Have you ever looked at a claimed injury and thought,“this doesn’t pass the smell test”? The longer you’re in business, the more likely this event will happen to you. Here are ten quick thoughts to consider when you begin having questions:
1.The alleged injury occurs at the beginning of a shift after being off for the weekend or a period of time off. Be mindful of potential sports injuries.
2. The reported accident occurs immediately before or after an industrial dispute, job termination, lay off, end of a project, at the conclusion of seasonal work, or the injured worker is a short term or contract employee.
3. The alleged injury occurs a day or two before or after a holiday.
4. The accident has no witnesses and the injured worker’s own description does not logically support the cause of the injury. The witness has a poor record with compensable injuries and provides a questionable version of the incident.
5. The injured employee has a history of numerous suspicious claims, or the medical provider or legal consultant has a past history of handling suspect claims.
6. The employee delays reporting the claim without reasonable explanation.
7. The employee’s description of the accident conflicts with the medical history of the employer’s first report of the claim or the circumstances described do not fit the injury or location.
8. Difficulty contacting a claimant at home when they are allegedly disabled. An answering machine is another way of covering the fact that a claimant is continually absent from home.
9. The injured worker refuses a diagnostic procedure to confirm the nature or extent of an injury or travels to seek medical treatment in another area from his home or workplace. Be conscious of the injured worker who has no ongoing treatment.
10. The injured worker is about to be retrenched, demoted or passed over for promotion.
Great information provided by Frank Cutruzzola - President of Investigative and Security Services at GTG Associates.
1-888-582-8388
www.EmployeeLeasingQuotes.com