Suspicious Claim

25-30% of workers' compensation claims involve some level of fraud. These indicators, or “Red Flags”, should help isolate those claims warranting closer examination.

SRG specializes in obtaining the crucial evidence in identifying a malingerer and fighting a fraudulent claim. Utilizing highly trained investigators and state-of-the-art surveillance equipment SRG has a proven track record on capturing videotape footage that will challenge the allegations of disability.

Indicators of Workers’ Compensation Fraud - RED FLAGS -

• Injury occurs on late Friday afternoon or Monday morning.
• Injury occurs immediately before a possible termination or layoff.
• Claimant has suspicious medical providers or legal consultants
• There are no witnesses to the injury.
• There are conflicting descriptions of the injury as compared to the original injury report.
• The claimant has a history of claims.
• Claimant protests about returning to work and never seems to improve.
• Claimants attorney becomes involved early in the claims process.
• The claimant refuses treatment.
• The claimant has a criminal record.
• The claimant is difficult to reach (Uses a P.O. Box, voice mail, mail drops).
• Groups of claimants using the same doctors and lawyers.
• Late reporting of a claim without explanation.
• The claimant has a history of frequently changing doctors, addresses, phone numbers, or employment.
• Claimant undergoes extensive or unnecessary treatment for minor, subjective injuries.

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