How Were Different: Fraud Solutions (SWAT)
Fraud Solutions (SWAT)
Many businesses have sustained losses resulting from workers' compensation fraud and abuse. Reports have shown that fraud costs the insurance industry $5 billion each year. That is why we have a proven and effective SWAT Team, a specialized unit designed to identify and prevent suspicious/illegitimate claims from developing into large claims.
The SWAT team has successfully secured $11 million in savings as a result of this process.
With Friedlander Group, employers can fight back against fraud!
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 claim appears to have been filed in retaliation for a recent termination, layoff, or disciplinary proceeding.
- There are no witnesses to the accident.
- The person filing the claim has a prior history of filing.
- Injury is inconsistent with activity at the time of injury.
Combatting Fraud - SWAT Team tools
- Extensive background and social medical checks.
- Early coordination with case managers and supervisors to implement focused surveillance and independent medical exams where needed.
- Consultations with legal team on heavily litigated files to prepare our strategy for hearings.
- Conference calls with witnesses on claims that involve employer testimony.
To learn more about how our SWAT Team or to report a fraudulent claim please contact: