Top Tomball, TX Workers' Compensation Fraud Lawyers Near You
Our Goal Is Dismissal Or Reduced Sentences For All Of Our Clients. Call For Help With Any Criminal Related Charges! South Texas’ Dwi & Criminal Defense Lawyer-Scientist.
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Our experienced & qualified Houston Criminal defense lawyer takes an aggressive approach toward defending clients & is ready to fight for you. ACS-CHAL Forensic Lawyer-Scientist
Board Certified in both DWI and Criminal Defense. Hire a proven trial lawyer that will will aggressively & professionally advocate on your behalf. Call us for a free consultation.
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Rated Top 100 Attorney in Texas by Super Lawyers 2019 - 2022. Triple Board Certified, DWI Specialist. We Do Not Back Down!
When It's All on The Line, You Want the Best Criminal Lawyer to Defend You.
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Our firm has been fighting for clients in Houston for years. Don't hesitate- Call us today!
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We strive to get you the best possible outcome, and we’ll fight to secure a result that will have minimal-to-nonexistent impact on your life.
108 E Magnolia St, Angleton, TX 77515
Jeff Gilbert Law Office, serving clients in the Tomball, Texas area, a reputable legal practice for Workers' Compensation Fraud issues.
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6302 W. Broadway St, Ste. 250, Pearland, TX 77581
Other Nearby Offices
Getting legal representation for your Workers' Compensation Fraud issue is easier than you think. Let Scott M. Brown & Associates in Tomball, Texas help you today.
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2814 Hamilton St, Houston, TX 77004
Contact The Downey Law Firm in Tomball, Texas for experienced legal assistance in Workers' Compensation Fraud.
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4400 Post Oak Parkway, Suite 2850, Houston, TX 77027
6575 West Loop South, Suite 500, Bellaire, TX 77401
600 Travis St, Suite 2350, Houston, TX 77002
6200 Chase Tower, 600 Travis Street, Houston, TX 77002
1330 Post Oak Boulevard, Suite 800, Houston, TX 77056-3166
1100 Louisiana Street, Suite 4000, Houston, TX 77002
2616 S Loop W, Suite 218, Houston, TX 77054
1415 N Loop W Fwy, Suite 905, Houston, TX 77008
917 Franklin Street, Fourth Floor, Houston, TX 77002
811 Main Street, Suite 1100, Houston, TX 77002
717 Texas Ave, Suite 2100, Houston, TX 77002
8441 Gulf Fwy, Ste 210, Houston, TX 77017
819 Lovett Boulevard, Houston, TX 77006
7151 Office City Drive, Houston, TX 77087
The Kirby Mansion, 2000 Smith Street, Houston, TX 77002
2180 North Loop West, Suite 310, Houston, TX 77018
3200 Southwest Freeway, Suite 3200, Houston, TX 77027
1111 North Loop W, Ste 1118, Houston, TX 77008
2211 Norfolk Street, Suite 735, Houston, TX 77098
909 Fannin St., Ste. 3300, Houston, TX 77010
9235 Katy Fwy, Houston, TX 77024
2500 E T C Jester Blvd, Suite 264, Houston, TX 77008
Tomball Workers' Compensation Fraud Information
Lead Counsel independently verifies Workers' Compensation Fraud attorneys in Tomball and checks their standing with Texas bar associations.
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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 Texas?
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