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Look Out for Fraudulent Workers Compensation Claims

Jan 10, 2019

Uncategorized

Look Out for Fraudulent Workers Compensation Claims

Watch out for these signs of a fraudulent workers compensation insurance claim.

While you always want to think the best of your employees, the reality of the matter is that not every member of your staff is trustworthy.  This is particularly true when it comes to issues such as workers compensation claims.  While you have taken responsibility and secured this essential type of commercial insurance in Los Angeles, California, your workers might try to exploit it for their benefit.  To ensure that you are not affected by a fraudulent workers comp claim, here are some of the warning signs you should watch out for.
  • Inconsistencies
One thing that you need to watch out for is inconsistencies in the injured employee's story.  For instance, if the employee's story begins to change after multiple retellings, then this could be a sign of a fake claim.  Additionally, if the story doesn't seem to match the evidence at the scene of the accident site, then this too could indicate a fraudulent claim.
  • Lack of Witnesses
While it's possible that an employee simply had an accident while they were alone, the lack of witnesses is something to investigate if the employee generally works in a group.  Oftentimes, claiming a lack of witnesses is a way to lie about what actually happened during a supposed claim.
  • Past Problems with the Employee
If the injured employee has expressed dissatisfaction with the company in the past, then you should take a closer look at their claim.  Additionally, if the employee has had behavioral or performance issues in the past, then this too should encourage you to examine their story closer.  Sometimes disgruntled employees make fake workers compensation claims as a way of getting back at the company.
  • Lack of Transparency
Finally, if the employee is refusing your communication efforts or refusing to take diagnostic tests, then this could indicate that they are trying to hide something. These are some of the potential indications of a fraudulent workers compensation claim that should raise a red flag for you.  Do you have additional questions regarding your workers compensation or commercial insurance in Los Angeles, California?  If so, then contact the experts at Fuller Insurance Agency in Southern California to get started today.
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