Workers compensation fraud is a crime that is punishable by law. It happens when an individual willfully makes a false statement to receive worker’s comp benefits. Based on this, if I suspect that a patient was committing worker’s compensation fraud, I would report the issue, the administrator will investigate the matter and make a decision, I will go ahead to provide the administration with info with the name and address of the person. In addition, I will explain why I believe the patient is making wrong claims.
For example, I will inform the authority that the patient is my neighbor and that I saw the patient in their yard, pushing, moving and raking leaves. Therefore, this information will assist in investigating the matter and taking appropriate action.
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