What are some red flags on claimant fraud?

Workers’ Compensation fraud could be a significant contributor not only for the employer but to the nation’s annual insurance.  

  • Claimant can never be reached at home
  • Tips from Co-Workers
  • Injury Description is not consistant with normal job duties
  • No Witnesses to the accident
  • Date, time, and place of injury is unknown
  • Company layoffs
  • Early Retirement
  • Same attorney or physician who handled previous claims
  • Claimant refuses diagnostic procedures
  • Summer vacation plans. Hunting or Hobby seasons
  • Claimant making company complaints
  • Claimant moving out of state
  • Cross out, White out, and erasure marks

 

5 Tips to Prevent Recurring Accidents

What are some casual factors employers can use when reviewing their accident investigation reports?

When an occupational injury occurs, there are a lot of casual factors that employer’s can use to prevent the next accident from reccurring.

  1. Tasks - Ergonomics, safe work procedures, safety devices.
    Example:  Employee’s are not following the proper work procedure and
    are finding ways to hurry to get their job done.
  2. Material - Equipment  Failure, Machinery Guarding, any Hazard Substances
    Example:  No notification to management of any minor problems with the machines or tools
  3. Environment - Weather Conditions, Noise Levels, Personal Protective Equipment
    Example: Winter weather such as ice and sleet causing slips and falls
  4. Human Factor - This could be personal such as Level of Experience, Internal Training, and Stress
    Example:  Management not taking the time to give proper training 
  5. Management - Management Support and Safety Policies
    Example: Not enough upper management support to enforce safety policies