Surveillance is conducted by our seasoned professionals who know how to get video that saves your company real money by defeating fraudulent claims.
Defeating Workers’ Comp Fraud:
The effective use of surveillance is the most crucial factor in defending against Worker's Compensation fraud and to disprove injury claims.
Catching a cheating spouse or “significant other” sometimes requires the skills of a private investigator.
It's crucial to consult with an experienced private investigator to devise the most efficient strategy to catch a cheater in the act and to assist in executing the plan to obtain the evidence.
The term “skip tracing” refers to finding a missing person(s).
Regardless if a person has skipped out on a debt or is missing for any reason, utilizing our skip trace services will produce results quickly in most cases.
The RISC Group specializes in difficult process service. An attorney service can be effective in simple matters; however, if you have a case in which the defendant or witness is evasive, you need the experience of a private investigator.
Personal Background Checks uncover information about a person’s character and past. Often used in dating and prenuptial situations, a background investigation tells if someone is being honest about their past. They are also used for domestic help screening such as nannies, housekeepers, and personal assistants.
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RISC Group agents use the Sub Rosa techniques when conducting worker’s comp fraud investigations. Sub Rosa is Latin term meaning “under the rose,’ a flower that is a symbol of secrecy, in worker’s compensation, the term Sub Rosa then refers to the secret act of surveillance of a person.
The Sub Rosa investigation of an employee who has made a worker’s compensation claim is a powerful tool to potentially document evidence against the claimant. The intent of surveilling the injured party is to catch the person in unguarded moments and document that persons true physical limitations in order to confirm that the entire claim or portion of the claim is fraudulent. The goal is to minimize or distinguish totally the amount the insurance company pays out on the claim.
What To Expect From A Workers Compensation Investigation
If you believe a workers compensation claim is fraudulent, you need workers compensation investigation professionals to assist you. According to the National Insurance Crime Bureau, workers comp fraud makes up 25% of fraud perpetrated, costing $7.2 billion annually. RISC Group offers private investigation services that unveil the truth. We help uncover evidence to fight fraudulent claims from employees and independent contractors through surveillance and other investigative tactics.
The Most Common Types Of Workers Compensation Fraud
While most claims are legitimate, there are still false insurance claims made every year. The four most common fraudulent claims include:
· False claim: this is when an employee does not actually sustain an injury yet reports one to
claim the benefits. This also includes staging accidents.
· Working and collecting benefits: this happens when an employee says they can’t work
because of an injury and receives benefits for the injury but continues to work.
· Exaggerated claim: this occurs when employees do have an injury but overstate the extent
of it to claim more money and take off work for longer.
· Premium fraud: this happens when payroll is under reported, or employees are mis-
classified to take advantage of the financial benefits.
What Do Workers Compensation Investigations Entail?
When you hire a private investigator for a workers compensation investigation, you can expect the entire process to take anywhere from a few days to the length of the claim.
Depending on the case and the person under surveillance, the most important thing to have is patience. An investigator will watch the person of interest to see if they go to work, act against doctor’s orders, use their supposedly injured limb, and more. Our information-gathering tactics can uncover evidence of fraud and help you win your case.
First, you’ll consult with a workers compensation investigation professional in Boston. During this consultation, you’ll discuss your case and all the details about the incident. Then, we’ll devise a plan of action together. After that, our investigative work begins, and we’ll dive deep to find the evidence necessary to expose fraud.
Why You Should Pursue Workers Compensation Investigation Services
Avoiding or ignoring potential fraud is bad for your business. A claim will not go away on its own, and the problem will follow you until it addressed. Even with insurance, claims still lead to rising premiums, and you don’t want to wreck your budget because of a false claim.
Instead, it’s worth it to ensure the claim is factual. With the right investigative team in Boston, you can have the claim dismissed, saving you a lot of time, stress, and money in the long run. If you notice any signs a claim is fraudulent, reach out to The RISC Group.