Injured Worker Fraud	en español

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Spotting the red flags

Below are a few of the behaviors that might indicate injured worker fraud. Need help determining? Contact the Fraud Investigations staff at 360-902-4755 or workerfraud@LNI.wa.gov.

• Claim Fraud: Not injured at work (or not injured at all)
• Unfair Benefits Fraud: Doing activities inappropriate for an injured worker
• Disability Fraud: Working while on disability

Claim Fraud: Not injured at work (or not injured at all)
	If you see someone who …		Then…
	Appears to have been injured, but no one else witnessed the accident. Gives conflicting stories as to how the injury occurred. Appears to have let a lot of time elapse between the injury and the date they first got medical treatment. Appears to have sustained the injury while off work. Appears to have been injured immediately prior to a planned strike or the completion of a job. Appears to have been injured immediately prior to or after a disciplinary action against them. Appears to have been Injured immediately prior to being terminated from their job. Moves out of the state or the country shortly after the alleged injury. Appears to have a history of filing multiple claims.		Report Claim Fraud or Call: 1-888-811-5974
Unfair Benefits Fraud: Doing activities inappropriate for an injured worker
	If you see someone who appears to …		Then…
	Participate in recreational or other activities inconsistent with alleged injury. Claim dependents not in his legal/personal custody. Claim a spouse when not married. Misuse drugs or display drug-seeking behavior (prescription or non-prescription). Frequently change doctors ("doctor shopping").		Report Unfair Benefits Fraud or Call: 1-888-811-5974
Disability Fraud: Working while on disability
	If you see someone who appears to …		Then…
	Be working while on time-loss. Be regularly away from home during normal business hours. Be receiving unemployment benefits while on time-loss. Be working and being paid "under the table" while receiving time-loss benefits. Be doing "volunteer" work while receiving time-loss benefits. Be providing care under DSHS's COPES program while on time-loss.		Report Disability Fraud or Call: 1-888-811-5974