In California, workers' compensation insurance is a no-fault system. Injured employees need not prove an injury was someone else's fault in order to receive workers' compensation benefits for an on-the-job injury. In addition to medical expenses being covered for injured employees, some injured workers are entitled to recover a portion of lost wages resulting from injury. Fraudulent workers' compensation claims can be an enticing target for criminals. Jack Able & Associates Private Investigations has been working all aspects of Work Comp. Investigations since 2001. We have several clients both Privately Insured and Self Insured.
Workers' compensation insurance fraud occurs in simple and complex schemes that often require difficult and lengthy investigations. Employees may exaggerate or even fabricate injuries. At the other end of the spectrum, white-collar criminals, including doctors and lawyers, entice, pay, and conspire with others to defraud the system by creating false or exaggerated claims, over treating, and over prescribing harmful and addictive drugs. Insurance companies "pick up the tab," passing the cost onto policyholders, taxpayers and the general public.
Our Investigators are well versed in all aspects of these types of investigations. Through AOE/COE Investigation, Sub-rosa Investigation, Background Checks or more, we can provide you with the information you need to determine if a case may be fraudulent.