally Stated to Her/His/Their Employer.
- The Physician Turns in Medical Bills for Therapeutic Services Irrelevant to the Documented “Injury” or “Illness” the Employee Originally Stated.
- The Physician Provides Services to the Employee Very Regularly, Even Though the Employee Lives a Long Distance Away From the Medical Doctor.
- The Physician or Lawyer Give the Employee a Letter/Notice of Representation to Give to Her/His/Their Employer, as an Initial Notice of a Workplace Injury or Illness.
- The Physician or Lawyer States That New or Accompanying Medical Issues are Due to the Injury or Illness the Employee First Reported.
- The Physician and Lawyer Work Together on Many Workers’ Compensation Injury Claims.
Do you see why people would view these as red flags? All the items above are very suspicious, and thus Workers’ Compensation fraud detectives and Workmen’s Compensation fraud private investigators at our private investigation agency in Tulsa, OK would find these to be very suspicious when conducting their Workers’ Compensation fraud investigations.
An example of Workmen’s Compensation fraud would be when an employee at a job pretends to be injured on the job, so she/he/they can stay at home and collect about 80% of her/his/their paycheck while relaxing and doing nothing. Conversely, the POI may indeed have suffered an injury on the job, but they may exaggerate its severity and attempt to stay off work longer than needed to “recover” from it. Some POIs who are faking an injury stay inside and fake a limp when they walk, as do some truly injured individuals stay inside and walk with a limp.
One of the main differences where a private investigator in Nichols Hills, OK or a private detective in The Village, OK from a private investigation agency in The Village will be able to ascertain whether a POI is faking an injury, is when she/he/they goes out and engages in strenuous activity, engages in heavy lifting, starts running, moving large/heavy items, etc. Though injured persons and fakers may both “walk with a limp” and spend most of their time inside, people who are truly injured will not partake in such physical activities like some fakers will.
People performing work as a contractor or 10-99 worker are not covered by Workers’ Compensation Insurance, as the people who hire them are not required by law to cover them with it. Many employers prefer to hire 10-99 contract employees over regular employees because they are cheaper, and the laws do not mandate such Workmen’s Comp. Insurance coverage for contract employees. However, contract employees can still elect to obtain their own short and long-term disability insurance that will cover them in such circumstances.
Most of our Workmen’s Compensation fraud private investigation clients and insurance fraud private investigations clients are employers, insurance companies, and the law firms in Oklahoma that represent them. That being said, our insurance fraud private detectives and Workers’ Compensation fraud private detectives also work diligently on behalf of those accused or Workmen’s Comp. Insurance fraud.
Most of the time when our private investigators in OKC and our insurance fraud detectives at our private investigation agency in Warr Acres, Oklahoma conduct Workers’ Compensation fraud investigations by conducting surveillance on persons of interest (POIs). Essentially, our Workers’ Compensation private detectives and private investigators in Edmond, Oklahoma at our private detective agency near me follow POIs around to see what they are doing and if they are really hurt.
Sometimes our Workers’ Comp. fraud private investigators and insurance fraud detectives at our private investigation agency conduct surveillance and see nothing amiss. Indeed, the persons of interest (POIs) are just staying in their home and only emerge occasionally and walk with a limp, or they are in the hospital and are not really doing any physical activity. At other times, the POIs are out playing sports, lifting heavy objects, moving things, working other jobs, going to the gym, and basically doing everything possible to indicate they are perfectly fine.
Our Workers’ Compensation fraud private investigators and insurance fraud investigators at our private investigation agency in Oklahoma are the ones who conduct Workmen’s Compensation fraud investigations and insurance fraud investigations to determine the truth of the matter. Our private detectives and insurance fraud private investigators just want to find the truth of the matter for our clients.
When our clients for Workmen’s Compensation fraud private detectives and Workers’ Compensation fraud investigators at our private investigation agency in Shawnee, Oklahoma work on behalf of people accused of Workers’ Compensation fraud, they try to only gather evidence which will benefit our clients in proving that they were not committing Workmen’s Compensation fraud. Our private investigators in Norman, OK do not divulge any information that would harm any of our clients to anyone.