| Skip to Site Navigation Skip to Section Navigation Skip to Page Content | ||
| |
|
|
|
Insurance Fraud Unit
|
|
| Advanced Search |
| Skip to Section Navigation Skip to Page Content |
|
Workers' Compensation Fraud The Insurance Fraud Unit handles workers' compensation fraud, automobile insurance fraud and organized automobile fraud cases. We have a team of highly motivated attorneys, investigators and clerical support staff that are dedicated to the investigation and prosecution of these types of fraud crimes. We want to hear from you If you or someone you know suspects any of the fraudulent activities mentioned below, or if you are suspicious of certain activity and merely need to ask whether it is fraud, please contact us at:
HOTLINE: (916) 874-4698
COMPLAINT FORM
Fraud can occur at any time during the life of a workers' compensation claim, from the initial filing of the claim, to statements to the employer, a doctor or other medical care person, a claim representative, physical therapist, or anyone else involved in the administration of the claim and the determination of available benefits. It is important to know that fraud can occur even if the initial injury was legitimate and the filing of a claim warranted. Some examples of workers' compensation fraud include an employee fabricating an injury, claiming a non-work injury as work-related, denying a preexisting injury or prior accident, denying other sources of income while receiving workers' compensation benefits, or simply continuing to claim being injured when not, exaggerating physical disabilities or limitations, or denying the ability to do things one is able to do. It could be an employer falsifying statements to deny a claim, or falsifying records to obtain insurance coverage at a lower premium rate, or not carrying worker's compensation insurance coverage as required by law. It may be a medical provider deliberately "overtreating" on a case, or submitting fraudulent bills for payment or a lawyer, operating a mill operation to generate and promote questionable cases or submitting fraudulent bills for payment. Related Contacts
Department of
Insurance Fraud Division |
||||||||||
|
|
|||||||||||
