Workers compensation is insurance that provides medical benefits and wage replacement to employees that were injured on the job in exchange for liability not pursuing a lawsuit. Workers compensation fraud, on the other hand, is when an employer, claimant or healthcare provider lies to gain money, advantage, and other benefits. There is a common misconception that workers compensation fraud only happens on the employee’s end, but that is not always the case.
Insurance fraud is one of the most expensive and common types of fraud, costing billions of dollars each year in damages across the country to corporations. Most companies never pursue insurance fraud investigations, making themselves vulnerable to fraudsters and potentially massive financial losses. An insurance fraud investigator examines all aspects of insurance claims to ensure the claim is valid and authentic. If any suspicious activity or fraud is uncovered the investigators at KJS & Associates, LLC will find the evidence to defend your business or organization against these fraudulent claims, so you are not paying out funds unnecessarily.
How insurance fraud is conducted:
- Claimants will exaggerate the value of actual damages, overstating the claim to garner more money from the insurance carrier than what is indeed due.
- Insurance fraud can be carried through participating parties, with evidence that is fabricated by one witness or many witnesses and even with doctors exaggerating the seriousness of an injury to keep the injured in the “system.”
In five years alone, under the Fraud Enforcement & Recovery Act, the government collected $23 Billion.
KJS & Associates, LLC has over 30 years of experience in insurance fraud investigation and testimony. Our Private Investigators serve clients in Houston, Dallas, Fort Worth, San Antonio, Austin, Texas and across the nation and Europe. KJS & Associates, LLC puts their team in action utilizing the right surveillance equipment for the job. The investigators examine the evidence of the case, interviews witnesses, records submitted and follow up on the claimant’s filing and other means to get the case done. This in-depth exploration not only proves or disproves that the claim is legitimate but also gives you concrete, tangible evidence that you can use in court or stop payment in the case of fraud.
Contrary to common belief, workers compensation fraud doesn’t solely consist of employees lying about or exaggerating their injuries as fraud can involve both employees and employers.
Call KJS & Associates, LLC today to speak with one of our Workers Compensation Investigators by contacting 832-878-2900 to receive a no-cost, confidential consultation with one of our licensed Private Investigators about your surveillance needs. Let our experience work for you.