Its good to see the Insurance Journal posting cases of WC fraud; only one problem, those of us in the insurance business are well aware of all the fraud that takes place within the WC system nationally.
The question is how do “we” get the word out to the public that WC fraud will not be tolerated. How do “we” get the word out that any insurance fraud will not be tolerated – that is the key. The hundreds of billions in fraudulent insurance claims are being paid by you and me in the form of higher auto rates, homeowners rates, health insurance rates, commercial insurance rates, etc.
The answer is out there someplace; but then again, look at the society we’re living in today.
I wish the insurors would also look at the Doctors a bit closer to make sure they are only providing reasonable and necessary treatment. Adjusters need to be more agressive, because for each dollar they pay in claims, the employer is going to pay almost three dollars in additional premium in the next three years.
David, Darnell and R Garza have great points. Great to see something is being done. However, part of the problem is the insurance industry itself. Too often, carriers are concerned liability if they take action or the know their is a fraud but will turn their head and pay, because it is less expensive than going through a trial. I have been around for over 35 years and it was this way in 1968, as well. Will it change, I don’t think so, but at lease we got one.
I am a private investigator who specializes in workers comp fraud. I have busted many of these cases but never have I heard that one was criminally prosecuted. If anyone suspects fraud in this area please contact me as catching these thieves is my passion. pi@claryinvestigativeagency.us
Mike clary
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Its good to see the Insurance Journal posting cases of WC fraud; only one problem, those of us in the insurance business are well aware of all the fraud that takes place within the WC system nationally.
The question is how do “we” get the word out to the public that WC fraud will not be tolerated. How do “we” get the word out that any insurance fraud will not be tolerated – that is the key. The hundreds of billions in fraudulent insurance claims are being paid by you and me in the form of higher auto rates, homeowners rates, health insurance rates, commercial insurance rates, etc.
The answer is out there someplace; but then again, look at the society we’re living in today.
Glad to see that the carrier was able to catch this one. I just wish that it would happen more often.
I wish the insurors would also look at the Doctors a bit closer to make sure they are only providing reasonable and necessary treatment. Adjusters need to be more agressive, because for each dollar they pay in claims, the employer is going to pay almost three dollars in additional premium in the next three years.
David, Darnell and R Garza have great points. Great to see something is being done. However, part of the problem is the insurance industry itself. Too often, carriers are concerned liability if they take action or the know their is a fraud but will turn their head and pay, because it is less expensive than going through a trial. I have been around for over 35 years and it was this way in 1968, as well. Will it change, I don’t think so, but at lease we got one.
I am a private investigator who specializes in workers comp fraud. I have busted many of these cases but never have I heard that one was criminally prosecuted. If anyone suspects fraud in this area please contact me as catching these thieves is my passion. pi@claryinvestigativeagency.us
Mike clary