Our Fraud Investigations Department’s Anti-Fraud Program discourages individuals from attempting workers’ compensation fraud. Those that cannot be deterred from committing acts of fraud are aggressively pursued and prosecuted.
Anti-Fraud Program Advantages:
- Cases of potential fraud investigated by our Fraud Investigations Department and referred to law enforcement have resulted in more than 100 criminal complaints and 50 criminal convictions since 2003.
- These criminal convictions have resulted in savings of over $29 million from 2003, helping to protect incurred loss amounts.
- Formal anti-fraud training is provided on a continuing basis to all our staff members who deal with claim files or policies of insurance.
- The investigation of criminal fraud is completely integrated into the basic claim investigation functions.
- Our anti-fraud materials, posters, payroll stuffers and the Top 10 Warning Signs of Workers’ Compensation Fraud informative flyer are available to our policyholders.
- We offer a “Fraud Hotline” and dedicated e-mail address 24 hours per day, seven days a week (including holidays), for the reporting of suspected workers’ compensation fraud.
