What are the Red Flags in Workers Compensation Cases to look for:

  • Accidents/injuries that are reported to have occurred late Friday or early Monday morning. The injury may have come from a non-work related activity, including weekend activity
  • An injured worker who is reluctant/refuses to accept treatment from a medical provider or other health care professional
  • The physician's diagnosis is not consistent with the treatment, or worker takes off more days than the accident would seem to warrant
  • Accident is not witnessed or reportedly occurred in an area where the employee would not normally be.
  • Accident is not promptly reported
  • An injured worker who is seasonal and about to conclude the job
  • Claim occurs just before a layoff, strike or the end of an employee's probationary period to ensure against discontinuation of wage
  • Worker is observed in work or recreational activities inconsistent with the reported injury
  • Injured worker has a history of short-term employment
  • Injured worker complains of non-work-related health problem to co-workers before filing a claim
  • Injured employee on workers' compensation disability can never be reached or provides a beeper numbers as his main number
  • The strongest predictor of fraud is a chronically disgruntled work force