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Spotting and Preventing Workers Compensation Fraud in California

Spotting and Preventing Workers Compensation Fraud in California

 

Workers compensation fraud drives up costs and hurts everyone involved. In California, staying proactive is key. 

Here are 10 smart, legal ways to help prevent it: 

 

  1. 1. Create a Fraud-Free Culture 
    Educate staff, post reminders, and offer anonymous reporting options. 

  2.  

  1. 2. Hire Wisely 
    Use legal background checks and watch for red flags in resumes. 

  2.  

  1. 3. Use Surveillance (Legally) 
    Install cameras in public work areas, never in private spaces. 

  2.  

  1. 4. Enforce a Drug-Free Policy 
    Test pre-employment and post-incident, following state laws. 

  2.  

  1. 5. Have an Injury Plan 
    Respond quickly, document thoroughly, and use approved medical networks. 

  2.  

  1. 6. Promote Safety 
    Hold regular safety meetings and reward safe behavior. 

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  1. 7. Watch for Red Flags 
    Be alert to suspicious claims or patterns. 

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  1. 8. Listen to Employees 
    Take concerns seriously, retaliation is illegal. 

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  1. 9. Build Trust 
    Address safety issues openly to reduce fraud risk. 

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  1. 10. Support Return-to-Work 
    Offer modified duties to help employees recover and reduce claim time. 

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To support your efforts in preventing workers compensation fraud, our customer portal offers easy access to educational resources designed to help you stay informed and proactive. Existing customers can log in anytime to explore these materials.

 

Access the portal here: https://app.peiwc.com/ 

 

For additional information regarding insurance fraud, please visit the California Department of Insurance. Learn More 


 

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