How is Workers’ Compensation Fraud Detected?


Workers’ compensation is insurance for employees who are injured on their job. The entire premium is paid for by the employer without any cost to the worker. A claim is generated as soon as an employee reports an injury to their supervisor, which is in turn reported to the insurance company. The injured worker would have to use an approved medical provider for treatment; otherwise, the injury will not be covered under workers’ compensation insurance. If the injury requires a trip to the emergency room, the hospital must be told that the patient was hurt at work. Unfortunately, the workers’ compensation system is an avenue for fraud by employees, employers, healthcare providers and attorneys.