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Common types of workers' compensation fraud

Most employees are honest about getting injured at work. For these people, they just need time to recover and heal before returning to the workplace.

Unfortunately, not all employees are straightforward about work injuries. In fact, workers' compensation scams are a common crime in the United States, costing businesses billions of dollars each year. As an employer, what can you do to spot workers' compensation fraud in your company?

Below are some examples of bogus workers' compensation claims from the Coalition Against Insurance Fraud.

  • Injury occurred off-the-job - A worker obtains an injury while not working, but claims it happened at work to obtain benefits and medical coverage.
  • Injuries are exaggerated - An employee has a minor work injury, but claims it is more serious so they can be off work for a longer period of time.
  • Injuries are fake - A worker makes up an injury, such as muscle problems in the back or neck that are difficult to disprove.
  • Injuries are pre-existing - An employee may use an old injury that never completely healed, such as a damaged knee or shoulder, and claim it happened while on the job.
  • Injuries have healed, but worker says otherwise - A worker will claim they are still recovering when they are actually healed to obtain more time off and more workers' comp benefits.

In addition to handling workers' compensation fraud internally, such as terminating the offending employee, report the fraud to the Ohio Bureau of Workers' Compensation. If you need help fighting against a claim, contact an experienced defense attorney.

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