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If your answer is YES to these 10 key indicators, you have a high likelihood of work comp fraud.
California worker compensation fraud is a multi-billion dollar drain on insurance companies and self-insured businesses. The first step to a solution is to identify the cases with the highest likelihood of fraud and take appropriate action, including worker comp fraud surveillance. Here are 10 sample questions that indicate high fraud probability:

Sample Fraud Analyzer Questions:

1. The incident occurred in an area where the injured employee would not normally be in their normal work routine.
   
   
2. There was significant time lapse between the injury date and the date the injured employee first received medical treatment.
   
   
3. An incident that started out as a soft tissue claim progresses to reporting of psychiatric symptoms.
   
   
4. The injured employee changes physicians when a release for work has been issued.
   
   
5. The medical provider uses multiple names or changes names frequently.
   
   
6. The medical reports contain spelling errors, inaccurate terminology, inconsistent doctor’s signatures or contain rubber-stamped signatures.
   
   
7. The attorney lien or representation letter is dated the same day as the reported incident date or shortly thereafter.
   
   
8. The injured employee reports an injury immediately following a layoff, termination, disciplinary action, notice of probation, demotion, or being passed over for promotion
   
   
9. The injured employee uses addresses of family members and friends or uses post office boxes and has no known permanent address.
   
   
10. The injured employee is hardly ever home when called or is usually "unavailable" especially during work hours.

The more positive responses, the greater the likelihood of fraud.

Analyze 100 key fraud indicators with Tristar Investigation’s Work Comp Fraud Diagnostic Module.
The 10 key indicators in the sample test above are just a sampling. There are tremendous benefits to putting your potential fraud case through the professional scrutiny of the Tristar Work Comp Fraud Diagnostic Module.

Benefits of the Tristar Work Comp Fraud Diagnostic Module

• Not only will the Fraud Diagnostic Module help you clarify all the reasons for a worker comp fraud investigation referral in your mind, it will let you present a clear systematic diagnosis to management, to back up your decision. With California worker compensation fraud impacting your company’s bottom, your independent initiative at tackling this problem will definitely get noticed!
• Why not put Tristar Investigation’s 25 years of experience in your corner? Your years on the job may not give you the experience needed to sniff out the myriad of fraud indicators that accompany the patterns of shady worker comp fraud claimants.
• If you are a manager or supervisor, you may have staff that does not necessarily have the experience in fraudulent claims that you have, especially when it come to California worker compensation fraud, which has its own unique parameters.

	FREE for a limited time only: To access Tristar’s exclusive Fraud Evaluator Program, including interactive diagnostic forms for evaluating fraud potential, register here.