Workers’ compensation investigations are conducted to verify the legitimacy of an employee’s claim for compensation after suffering an injury or illness in the workplace. The investigation is typically conducted by an insurance company, the employer’s risk management department, or a private investigation firm.
Here are some common methods and tactics used in workers’ compensation investigations:
Surveillance: Investigators may conduct surveillance on the employee to determine if they are engaging in activities that contradict their claim. For example, an employee claiming a back injury may be observed lifting heavy objects or engaging in strenuous activity.
Background checks: Investigators may conduct a thorough background check on the employee to determine if they have a history of fraudulent activity or if there are any discrepancies in their claim.
Medical records review: Investigators may review the employee’s medical records to determine if their injuries are consistent with their claim, or if they have a history of similar injuries.
Witness interviews: Investigators may interview witnesses, such as coworkers, supervisors, or medical professionals, to gather information about the employee’s injury and the circumstances surrounding the incident.
Social media monitoring: Investigators may monitor the employee’s social media activity to gather evidence that contradicts their claim. For example, an employee claiming a back injury may be observed participating in physical activities on social media.
The goal of a workers’ compensation investigation is to ensure that compensation is only paid to employees who are legitimately injured or ill as a result of workplace incidents. If the investigation reveals fraudulent activity, the employee’s claim may be denied, and legal action may be taken against them.
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