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Posts tagged "Employee Fraud"

Defining soft fraud

The following scenario has been relayed to us here at Sacks and Zolonz LLP several times before: an employee slips and falls at work, resulting in knee injury. After a while, word comes out that he or she is also experiencing neck and back pain due to the accident, and suddenly needs more money to cover medical expenses and compensate for time off of work. If this describes the same situation you are currently having with an employee, you may be facing a bit of a conundrum: On the one hand, you may feel sympathetic to his or her suffering and simply want him or her to improve. On the other, you may be wondering how one single incident could produce so many health issues.

State pursues alleged workers' compensation fraud

Most California employers are mandated by law to carry workers' compensation insurance. This insurance is to provide benefits to employees who are injured on the job or who develop work-related illnesses. In addition to being required to carry appropriate insurance coverage, employers are supposed to report employee status and injury per regulations. These laws help to keep the system working fairly for all employers.

How to reduce workers' compensation fraud

Since your employees may be tempted to abuse your workers' compensation benefits, you should be proactive about preventing fraudulent claims. You can take this precautionary measure through clear procedures regarding workplace injuries, as well as regular communication with your employees. Here at Sacks and Zolonz, our objective is to protect you from unnecessary and fraudulent claims.

What is payroll fraud?

As the owner of a business in California, one of your jobs is to ensure that all operations are completed accurately so that the company can grow and progress. Unfortunately, dishonest employees can make this difficult and, in most cases, there is no way to prevent them from doing it. Forbes.com reports on the danger that is payroll fraud.

Man sentenced to jail for workers' compensation fraud

California employers are mandated by law to provide workers' compensation insurance for all employees. This is considered a relatively basic right by many workers. What should also be considered a relatively basic right by employers is that right is that employees will be honest about their conditions and only use or collect such benefits when truly needed. Sadly, this does not always happen.

Signs of workers' compensation fraud

If you are an employer in California, you want to maintain a safe and fair working environment for your employees, but some people may try to take advantage of you. Unfortunately, some employees file false workers' compensation claims in order to avoiding paying for an injury sustained elsewhere, or to get undeserved time off work. We at Sacks and Zolonz recognize the pressure employers have to discern between legitimate and fraudulent claims, and we stand ready to help you when dishonesty does occur.

What is a malingerer and how do you spot one?

If you are in charge of managing your California company’s workers’ compensation and disability cases, you may already be aware of the threat that a malingerer presents. A person who falls under this label is usually guilty of exaggerating their symptoms in hopes of receiving more compensation. They may even make a completely false claim of injury.

How does CA deal with workers’ compensation fraud?

For employers in California, workers’ compensation fraud can be a real issue. Fortunately, the state recognizes just how damaging this type of fraud can be to businesses and the public at large, and as a result has devised methods for dealing with workers who engage in nefarious practices regarding workplace injuries.

Red flags of employee fraud

When it comes to workers’ compensation, there are several different ways an employee could be committing fraud. The California Department of Insurance states that some of the most common examples include lying about the ability to work, extent of the injury or place where the injury occurred. Medical professionals can also join an employee in fraudulent activities by billing for service that was not provided or giving more treatment than is necessary. There are several red flags that employers can watch for to indicate that dishonest activity may be occurring.

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