investigate workcover fraud suspicion
WorkCover fraud suspicion is frustrating for a business; it is difficult to get the insurer to engage, once the claim is accepted. We investigate suspected WorkCover claim fraud, gathering evidence, and report to you. The insurer cannot act, without evidence of fraud, we provide it. To investigate, phone 1300 966 103, email us at [email protected], or for 24/7 inquiries Contact Us, free quotes.
We investigate for the Government insured, the privately insured, and those caught without insurance. We conduct overt factual investigations, however private investigator surveillance, WorkCover surveillance, is more common. The objective of the surveillance is to observe, and record, real world capacities, for comparison against claimed capacities.
In Queensland most people are covered for their Workers Compensation under the Government WorkSafe Qld Workcover Queensland insurance scheme, unless exempt (including self insured). This is under the Workers Compensation and Rehabilitation Act 2003 (Qld). We investigate suspected Brisbane Workcover fraud, Workers Compensation fraud, where the insured will not engage. Evidence of Workcover fraud protects the business, and may induce the insurer to act.
Once a claim is accepted the insurance provider moves to their rehabilitation role, with the worker as the focus. To then investigate requires the employer, the business, to establish reasonable suspicion. This does, to some extent, require the employer to prove that fraud is occurring, before the insurance fraud section will move. We are the way to gather that evidence.
There are many indications of WorkCover fraud. Sometimes it is the short term employee who suffers the injury no-one saw. Other times it is the worker who masked an injury they were carrying, did not declare it, then claims an aggravation. Sometimes it is the person who is lining the employer up to pay for their early retirement. Most WorkCover claims are actually legitimate. You can see the worker trying to get better, and engaging with the employer. We do not, generally, investigate these. In cases where the employee does not engage, becomes evasive, pulls a heart string on light duties, gets worse not better, where information comes to hand of them working elsewhere, or otherwise manipulating the system, where a re person is off, long term, and there are suspicions, these are the ones that come to us.
Where a WorkCover fraud suspicion exists, where you need to investigate that WorkCover fraud suspicion, you can contact us. We are licensed private investigators, a Brisbane private investigator service. We investigate suspected WorkCover fraud; we report back to you. This is generally done as a block of days of private investigator surveillance. Now, private investigator surveillance is not cheap; we ask that you give yourself the best chance of success, this means being discreet, not discussing your intentions around the workplace, or elsewhere. You do not know who is linked to who in the workplace, and rumours reach people quickly. We investigate WorkCover fraud suspicion, and have great success in this area; we need as much information as is available, on the subject, from you, at the start.
If something is known, or suspected, and we can use it, please let us know. If the subject is a keen fisherman, a long distance runner, a figure skater, a motorbike rider, a kids football coach, please advise. We need to know what restrictions they are claiming (e.g. cannot lift more than 5 kg, cannot raise arms above shoulders, cannot drive a car, etc.). We need a rough outline of the history, as known, and any rumours that have reached your ears about them. We investigate, gather evidence, and report.
It is generally said that you have one shot at changing the insurers mind, about fraud, so spend the time, gather the evidence, and present it. Keep a copy for yourself. A major WorkCover claim has two branches. There is the costs of supporting the claimant, and paying for medical assistance, up until the time the injury is stabilised, and then there is the civil claim for ongoing pain, suffering, and loss of future earnings. We are looking for evidence to defray both. Once a claim is accepted, if you cannot prove fraud from the start, then some liability attaches to the employer. We are looking at the ongoing claim, unreported recoveries, or other type of fraudulent behaviour.
As you may be aware, the person the employer generally deals with is a rehabilitation co-ordinator type, with the injured worker as their client, when you telephone. It does not matter that you are paying for it, the injured worker is seen as the client of the insurer. When you have evidence of fraud, not just a suspicion, ring, and ask to speak to the fraud investigators. They handle this evidence. Their investigators require evidence of fraud before they can move, one a claim is accepted; it is a quirk of the legislation. Social media posts, alone, are not considered sufficient evidence to move the insurer.
We are experienced investigators, a Brisbane private investigator, Brisbane private detective, service. We investigate WorkCover fraud suspicion, Workers Compensation fraud suspicion, call us.