Toolbox - Fraud

Examples of Fraud

Fraud is the deliberate deception of a material fact(s) to secure unlawful gain. Workers’ compensation fraud can be defined as:

  • Reporting an off-the-job injury as an on-the-job accident.
  • Reporting an accident that never happened.
  • Complaining of injuries that are exaggerated or non-existent to obtain increased or continued benefits.
  • Malingering, so as to avoid work when an injury is healed.
  • Failing to report income from other work-related activities while drawing workers’ compensation benefits.
  • Making false or fraudulent statements for the purpose of obtaining workers’ compensation benefits.
  • Billing by physicians for services not rendered.
  • False reporting of payroll figures by an employer to reduce premiums.

How to Report Fraud

If you suspect fraudulent activity or have information regarding a fraudulent 3CU claim, call toll-free 1-800-944-FRAUD (3728) or email to report the activity. Calls are confidential and can be made anonymously.

Fraud Materials