Wednesday, November 28, 2018

Work Injury Compensation Fraud 10 Red Flags for Employee


Work comp claims are no walk in the park for the employers or employees.

Injured workers are stressed out about their health and livelihood. While bosses are concerned about the well-being of the worker and liability of the employer in regards to the incident.

A carried out luminous plan to handle work comp incidents after an injury can guide claims in the right direction for success.

The plan should include running through a list of red flags directed towards the employee work injury compensation fraud.

Identify the following red flags and reporting them to an adjuster right away, is key to compensability and can onset of a claim. Below are a few:

1.)Incident occurs on Monday or Friday

Alleged injuries that occur on a Monday morning or a Friday afternoon that are not reported until the following Monday; the injury can be a result of some weekend mischief, or the employee may have plans for the weekend.

2.) Beef

Employee may have been rejected or looked over for a promotion, denied vacation, or laid off. Other influences may include a strike, end of project, or end of seasonal work.

3.) No Witnesses

Employee is the only witness to the incident. Also very suspect when the incident occurs in an area that is typically not occupied in the work environment or a location where there are no cameras.

4.) History

Not the employee's first incident. Be alert to a history of prior claims/incidents, although all records will not be accessible immediately you can verify if other incidents took place.

5.) Delays

Employee stalled to report the incident. Or use the common, "I thought the pain would go away or get better."

6.) Story Changes

Details of incident continuously change and eventually the story does not add up. Rumors of the incident arise with variations of the details.  Employer informed a different story, doctor was advised another, etc.

7.) No Contact or Difficult Time Contacting

Unable to make contact or having a hard time making contacting with the employee when they are allegedly disabled and at home.

8.) Lawyer or Doctor Reputations

Reputation of lawyers and doctors with involvement in suspicious claims, that being a bad rep.

9.) Doctor Switch

Employee changes doctors or medical providers upon receiving a release for work, or frequently changes doctors. This maybe a sign the employee conspiring different stories to the health care providers.

10.) Third Parties

Third parties involved in the incident maybe subrogation. Employers and insurance carriers have subrogation interest, or a right to recover the money spent due to the actions of a negligent third party. Employees stands to benefit by making a claim for pain and suffering.

A warning- Assuming the injured employee is not being truthful can deteriorate the relationship.

Facts should be transparent focus on how to handle and investigate claims prior to any injuries occurring. Both employers and employees should have the same outlook with that being the well-being of the injured employee.

If you have any doubts or questions contact the experts, National SIU for a consultation by phone (800)960-6748, email contact@nsiu.com or visit our site www.nsiu.com

Friday, November 16, 2018

How Divorce Surveillance Can Make or Break Your Case


In family law, divorce surveillance can help to uncover significant details that can lead to one party coming out far better than the other. In divorce, the goal is typically to level the playing field, and the discovery of new details only helps ensure that your case comes out as fair as possible.

For instance, surveillance can confirm or rule out an affair. In addition, extra sources of income that might have been previously hidden, as well as assets, can also be discovered. If child custody is part of the case, surveillance can be used to identify any drug, alcohol, or physical abuse that might be happening.

Divorce surveillance is important for you, but for your children as well. If you are considering divorce surveillance, contact our team today for a consultation.

Tuesday, November 6, 2018

How Business Owners are Taking Control of Employee Theft Losses


The impact of employee theft is a major one: business owners lose more than $110 million per day in employee theft. These losses most often go without punishment simply because they are never found out.

Businesses of all size and scope are starting to take control of the matter by implementing better security systems, as well as by hiring investigators.

The team at NSIU, for instance, has a process designed specifically for stopping and prosecuting employee theft. We begin by proving the theft occurred. Then, we focus on recovering the stolen goods before taking legal action.

If you are a business owner who’s concerned about employee theft, then reach out to the NSIU team today to learn how you can take back any losses.

Friday, October 26, 2018

Insurance Fraud Among Most Costly Crimes Across America


Insurance fraud has been proven to be the second most costly crime taking place across the country, and it’s a crime that affects companies and consumers alike.

The statistics are staggering. In the United States, $80 billion per year is lost to insurance fraud. This cost directly affects consumers. According to the Coalition Against Insurance Fraud, these cases are getting more and more diverse, and they leave a major impact on the insurance organizations involved.

Insurance fraud comes in various forms, including identify theft, claims, employee-agent, and hacking. Most states have laws dealing specifically with insurance fraud, and that’s what NSIU helps with - untangling webs of insurance fraud and helping stop the loss of funds.