Top El Cajon, CA Workers' Compensation Fraud Lawyers Near You
Turner Law is Devoted to Providing Thorough Representation, Individual Attention, and Exceptional Results, at a Reasonable Rate to Those Who are Charged with Crimes.
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Certified Criminal Law Specialist And Attorney Of The Year By The San Diego Transcript. Free Case Evaluation/Quote.
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We fight for your future and freedom when accused of a crime. Former Prosecutor with 18 yrs experience, Top 1% Defense Atty.
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When It Matters Most Call Blair Defense Criminal Lawyers!
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You deserve to have an experienced, knowledgeable criminal and DUI attorney fighting for you. Call us today, we're here to help!
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When Results Matter Most, Put 42 Years of Criminal Defense to Work For You! Open 24/7. Free Consultation.
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110 West C Street, Suite 2000, San Diego, CA 92101
Turner Law can help you find legal solutions for your Workers' Compensation Fraud issue. The practice serves the El Cajon, California area.
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400 S Melrose Dr., Suite 101, Vista, CA 92081-6632
If you need Workers' Compensation Fraud help in California, contact Christoph Law Offices, a local practice in El Cajon, for legal representation.
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501 West Broadway, Suite 1660, San Diego, CA 92101
Law Offices of Anna R. Yum helps clients in the El Cajon area with their California Workers' Compensation Fraud needs.
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3755 Avocado Blvd, Suite 434, La Mesa, CA 91941
Practical Workers' Compensation Fraud legal help. Representing El Cajon, California clients.
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2820 Camino Del Rio South, Suite 110, San Diego, CA 92108
Workers' Compensation Fraud concerns can be addressed by Law Office of Brandon S. Naidu. This practice offers legal representation for clients in the El Cajon, California area.
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105 West "F" Street, Suite 211, San Diego, CA 92101
Contact Law Office of Ari S. Lieberman for experienced Workers' Compensation Fraud guidance in El Cajon, California.
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750 B Street, Suite 1710, San Diego, CA 92101
8880 Rio San Diego Dr Ste 800, San Diego, CA 92108-1642
12526 High Bluff Dr, Suite 400, San Diego, CA 92130
402 W Broadway, Suite 400, San Diego, CA 92101
4655 Executive Drive, Suite 350, San Diego, CA 92121
401 West A Street, Suite 1900, San Diego, CA 92101-8484
8388 Vickers St, San Diego, CA 92111
109 W C St, Suite C, San Diego, CA 92101
1050 University Ave, #E107-84, San Diego, CA 92103
550 West C Street, Suite 620, San Diego, CA 92101
401 W A St, Suite 1150, San Diego, CA 92101
531 Encinitas Blvd, Suite 111, Encinitas, CA 92024
402 West Broadway, Suite 1650, San Diego, CA 92101
400 South Melrose Drive, Suite 109, Vista, CA 92081-6632
550 West C Street, Suite 1750, San Diego, CA 92101
750 B Street, Suite 2900, San Diego, CA 92101
380 South Melrose Dr, Suite 301, Vista, CA 92081
925 B Street, Suite 402, San Diego, CA 92101
501 West Broadway, Suite 1500, San Diego, CA 92101
El Cajon Workers' Compensation Fraud Information
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What Is Workers’ Compensation?
Workers’ compensation provides benefits for workers who are injured on the job or suffer a work-related illness. Most employers are required to provide workers’ comp insurance for employees. When an employee is injured in the workplace, a workers’ comp claim provides medical coverage and partial wage replacement while the employee is unable to work.
The workers’ compensation process is generally a no-fault system. The employee is supposed to be covered for any work-related accident or occupational diseases. The worker does not have to show the employer was negligent. In return, the employer is protected from most personal injury lawsuits related to the accident and the compensation claims are limited to wage benefits, medical care, and disability benefits.
If employers or workers comp insurance carriers suspect the employee is committing fraud, they may investigate the claim to deny coverage or report the employee for fraud. If criminal fraud is suspected, law enforcement agencies may work with the insurance provider and employer to investigate the worker and could prosecute the worker for criminal charges.
What Qualifies as Workers’ Comp Fraud in California?
Workers’ comp fraud involves fraud or misrepresentation in a workplace injury claim. Fraud may involve the worker trying to claim benefits for a non-covered injury or claim benefits when they are still able to work. Some examples of workers’ comp fraud include:
- Claiming a non-workplace injury happened on the job
- Claiming to be disabled when the worker can still perform their job functions
- Intentionally causing an accident or injury to get benefits
- Working another job under the table while receiving benefits
- Advising other workers on how to fraudulently claim workers’ comp benefits
- Filing multiple claims for the same injury
Fraud in workers’ comp claims can also involve health care providers. Doctors, medical service providers, and chiropractors may work together to defraud the workers’ comp system. Workers’ compensation insurance fraud rings may recruit workers to claim workplace injuries, with a medical provider making a false diagnosis of an injury, and doctors fraudulently treating the injured employees or billing for medical procedures that were never provided.
What Investigators Look For in Workers’ Comp Fraud
Some insurance providers or employers look for “red flags” that may indicate possible fraud. This may be a clue to further investigate the claim, talk to other employees, or use a private investigator to monitor the injured worker. Some possible red flags of workers’ compensation fraud may include:
- No witnesses to the accident
- Employee refusing treatment or examination
- Worker is difficult to contact after filing a claim for workers’ comp
- Injury occurred right before or after a planned vacation
- Injury occurred shortly before the employee was to leave the job
- Employee reported the injury after a poor performance review or workplace incident
- Treatment is inconsistent with the alleged injury
- Extent of injury and accident time frame do not match up
Is Workers’ Comp Fraud a Felony?
Workers’ compensation fraud can be charged as a misdemeanor or a felony, depending on the situation. As a misdemeanor, a conviction for fraud could result in up to a year in county jail and a fine. If fraud is charged as a felony, penalties can include more than a year in prison, fines, and restitution.
Some incidents of workers’ comp fraud can include additional criminal charges. The defendant may face related charges for:
- Identity theft
- Insurance fraud
- Health care fraud
Investigating Workers’ Comp Fraud
Insurance companies and the employer may investigate employees even without indications of claimant fraud. The insurance company and employer have a financial interest in denying workplace injury claims. As a result, they may wrongly deny a legitimate claim for an injured worker. Many employees do not go through the process to appeal the denial, and end up going without the benefits they deserve.
Do Private Investigators Follow Workers After a Claim?
A private investigator may follow the worker with video surveillance. Investigators may also talk to co-workers or neighbors about the worker’s activities. Social media accounts may also be reviewed for evidence that could hurt the worker’s claim. Some of the things investigators look for when an employee makes a workers’ comp claim include:
- Participating in sports or leisure activities
- Doing yard work, home improvement projects, or heavy lifting
- Going on vacation after making a claim
- Social media post showing the cause of the injury that is unrelated to work
- Medical bills for appointments the worker never attended