Unfortunately, the insurance industry has always reported incidents of fraud, whether in relation to homeowners, business, auto, life, umbrella, or even bond insurance. However, no niche is as vulnerable to false claims as workers’ compensation. Read these amazing cases and join the insurance companies’ fight against fraudulent activity.

Stealing from the rich to give to the poor

This may seem like something out of fairy tale books, but it is true!

An elderly doctor was convicted of workers’ compensation fraud. His criminal activity consisted of filing dishonest insurance claims totaling more than $ 170,000. The ‘good’ doctor begged the sentencing judge for clemency while explaining the facts of his crime. What set him apart from other thieves was that he had deliberately overcharged patients whose medical bills were paid with workers’ compensation coverage. In this way, he was able to care for patients who could not pay out of their own pockets. The judge took this into consideration when he sentenced him to just 5 years of probation and a year of confinement in his own home.

A sad conclusion

A former employee injured his arm while at work and continued to collect disability benefits even after there was an improvement and massaged clients for a fee. The US Department of Labor learned of the hoax and charged him with a felony charge in connection with insurance fraud.

Supercharger

A female police officer was injured while training for her position. After leaving the force, he cashed workers’ compensation checks continuously and at the same time received disability retirement benefits. Later, it was discovered that during this time he joined twenty-nine running competitions and participated in an intense swimming competition, finishing in record time.

Faker becomes Jail-Sitter

A guy so good at faking injuries collected 6 separate workers’ compensation benefits for ‘related’ boos at various’ places of employment ‘. Not only did he receive nearly $ 500,000. He finally got his due when he was caught pretending to be someone injured in a fake business – twelve years in jail for bogus injury claims.

Workers’ compensation, ambulatory surgery centers, and hospitals

Unfortunately, the facts do not lie. This from the Workers’ Compensation Research Institute:

Operations performed in ambulatory surgery centers are often less expensive than those in outpatient hospitals. This report evaluated 2/3 of the maximum workers’ compensation outlays in the United States of America for typical operations performed in ambulatory surgery centers and hospital outpatient surgeries.