American Family Insurance values and appreciates the active role you play in your workers compensation insurance decisions — which is why we want to keep you in the know by providing you with our anti-fraud reference guide.
While instances of workers compensation fraud are rare, it can lead to premium increases if not controlled. American Family prides itself on doing everything we can to prevent fraud from impacting our prices and asks for your help in our effort to protect your rates.
Not only will this help you remedy any hazardous situations in your work environment, it will also uncover signs of possible fraud. This includes interviewing witnesses and reviewing video surveillance, if available.
The National Insurance Crime Bureau suggests that a claim might be fraudulent when two or more of these are present:
Discuss your workers compensation policies and procedures with your employees, including what to do when an injury occurs and your stance on fraud. Let them know that fraudulent claims lead to higher insurance costs, which can impact the amount of money your company has for their other benefits.
Part of your exit interview should indicate a signed statement from the employee as to whether or not they experienced an unreported injury at work. This will discourage post-termination claims.
If you do suspect an employee has filed a fraudulent claim, notify your American Family agent (Opens in a new tab) or workers compensation claim representative. We will then perform an independent investigation to further verify the nature of the claim.