KnowTheTruth.com generally approaches workers' compensation
investigations with a dual-investigative approach. First we determine the
validity of the claim itself. This is a low-cost, exploratory
investigation, designed to determine whether or not there is actual basis
for a compensation claim. A range of criteria is included ranging from
alcohol/substance abuse to refusal to obey workplace regulations. A
thorough examination of the case file is conducted. This phase will not
generally involve surveillance of the subject.
The second phase proceeds to confirm the legitimacy or fraudulence of a
claim. It centers on surveillance of the claimant and includes, but is not
limited to :
Claimant Interviews
KnowTheTruth.com can obtain both written and recorded
statements from claimants at their home, office or hospital. These
statements can include all of the requested information on the claimant's
daily activities, hobbies and ability to perform day-to-day functions. In
addition, neighbors are contacted to obtain independent confirmation of
the information provided by the claimant. This process can uncover
inconsistencies in the claimant's statements and their actual activities.
Video Surveillance of Claimants
Experience teaches us that claimants will often exaggerate their
disabilities. This type of falsification results in dishonest claimants
collecting more money than they deserve. Whether you're self-insured or
not, bodily injury claims can severely impact your bottom line. This can
be in the form of the direct payment of exorbitant claims or experiencing
skyrocketing insurance premiums. One way to verify whether or not a
claimant is as disabled as alleged is through the use of video
surveillance
This is a legal, cost-effective tool which can help the employer or claims
handler improve the bottom line. The strategy involves covertly observing
and videotaping a claimant and then comparing the claimant's activity on
the resulting tape to their allegations of disability. The following is a
guide to controlling video surveillance operations. It includes selecting
candidates for surveillance, controlling costs, conducting surveillance
legally, and using videotapes as evidence. This guide is for all levels of
claims handlers as well as attorneys and risk managers.
Identifying a Malingerer
Claims handlers are often kept in the dark as to the extent of a
claimant's disability. In some cases, surveillance may provide evidence
that a claimant is malingering, while other times it may help confirm the
disability. When considering the use of surveillance, refer to the
following indicators to identify the likely candidates.
Red Flags
Claimant is never home to answer the phone or is "sleeping and cannot
be disturbed." |
Claimant has a history of malingering. |
Leads from co-workers suggest that your subject is active in sports or
other activities. |
Injury coincides with layoffs or a plant closing. |
No organic basis for disability. All indications are that the subject
has made a full recovery. |
Rehab reports indicate a healthy-looking claimant.
|
Claimant has a history of self-employment and/or is a tradesman
(carpenter, electrician, etc.) who might readily work for cash while
feigning disability. |
Claimant receives mail at a post office box and will not divulge the
actual address of his/her residence. |
Excessive demands for compensation. |
Claimant has moved out of state or country. |
Disability
beyond that normally associated with claimed injury. |
"Dueling
Doctors." One says the claimant is disabled, the other says no. |
For more information about how our service can investigate
your Worker's Compensation claimants, click on the Request For
Information and provide us with as much information as you have about
your subjects.
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