Some changes have been made based on our experience. A substantial delay occurred in reporting the accident. The employee refuses to go to the medical provider selected by the employer, or refuses a diagnostic procedure to confirm an injury. Employee frequently changes physicians or medical providers. Employee has excessive prescriptions.
Employee has a high absentee rate.
Employee benefits from workers' compensation, other social programs or other insurance or disability plans equal or exceed the employee's regular take-home pay. The employee has a history of self-employment or working for cash. The injury occurs late on Friday afternoon or shortly after the employee reports to work on Monday. The accident was unwitnessed. Details of the accident, as found in the employee's first report of the claim, the employee's medical history, and third-party accident reports are vague or contradictory.