workers compensation

Insurance Fraud Investigations Reveal Blatant Untruths

When it comes to insurance fraud, the bad guys can be quite brazen. Take, for instance, a North Carolina couple who were arrested for insurance fraud and obtaining property by false pretense.

It is alleged that Mister filed a claim after an automobile accident with information about lost wages due to the accident. The couple is accused of inflating the amount of wages that were lost and, on top of that, the company he worked for did not even exist.

They went to a great deal of trouble to document wages and the company in order to file the claim.

Here at International Investigators we are never surprised or taken aback by the extremes that some people will go to in insurance fraud cases. We have uncovered [...]

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    Vehicle Accident Investigation Reveals After-the-Fact Insurance

Vehicle Accident Investigation Reveals After-the-Fact Insurance

People buy insurance for all those unexpected happenings in life. But not all people have insurance in place when those events occur. And that can lead to problems – for a lot of people.

The Natchez Democrat told the story of a man in Mississippi found himself in that latter group. He did not have insurance and hit a deer. He called a friend who encouraged him to get insurance immediately – and (here’s the rub) then claim the accident occurred after the policy was issued. So, that’s what he did.

After getting the policy, the claim was submitted, which prompted a vehicle accident investigation. Sometimes it is not clear when International Investigators gets called into a case whether it includes auto bodily injuries. But because [...]

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    Workers’ Compensation Fraud Investigation Reveals Complex Web

Workers’ Compensation Fraud Investigation Reveals Complex Web

International Investigators works with workers’ compensation insurance providers investigating workers’ compensation fraud. Through investigative techniques and surveillance, we often can uncover the truth about claimants and their activities. But that’s not all.

The company being insured can come under question. Are the employees and wages being accurately reported? Are claims being processed in accordance with the law?

A workers’ compensation investigation can also entail investigation into the medical services providers. In fact, sometimes the investigation is centered on the medical services providers. If that is the case, the workers’ comp fraud costs to the insurance carrier usually increases substantially. That is because the fraud can include many patients and many different insurance carriers.

One chiropractor in Pennsylvania was charged with filing fraudulent claims to several different insurance [...]

Workers Compensation Fraud Investigation Leads to Surprises

A recent California case reported in the Los Angeles Daily News proves that workers’ compensation fraud is not just about employees and their claims. No, in this case, the employer was revealed to be the perpetrator of workers’ comp fraud.

The employer was found guilty of workers’ compensation fraud and sentenced to 29 days in jail, three years of probation and ordered to pay $110,381 in restitution for failing to accurately report employee wages. He was understating wages in order to pay a lower premium for workers’ compensation insurance. He also filed at least one claim during the time in question for an employee’s injury without paying insurance on the employee’s wages.

International Investigators is familiar with the workers’ compensation fraud investigation everyone thinks about – [...]