Third Party Administrators Insurance

FAQ's for Third Party Administrators Insurance

Workers Compensation

Question
What is Workers Compensation Fraud?

Answer
Workers compensation fraud occurs when a person knowingly or intentionally conceals, misrepresents, or makes false statements to obtain workers compensation benefits, insurance coverage, or otherwise profit from deceit.

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Fraud

Question
What should you do if you suspect fraud?

Answer
Report the suspected fraud claim immediately. Report suspected fraud immediately to your handling adjuster. Do not delay reporting the suspected fraud. The more rapidly the adjuster is aware of potential fraud the better opportunity of detection.

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Fraud Detection

Question
What should be done if fraud is detected?

Answer
If you have evidence of fraudulent activity – provide the evidence to your local district attorney or to the State Workers Compensation Commission where the offense occurred.

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