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The four major elements of fraud are:
A false statement of a material matter which is willfully made with an intent to deceive.
Some indicators or “red flags” of workers’ compensation fraud may include:
Late reporting of an injury
Out of work for more than 30 days for a minor injury
Unwitnessed injury
Injury occurs in a location where the worker would not normally be
Employed for less than 30 days
Hard to reach at home while out of work due to injury
Cancels or does not show for doctor appointments
History of multiple prior claims
Lack of cooperation with process
Early attorney involvement
If you suspect insurance fraud, please report it.
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