Richard Gergasko, CEO of workers’ compensation insurer, Texas Mutual Insurance Co., describes himself as an insurance geek. Trained as an actuary, he’s been involved in the insurance business for 30 years. With Texas Mutual since February 2013, Gergasko previously worked …
There are essentially two types of workers’ compensation fraud — premium fraud and claimant fraud — and insurance producers can play a role in the discovery and resolution of both, according to one investigator who has brought some 800 cases …
While the total number of workers’ compensation (WC) claims has decreased, the percentage deemed “questionable” is rising, according to the National Insurance Crime Bureau’s analysis of WC questionable claims (QC) referrals submitted from January 1, 2011 through June 30, 2013. …