The Top Ten Things You Can Do to Combat lawsuit Abuse Indicators of Possible Workers Compensation Fraud These indicators, or fraud possibility factors, should help isolate those claims which merit closer scrutiny. No one indicator by itself is necessarily suspicious. Let your suspicions be known to your workers compensation handling adjuster. Employee is short term, or new to the job.
Employee reports injury just after disciplinary actions have been taken.
Employee is on probation or is expected to be terminated for cause. Employee is unhappy with supervisor orjob conditions. A review of personnel records reveal intermittent work history with unexplained lost time. The kind of accident or type of vehicles involved are not typical of those seen on a regular basis. Claimant has a history of accidents within a short period of time.