What is a Fraud Blog?
I must admit….I have never read a blog. I hear that they are popular. Strike that, I hear(d) that they were popular, so my Googling started; “what is a...
What is an SIU?
You may or may not have heard the term “SIU” in the past. SIU is an acronym for Special Investigations Unit. Special Investigations Units are insurance carrier personnel responsible...
Take a B.I.T.E. Out of Workers’ Comp Fraud
It's a common misconception, but workers' compensation insurance companies do not determine workers' comp fraud. Business owners, employers or workers’ compensation judges also don't determine fraud. In reality, fraud...
Up Before Sunrise
In the early hours of the morning, it is not uncommon for ICW Group’s Special Investigations Unit to be working. Fraud schemes are often complex. Inherently, they are puzzles...
Tape + Testimony = Success
ICW Group surveillance efforts revealed a lie when a California man claimed a work-related injury. Shortly after resigning, a furniture mover working for an ICW Group customer alleged to...
Surveillance Failed. What a Bummer, Or Is It?
Investigative surveillance is a time-tested technique for gaining clearer insight as to whether the injury complaints and limitations claimed by an injured worker are a true depiction of their...
Why Employees Commit Workers’ Compensation Fraud
Why do employees commit workers' comp fraud? The answer...they believe they will get away with it.
While we could go deep into the personality types that may be more...
The Worst Part was Telling My Kids
Tasked with investigating suspected insurance fraud, a Special Investigations Unit is naturally exposed to individuals who are more likely to be dishonest. While most claims are wholly legitimate, there...
Billed and Paid’s Excellent Adventure
California’s workers’ compensation system is unique in that it affords for a system of liens to be filed and recovered on by doctors, medical diagnostic companies, pharmacies, language translators,...
The Eye in the Sky Doesn’t Lie
A 46-year-old production worker claimed to injure multiple body parts after reporting to trip and fall while working for an ICW Group customer. Her supervisor, after helping this worker...