Essay about Workers Compensation Fraud - 1575 Words

Workers Compensation Fraud Workers Compensation is a service that provides reimbursement for lost wages to employees who have sustained injuries from work or work-related tasks. It is also one of the services that is most often the victim of fraud. Each of the three types of fraud, claimant, employer, and provider, is defined by the same characteristics, outlined by the Ohio Board of Workers Compensation: #61623; Receiving workers compensation benefits that are not entitled to the claimant; #61623; Making false or misleading statements with the purpose of securing goods or services under the Workers Compensation Act; #61623; Altering, falsifying, destroying, concealing, or removing records needed to assess claim validity†¦show more content†¦This proves little if any about the real problem, though, because only about 1,000 claims were investigated in Kansas over five years (Lorenz), while over seven times that amount were investigated in New York and California in the same time period (Insurance Fraud). Throughout most sources, though, it is clear to see that employer fraud is the most prevalent and costly type of fraud. Employer fraud includes a number of schemes used by employers to reduce the number of workers compensation insurance premiums by underreporting payroll, misclassifying employees occupations and misrepresenting their claims experience. According to the National Council on Compensation, the most common frauds include: #61623; Misclassification of workers. Employers can either classify workers as independent contractor or misrepresent the work performed, which places workers in a less hazardous occupational category. Both of these tactics are intended to avoid or reduce premiums. #61623; Underreporting payroll. Another method of premium reduction is employers not reporting parts of the work force, paying workers off the books, or creating a companion corporation to hide a portion of the employees. #61623; Misrepresentation of claims experience. 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