Description
Get the tools needed to identify the red flags of workers compensation fraud.
Who pays for workers compensation fraud? EVERYONE does, except the fraudsters. Workers compensation fraud costs businesses millions of dollars a year in lost time, work moral, productivity, staffing and overall business growth. When is it time for employers, HR, and key personnel managers to take control of a suspicious workers compensation claim? Understand how carriers and TPAs handle fraud cases and what you can do to assist them.
Take a look into the inside world of what happens when a workers compensation claim is handed over to the investigator. See case by case studies of how cases are prepared before surveillance is undertaken. What presurveillance measures are needed? Focus on social media investigations as the new electronic surveillance.
Lastly, there will be questions and answers regarding the use of surveillance in any current situation that you may be faced with.
Date: 2020-07-08 Start Time: 1:00 PM ET End Time: 2:30 PM ET
Learning Objectives
* You will be able to discuss how to detect, identify and deter workers compensation fraud in the work place red flags.
* You will be able to review the tools of antifraud programs and SIU involvement.
* You will be able to discuss costeffective field investigations.
* You will be able to explain proper use of surveillance to document workers compensation fraud.
Workers’ Compensation Fraud – Who Pays the Price?
• Statistical Trends, and How Effective Detection and Aggressive Hands on Integration Can Minimize the Damages and Provide Claim Mitigation
• How to Detect, Identify and Deter Workers’ Compensation Fraud in the Work Place – Red Flags
• Self Insured Retention – Take Control of the Money
It’s Your Money
• Insurance Carrier Requirements and Insured Involvement, the NICB and CAIF
• NICB – National Insurance Crime Bureau and CAIF – Coalition Against Insurance Fraud – Meet Your Friends
• Reporting Fraud – State-By-State Reporting Agencies, Contacts, Address and Phone Numbers
• The Tools of Anti-Fraud Programs and SIU Involvement
• Employers’ Preventative Measures, Pre-FROI (First Report of Injury) • What Can You Do to Prevent a Workers’ Compensation Claim?
• What Can You Do to Make the Outcome a Success? – Become an Investigator
• Cost-Effective Field Investigations: Backgrounds, Social Media, Statement Taking and Surveillance
• Ethics, Doing the Right Thing
• Proper Use of Surveillance to Document Workers’ Compensation Fraud
• What Does a Good Day Mean?
• Meet the Fraudsters
CLE (Please check the Detailed Credit Information page for states that have already been approved) ,CPE ,HR Certification Institute ,SHRM ,Additional credit may be available upon request. Contact Lorman at 866-352-9540 for further information.
Kevin A. Oliphant, ARM-Sedgwick Claims Management Services, Inc., Tamara Warner, CFE – G4S Compliance and Investigations
