It is estimated that ten percent of all workers' compensation claims paid annually are fraudulent. Workers' compensation laws vary from state to state, but most require payment of 100% of medical and upwards of 75% of lost wages. These factors make false and exaggerated workers' compensation claims fraud a common target.
Workers' compensation fraud occurs when a person knowingly or intentionally conceals, misrepresents, or makes false statements to either deny, or obtain workers' compensation benefits, or insurance coverage, or otherwise profit from deceit. The key to conviction is proving in court that the misrepresentation or concealment occurred knowingly, or intentionally.
CAS-Claims Administrative Services, Inc. has found that a strong pro-active anti-fraud program is one of the strongest deterrents to preventing and controlling workers' compensation fraud. A pro-active program will not only save you thousands of dollars, but also provide a positive work environment for the many honorable employees who file work-related claims.
Report the suspected fraud claim immediately, do not delay reporting. The more rapidly the suspected fraud is reported, the more rapidly determination can be made if fraud exists.
If you suspect fraud, report it by completing the form below. You do not have to give your name. (Items marked with an asterisk (*) are required.)