Fraud Detection & Prevention

How to Avoid Fraud

While very few claims are fraudulent, there are several important steps you should always follow to minimize fraudulent claims. This includes:

• Verification of references and work history upon hire.
• Immediate reporting of all claims.
• Reporting of suspicious activity or claims concerns to Accident Fund’s Fraud Hotline: 800-944-3728.
• Prominent display of the Accident Fund fraud poster in your workplace. Large quantities can be ordered from the policyholder site.

Examples of Workers’ Comp Fraud

• Falsely reporting payroll figures to reduce premium.
• A claim made for an injury sustained someplace other than at work.
• An employee collecting wage payments while working at another job.
• Physicians billing for services not rendered.

Fraud Warning Signs

• Claims reported first thing in the morning, especially on Mondays or just after lunch.
• Claims in which the details surrounding the incident change over time.
• A medical bill that reflects services not rendered.
• An injury sustained in a highly populated work area, but without any witnesses.

How to Report Fraud

If you or an employee suspect workers’ compensation fraud, call our anonymous hotline at 800-944-3728. All calls are strictly confidential. Or you may submit an online referral in the form below. Please provide as much detail as possible.