Check to see if individuals or businesses have been involved with worker's comp fraud

Workers’ Compensation is a form of insurance providing wage replacement and medical benefits to employees injured in the course of employment in exchange for mandatory relinquishment of the employee’s right to sue his or her employer for the tort of negligence. The tradeoff between assured, limited coverage and lack of recourse outside the worker compensation system is known as “the compensation bargain”.

While plans differ among jurisdictions, provision can be made for weekly payments in place of wages (functioning in this case as a form of disability insurance), compensation for economic loss (past and future), reimbursement or payment of medical and like expenses (functioning in this case as a form of health insurance), and benefits payable to the dependents of workers killed during employment (functioning in this case as a form of life insurance).

Why do you verify Medical Workers Compensation Claims?

Workers’ compensation fraud can be committed by doctors, lawyers, employers, insurance company employees and claimants, and may occur in both the private and public sectors.

Workers’ compensation fraud is highly controversial, with claimant supporters arguing that fraud by claimants is rare – as low as one-third of one percent, others focusing on the widely reported National Insurance Crime Bureau statistic that workers’ compensation fraud accounts for $7.2 billion in unnecessary costs, and government entities acknowledging that “there is no generally accepted method or standard for measuring the extent of workers’ compensation fraud … as a consequence, there are widely divergent opinions about the size of the problem and the relative importance of the issue.”

According to the Coalition against Insurance Fraud, tens of billions of dollars in false claims and unpaid premiums are stolen in the U.S. alone every year.

Express Infomatics Medical Workers Compensation Claims Verification Services:

The compensation records gives the details of employees previous workers compensation claims for job related injuries, and can include type of injury, injury details, incident date, employer and insurance company, time lost and possible job related disability. The Americans with Disabilities Act (ADA) has limited the use of worker’s compensation records which inhibits WC boards from releasing claims information as part of a pre-employment screening background check. The employers can only review workers compensation information through Express Infomatics after making a conditional job offer.

Primary Benefits Include:

  • Certified, industry-educated staff with an ability to meet tight deadlines.
  • Fast, Accurate & Easy web based online verification.
  • Detailed screening tools & reports.
  • Custom verification solutions for any size business.
  • Direct Integration with client portals for streamlined education screening.
  • Domestic & International Verification capacity.
  • Fast turnaround times.