Understanding Workers’ Compensation Fraud

The commission of fraud occurs when an individual or corporate entity makes statements or creates documents that intentionally misrepresent information for the sake of personal or business gain. In the case of workers’ compensation fraud, the fraudulent actions may be committed by any of the parties involved in the filing process. Media reports focus on dishonest claim filers, but the reality is that insurance companies and employers are much more likely to abuse the situation due to a greater familiarity with the rules and regulations than that held by the typical employee.

If your claim has been denied, your benefits have been prematurely ended, or your rate of compensation was not in accordance with the severity of your injury, then you may be the victim of workers’ compensation fraud. Pursuing a legal action against the deceitful party can help you to gain the appropriate benefits and may result in the imposition of notable penalties upon the wrongdoer. Contact the Raleigh workers’ compensation lawyers of Scudder Seguin PLLC, P.L.L.C., at 919-851-3311 to speak with an experienced attorney about your case.

Examples of Workers’ Compensation Fraud

As a concept, fraud is somewhat broad, so it may be difficult to determine on your own what kinds of actions are likely to constitute workers’ compensation fraud. One important thing to note is that there are statutory limitations on the benefits that can be paid to you, so if you feel that the legal maximum amount or duration of benefit payments is inadequate, that does not indicate that workers’ compensation fraud has occurred. Examples of workers’ compensation fraud include:

  • Failure to Carry Legally Mandated Coverage
  • Misrepresenting Employee’s Hiring Date or Other Status
  • Denial of Benefits without Cause

Contact Us

Workplace injuries can seriously disrupt your life, and it is important that your claim is assessed fairly. Contact the Raleigh workers’ compensation lawyers of Scudder Seguin PLLC, P.L.L.C., at (919) 851-3311 to discuss the specifics of your case.