What are some common scenerios of workers’ comp “Fraud” ?

*A claimant who denies any prior injuries to the same body part later injured at work — when questioned by a doctor or the Independent Medical Examiner (insurance companies IME doctor).

*A claimant who denied performing work or work-like activity when questioned in an insurance company questionnaire and it was later determined that the claimant had in fact been helping a friend work on his house.

*A claimant who denied work while “helping out” a friend collect a cover charge at a bar.

*A claimant who was misrepresenting their level of disability or limitations to their own doctor or insurance companies doctor. (Example): A claimant is caught on surveillance using a cane when walking slowly into the doctors office and subsequently caught going for a brisk walk or job outside without the cane later that week.

Posted in: Workers Compensation