Catch the Worker’s Comp Fraudsters! Hire the Best Private Investigator in Los Angeles
by Wolfes Investigations Specialized Private Investigators to Serve in LosWorker’s
Compensation fraud occurs when an employer, healthcare provider, or a claimant
knowingly lie in order to gain an advantage, savings, money or other benefits. While
many people believe that workers compensation fraud solely consists of
employees lying about or exaggerating their injuries, workers compensation
fraud can involve both employees and employers.
Worker’s Compensation Fraud: a
Two-Sided Monster in the Corporate World
The
costs and consequences associated with worker’s compensation fraud are growing.
Worker’s compensation fraud accounts for ¼ of all insurance fraud. Both
employers and employees are contributing. Find out how and what cost below.
Employee Side Fraud Cases:
- Injuries with no witnesses
- Delays in reporting injury
- Delays in seeking medical treatment
and/or missed appointments
- Injury while off work
- Financial stress at home
- Filling multiple claims
- Injury at time or termination
Employer Side Fraud Cases:
·
Denial of valid claims
·
Late issuing of disability checks
·
Misclassification of work force and the
nature of the work being done by employees
·
International refusal to purchase
insurance for employees
·
Making examples of employees who have
submitted claims
·
Issuance of Ghost Policies to
independent contractors who are actually employees
Hiring a Private Investigator in
Los Angeles to Conduct Worker’s Compensation Investigation
It
is estimated that worker’s compensation fraud accounts for ¼ of all insurance
fraud. To balance the cost of payouts associated with these fraudulent claims,
insurance companies must charge more for premiums to remain profitable. These
costs almost always fall on the business owners. For small to medium-sized
firms, this can prove to be devastating and in extreme cases this may lead to
laying off employees or closing the business.
Why an Employer Should Hire a
Private Investigator in Los Angeles?
Insurance
companies will often use a private investigator in Los Angeles for significant
claims or ones where fraudulent patterns are easily identified, but smaller
claims can often fall through the cracks. These claims still affect your
business and premiums, so quick action should follow when you believe an
employee has submitted a false claim. It takes more than a hunch; however, to
stop payments on a fraudulent claims. You are going to need hard evidence that
can be uncovered with specialized tracking and investigative techniques like the
ones used by an experienced private investigator in Los Angeles.
Some of the Effective Strategies A
Private Investigator in Los Angeles Use Are:
ü Claimant Interviews:
Investigators don’t want the subject to know that their behavior is being
monitored; so, rather than a one-on-one personal interview; questionnaires can
be supplied to the claimant to evaluate the answers with previous statements
given at the time of the alleged accident. Inconsistencies can serve as
evidence against the validity of the claim.
ü Accident Research:
Based on the reports given at the scene by the claimant and other individuals
present, an experienced private investigator in Los Angeles will often find
recreating the scene as an advantageous approach to uncovering falsities of the
accident. Much like a crime scene investigator, the accident can be tested and
reenacted to test the circumstances surrounding the alleged injury.
ü Background Checking:
Individuals who submit fraudulent claims typically have a history of the same
fraudulent behavior. This is where a background check can look for previously
filed claims. A long history of on the job accidents is one of the primary
signs that the situation should be further investigated. During this time,
criminal history will also be evaluated to look for patterns in behavior
related to unethical activities.
ü Private Surveillance:
One of the most effective strategies for proving a fraudulent claim is catching
the individual red-handed in activities their injury should prevent them from
doing. For example, if a claimant allegedly hurt their back to the point where
they are unable to walk, work, or function without pain, and during
surveillance the individual is seen moving furniture or working a physical job
under the table, you now have absolute irrefutable proof that can be presented
in court.
If
you believe an employee has committed worker’s compensation fraud, get in touch
with the experienced private investigators in Los Angeles at Wolfe’s
Investigations. Our team will meet with you to gather all the information
surrounding your case and develop a comprehensive investigative strategy based
off of the specific circumstances surrounding your case.
To
schedule a consultation with one of our private investigators in Los Angeles,
call us today or head over to the official site – Wolfe’s Investigations!
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Created on Nov 8th 2018 06:32. Viewed 783 times.