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Fraud Investigations

Insurance Fraud/Workers Comp Claims 

Over the years, we have seen an increase in the amount of fraud investigations requested, including workers’ compensation fraud. Workers’ compensation fraud occurs when someone willfully makes a false statement or conceals information in order to receive workers’ compensation benefits or prevents someone from receiving benefits to which they might be entitled.  Our insurance fraud investigators will work to make sure this doesn’t happen to you or your family.  

It is no secret that workers' compensation costs are reaching crisis proportions. The U.S. workers' compensation exposure is between $64 to $104 billion dollars. That’s why we offer our fraud investigations. 

Overall, the frequency of workers’ compensation claims has declined nationally. The Bureau of Labor Statistics reported that the frequency of occupational injuries and illnesses decreased by 15 percent in the last four years. 

While the frequency of claims may be declining, employees are spending more time away from work after filing a claim. According to the Bureau of Labor Statistics, the number of workers’ compensation claims involving more than 30 days away from work increased by 15 percent.

Our trained investigators will follow the person(s) named in each claim and obtain evidence to see if they are in fact committing fraud.  We will work closely with each insurance agency to ensure that every piece of evidence for their claim is properly obtained and documented.  Upon completion, each insurance agent will receive a detailed report along with video footage and/or digital pictures.

Call us today, and let our professional staff handle your workers comp claims.  

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