Fraud Solutions

Every business has sustained losses resulting from Workers’ Compensation fraud and abuse. Reports have shown that Compensation Fraud costs the insurance industry $5 billion each year.

Recognizing Fraud – Common Red Flags:

• The person filing the claim is not reachable at home or by phone.
• Their address is a post office box or the person has moved out of state.
• The injury coincides with layoff, termination or business closing.
• The person filing the claim has another job.
• There are no witnesses to the accident.
• The person filing the claim has a prior history of filing.
• Doctors Reports are contradictory.
• Witness reports are contradictory
• Injury is inconsistent with activity at the time of injury

For more information go to the following link:
ww3.nysif.com/SafetyRiskManagement.aspx

Reporting Fraud:

If you suspect fraud, you can report it safely and anonymously and help lower the cost everyone pays for fraud. Here are several ways:

Call Eileen Preiato:
914-694-6000 ext. 227

New York State Insurance Fund:

Division of Confidential Investigations
PO Box 3395
Church Street Station
New York, NY 10007

Toll Free Fraud Hotline:
1877-926-9743

Online:
www.nysif.com

Be prepared and be sure to include as much information as possible such as:

• Full details of suspected fraud
• Dates and names
• Documents and other written material