Injured Worker Fraud – Washington State
Claim Fraud: Not injured at work (or not injured at all)
Below are a few of the behaviors that might indicate injured worker fraud.
Spotting the red flags
If you see someone who….
- Is injured but there are no witnesses.
- Gives conflicting stories of the injury.
- Significant time lapse between the injury and the first medical treatment.
- Injured while off work.
- Injured immediately prior to a planned strike, or the completion of the job.
- Injured immediately prior to or after a disciplinary action against them.
- Injured immediately prior to being terminated from their job.
- Moves out of the state or the country shortly after the injury.
- Frequent injuries.
- Suspicious Activity for an injured worker.
If you see someone who...
- Participates in activities inconsistent with the injury.
- Claims dependents not in his legal/personal custody.
- Claims a spouse when not married.
- Drug-seek (prescription or non-prescription).
- Frequently changes doctors.
- Work while receiving worker’s compensation.
- Leave and return home during normal business hours.
- Paid “under the table”, or cash.
- Volunteer while on worker’s compensation.
- Collect wages for providing home care while on worker’s compensation.