Prevent Workers’ Comp Fraud: Strategies, Reporting & Prevention

Jeffrey Fermin
16 min readJun 6, 2023

Workers’ compensation fraud is a serious issue that can have significant consequences for both employers and employees. It involves intentional deceit or manipulation to illicitly obtain or deny benefits related to workplace injuries. Identifying warning signs of potential fraud is crucial in combating this problem.

By recognizing suspicious behaviors and circumstances, employers, insurance companies, and investigators can take appropriate actions to investigate claims and prevent fraudulent activities. This article aims to highlight common warning signs that may indicate the presence of workers’ compensation fraud, providing valuable insights for early detection and intervention.

How Does Workers’ Compensation Work?

Workers’ compensation is a system designed to provide benefits and financial protection to employees who sustain work-related injuries or illnesses. The primary purpose of workers’ compensation is to ensure that workers receive necessary medical treatment, compensation for lost wages, and other benefits, while also protecting employers from potential lawsuits related to workplace injuries.

The process typically begins when an employee suffers an injury or illness that arises out of and in the course of their employment. The…

--

--

Jeffrey Fermin

Howdy 👋🏼 I’ve been in HR Tech since 2011 when I co-founded Officevibe (left 2016) | Trying to make the future of work the present | Let’s talk people ops 💬