As a business owner, you need to be concerned about employees faking injuries. Did you know 6 in 10 small businesses worry that an employee will fake an injury and commit workers compensation fraud? The Michigan Workers Compensation Fraud Investigators at Eye Spy can get the evidence that you need.
How this Will Affect Your Business
Workers compensation scams can affect your business in a number of ways. First, the worker with a faked injury isn’t working which means you might have to hire a temporary worker or pay other employees overtime to work extra shifts. Not only does this make the company less productive but it costs you more to hire extra employees or to pay employees overtime.
If your insurer adjusts your premiums depending on previous losses, then your company is likely to experience huge losses through fraudulent claims. The more the number of claims that your insurer has to pay, the higher your insurance premium will be.
Employees Faking Injuries Are On The Rise
If one of your employees collects workers compensation benefits for an injury they didn’t suffer, your company will pay the price. This is why it is very urgent that you know when an employee has faked their injury and when they are being genuine.
Some employees collaborate with medical providers to pull workers compensation scams. A crooked doctor can submit a claim for treatment he never provided. They can also decide to inflate the cost of medical care given or provide unnecessary medical treatment.
The doctor will then pay the employee kickbacks and instruct them on how to fake the injury. Other doctors collaborate with lawyers and employees to come up with elaborate plans to generate millions of dollars in fae workers compensation claims.
Are They Faking The Injury?
Here are six red flags:
- You’ve heard employees gossip about the employee’s injury.
- You can’t get a clear idea of what actually happened from those involved.
- The injured party is refusing diagnostic procedures like an X-ray or MRI.
- There aren’t any witnesses to the injury event.
- The claim is reported on a Monday morning.
- The claim is reported more than seven days after the injury occurred.
Individually, these signs do not conclusively mean a workers comp injury is false. But when more than three of them are present, it might be time to take a closer look at the situation and the employee’s claim. Workers comp claims are expensive both at the time of injury and over the long run.
Do you suspect that your employee is faking an injury? The most common type of workers compensation scams are faked injuries. Don’t hesitate to contact the Michigan Private Investigators at Eye Spy today! We have investigators available 24 hours a day 7 days a week to discuss your case. Call us today at (888) 393-7799.