Injured Worker Fraud

Prevent Fraud in Washington State
– 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)
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

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