A Multiple Injury Claim Leads to Fraud Investigation

A California construction worker filed a workers’ compensation claim for multiple injuries. During ICW Group’s fraud investigation efforts involving depositions and qualified medical exams, the claimant denied prior industrial and motor vehicle accident injuries. Unfortunately for him, his claims history was investigated, and records were subpoenaed, revealing that he lied about his eight prior workers’ compensation claims and three motor vehicle accident claims. This matter was referred to law enforcement for further investigation.

This investigation is an excellent example of how ICW Group helps its policyholders identify and fight fraud. Every workers’ compensation claim is automatically checked for fraud red flags within 24 hours of claim creation. Our fraud-fighting team of experts assigns three times the number of claims for investigation than the industry average, so your business is in good hands.

Take a look at the many ways we’ve helped our work comp policyholders fight fraud. If you suspect you are a victim of workers’ comp fraud, contact our anti-fraud hotline at 855-429-3728.

Teena Barton
Teena Barton
Teena is a Major Case Investigator with expertise in capping and organized crimes in healthcare fraud, collaborating with Insiders, and specializing in victimology. She was featured in a nationally covered story by Reveal News and NPR radio called “Billion Dollar Scam.” She is a national speaker and collaborates with an attorney convicted of selling clients to surgeons and who had a role in creating one of the most prolific organized capping schemes in US history to help inform the public. Teena is a former Police Officer/Criminal Investigator and a military veteran, having served during the Persian Gulf War, in Desert Storm/Desert Shield for the US Air Force. She is a Cum Laude graduate of Texas Christian University.

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