Workers’ Compensation Insurance Fraud include two sets of crimes:

Examples of claims fraud include a worker who:

  • Fakes an injury at work to get paid time off
  • Exaggerates the severity of a legitimate injury to extend time away from work
  • Claims an injury occurred on the job when it actually occurred elsewhere
  • An injured worker obtains another job and lies to the insurance company about being unable to return to work. In essence, he collects two paychecks.

Examples of premium fraud include an employer who:

  • Understates the amount of company payroll to reduce premium payments
  • Claims employees are independent contractors
  • Classifies employees with improper job codes that carry lower premiums
  • Fails to carry workers’ compensation insurance.

Thanks to:
http://www.helpstopfraud.org

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