Insurance Fraud is a Felony

15 Workers’ compensation fraud schemes can range from staged injuries on the job to complex systems of medical billing for services that were never rendered. The following are some examples of the most common workers’ compensation fraud activities: • An employee knowingly files a claim for an injury that did not occur on the job or in relationship to the job. • An employee claims they are unable to do various activities that they can do. • An employee receives total temporary disability benefits as a result of lying about outside employment, re-employment or their ability to work. • A medical or legal provider bills for services not provided. • A medical or legal provider regularly bills for more time than provided. • An employer discourages an injured employee from filing a workers’ compensation claim. • A company provides fraudulent information to the insurance carrier in order to reduce their workers’ compensation premiums. Workers’ Compensation Fraud