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Workers' Compensation: Insurer Fraud; Is Your Worker's Compensation Insurer Defrauding You?
March 2007
Employers tend to be on the lookout for workers who file fraudulent workers' compensation claims--but how carefully do you watch your insurer? When states stepped up their antifraud enforcement efforts in the 1990s with a focus on claimant fraud, they consistently found that claimant fraud was less than 2 percent of all cases. Insurer fraud may account for up to half the cost of fraud in the system. Yet it goes largely uninvestigated--in part because state regulatory agencies have historically relied on insurers to have sufficient internal controls against fraud. In the absence of state vigilance, it falls to employers to protect themselves. In this article we'll look at what forms this fraud takes, how it hurts employers, and what vigilant employers can do to identify and combat this insidious form of theft. . . . more »
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