A Florida Truck Driver who was injured on the job made a few unfortunate decisions when she decided she wasn’t ready to go back to work and wanted to make a little extra money. She asked a friend to hit her with a baseball bat! Her friend complied, but not to the satisfaction of the truck driver. The injured worker grabbed the bat and took a few extra swings at herself for good measure.
Following the whacking, the injured truck driver visited her doctor to show her injuries were not improving. Unfortunately for the truck driver, at the same time, her friend felt regretful and called the ICW Group claims examiner to confess. Claims and ICW Group’s Special Investigations Unit worked together to build a case and referred the truck driver to the Florida Department of Insurance for criminal investigation.
Misrepresentation can be insurance fraud
Making a material misrepresentation or omitting a material fact is a key element of insurance fraud. When the truck driver omitted that she caused herself harm while trying to obtain continued workers’ compensation medical care and financial benefits, she opened herself up to potential charges.
For more information on identifying and preventing fraud, visit ICW Group’s fraud-fighting articles and insights.