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...
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,...
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 Workers Commit Fraud
Why do workers commit fraud? Why does anyone commit fraud? The answer...they believe they will get away with it.
While we could go deep into the personality types that...
Working Together to Take a B.I.T.E. Out of Fraud
It is a common misconception, but fraud is not determined by insurance companies. Fraud is also not determined by employers and fraud is not determined by workers’ compensation judges....
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...
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...
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 who...
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...
Hey Bartender….Make it a Double (Dip) – Part 1
Claiming to injure herself while lifting a 20-pound bag, this full-time worker said she was unable to work in any capacity, including attending to her household chores such as...
