There are several red flag indicators that companies can use to determine if further investigation is warranted though it’s always our recommendation that when it comes to claims, trust but verify. Some indicators can be described as discrepancies in days worked, salary, and occupation. Changes to legal agreements and documents that weren’t discussed before alteration. Filing in multiple states or changes in occupation about industry descriptions. Or when an injured worker cannot be reached because they are always busy, too tired, or just can’t be disturbed.
Upon meeting with an injured worker it’s important to pay attention to their hands, noting calluses, discoloration, and bruising or signs of sediment. Coupled with these, if the claimant moves shortly after or starts a claim at a time to their benefit, they may be engaging in fraud and further investigation is necessary to prevent an excess in damages.
Sometimes, it may be too late to prevent fraud damages from taking place, but it can be mitigated. Through the use of effective interviewing and surveillance, statements can be used to determine levels of injury, omission, and estimated damages. Alongside medical evaluations and claimant restrictions.
Surveillance can oftentimes determine the severity of an injury in ways a medical professional cannot. As a result of these practices, while rarely is a claimant found guilty of outright fraud, the damages can often be mitigated through settlement and negotiation. Bringing actionable insights into a discussion beforehand proves crucial to organizations’ litigation and claims processes.
Our investigators specialize in surveillance operations and have saved clients with estimates of up to millions of dollars in damages. Contact us today for a free consultation on how we can save your organization money.