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Red Flags That Make Surveillance on Employee Disability Inevitable

September 11, 2015 by  
Filed under Blog

SurveillanceEmployee disability claims are not a picnic for employers or employees. While injured workers are stressed about their physical and mental wellbeing, their bosses are worried about the health of their employees and the liability for the incident.

A simple plan of action preferably, immediately after the incident makes it easy to facilitate the claim. Part of this plan is running through a list of red flags for employee disability compensation fraud, elements that might be easy to overlook in stressful situations.

Here are a few red flags that you should look out for at the onset of the claim and reporting them to an adjuster at first contact, is the key to mitigating your exposure:

If it is a Monday or Friday incident

If the alleged injury occurred on a Monday morning or a Friday afternoon, but was not reported until Monday, the injury could be the result of something from the weekend. Or, in other cases, the claimant might be wishing to take the weekend off.

There’s beef

In cases where the claimant has been passed over for a promotion, denied vacations or laid off, the reason behind the claim could be personal grudges. Other motivations could include end of seasonal work.

No witnesses

It certainly is a red flag when the claimant is the only witness to the incident. It is especially suspicious when the incident occurs in an area that is usually not stranded.

There’s a delay

It is also a red flag when the claimant tends to delay making the claim. The most common reasons include ‘I thought I would get better.’ The more time passes, the suspicious you should get.

No contact

If you are unable to make contact with the claimant, you should consider hiring a worker’s compensation fraud surveillance team. Some employers also visit themselves to see if the claimant is really there.

All too familiar lawyer or doctor

There are many lawyers and doctors in the industry that have a reputation for suspect claims. Remember to do your homework and beware of these characters. Be sure to have a private investigation firm on standby for any additional information you might need.

Assuming that your employees are lying can erode away a good work relationship. Keep things transparent and be sure that all claims are investigated before making any decisions. If you are looking for a private investigation firm that offers leading workers compensation fraud surveillance, feel free to get in touch.


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