Don’t Get Stuck Looking for a Quick Buck
An estimated $9 billion of fraud every year stems from claims filed by workers misrepresenting injuries or receiving benefits from the wrong employer.
Scammers get caught through surveillance, social media monitoring, or medical provider records. Don’t try it.
Penny-Pinching Payroll
Employers are the worst fraudsters. An estimated $23 billion in premium fraud is caused by employers’ underhanded tactics, including misclassifying workers and underreporting payroll.
Most states require workers comp insurance for employees. When cheaters duck these responsibilities, honest employers pay higher premiums and employees are denied the treatment and help they deserve.
Fraud investigators and state auditors are watching. Injured employees left without coverage often come forward. If you’re an employer, pay what you owe — it isn’t worth the risk.
Be the Solution, Not the Problem
Employees:
- Report suspected fraud to the Utah Insurance Department at https://insurance.utah.gov/consumer/fraud/report-fraud.
- Payments offered in cash “under the table” are fraud.
- If you’re injured and your company doesn’t want you to file a claim, be suspicious.
- Be honest about your injuries. Fraud is not worth jail and fines. If others are committing fraud, report them.
Employers:
- If you suspect a bogus claim, notify your insurance carrier.
- Look for delays between the alleged injury and the claim filing.
- Verify medical treatment is actually related to the claimed injury.
- Be suspicious of statements that conflict with the findings of medical providers and witnesses.
