Special Investigations Unit

Tools for understanding Special Investigations Units and their role in fighting work comp fraud

Employer’s Tip Leads to a Criminal Investigation

Workers' comp fraud investigations often start with an informative lead. It might be a tip that an individual is working while collecting disability or that a doctor is billing...

Another Less Than Moving Account

While working for a moving company, a 43-year-old California man unloaded furniture down a truck’s ramp when he unfortunately slipped, injuring his hand and foot. After spending time off from...

Plumber’s Story Has A Lot Of Leaks

A 28-year-old Plumber has now been charged with seven felonies for insurance fraud alleged to have been perpetrated during his workers’ compensation claim.  Claiming to strain his back while pulling...

How to Defend Your Business From The Modern Fraudster

Recently I offered advice on how to detect and defend against the modern workers’ compensation fraudster in an article in Risk Management Magazine. Titled "Deterring Complex Workers' Comp Fraud,"...

Tow Truck Driver Pushes It Too Far

A 39-year-old tow truck driver has now been charged with 15 criminal counts related to his workers’ compensation claim. While attending to a disabled vehicle on the side of...

Investigation Shows Possible Work Comp Fraud

A 31-year-old California man claimed to injure multiple body parts while working as a plumber. As a result, the plumber received income replacement benefits as part of his workers’ compensation...

Surveillance Once Again Reveals the Truth

A 58-year-old California man claimed to injure multiple body parts after slipping on wet stairs. During medical examinations, as well as in his workers’ compensation deposition, the worker claimed...

Useful Fraud Training Resources a Click Away

The best way to prevent fraud is to prevent the injury from occurring in the first place. A commitment to the safety of your employees not only reduces the likelihood...

Delivering an Exaggerated Account

A Kentucky-based delivery truck driver reported multiple body parts were injured when another vehicle hit the rear of her heavy-duty truck, ultimately causing a crack to the truck’s bumper....

A Less Than Moving Account

A 31-year-old furniture mover was demoted after losing his driver’s license. Upset about the demotion, he decided to claim he injured his shoulder three months earlier and demanded medical treatment. As...