Call for a FREE Consultation: (209) 323-5126Hablamos Espanol • Мы говорим по-русски
Call for a FREE Consultation: (209) 323-5126 Hablamos Espanol • Мы говорим по-русски

Call for a FREE Consultation: (209) 323-5126
Hablamos Espanol • Мы говорим по-русски

What are Workers’ Compensation Investigations, and What Do They Look For?

When you file a workers’ compensation claim, that claim is sent to a claims administrator for evaluation. That claims administrator will evaluate your claim based on the provided evidence and either approve or deny it. However, in some circumstances, this claims administrator may question the credibility of a claim if they suspect fraud. If the claims administrator suspects fraud, they may authorize a worker’s compensation investigation of your claim. 

What are Workers' Compensation Investigations, and What Do They Look For?What Does a Workers’ Compensation Investigation Look For?

When a claims adjuster authorizes an investigation, your employer’s workers’ compensation insurance will likely hire a private investigator to investigate your case. That private investigator will then gather evidence to determine if you knowingly filed a fraudulent claim for Worker’s Compensation. Private investigators have different methods for gathering evidence. These methods are as follows. 

Online Investigation 

Private investigators will conduct online surveillance to find out anything about your personal life which may contradict a workers’ compensation claim. These online factors of your personal life include check-ins, photos, status posts on social media, videos, and more. Private investigators will use your online presence using social media and other aspects of the internet to determine if your claim is credible or not. Private investigators use Facebook, Instagram, Twitter, or other social media applications where users frequently post their activities and current life situations to investigate claims. If social media evidence contradicts the injuries and effects of a reported workers’ compensation claim, that evidence may be documented and used to prove fraud. 

Video Surveillance

Private investigators in Worker’s Compensation cases are often found to film video evidence to prove that a claimant is submitting a fraudulent claim. This type of surveillance includes private investigators following individuals and videotaping them while hidden in their cars. Video evidence is then used to verify if the claimant is submitting fraudulent information to collect money from a Worker’s Compensation claim. It is not uncommon for Worker’s Compensation investigators to follow you and document your movements and daily activities to verify a fraudulent claim. 

Interviews or Personal Accounts

Private investigators sometimes gather evidence from personal accounts. Investigators conduct these interviews to obtain information that may be used as evidence against their claim. A private investigator will sometimes confront the person they’re investigating and ask them questions. It is not uncommon for a private workers’ compensation investigator to knock at a suspect’s door and question them or ask for a voluntary interview. It’s essential to know that you’re not legally required to answer these questions. However, refusing to engage in an interview usually does not help your case.

Interviews With Relatives, Friends, or Co-workers

The people around you are also excellent sources of information about your injury. Private investigators will often gather information from friends, family, and co-workers before speaking with you directly. This investigation technique is used to obtain information that may contradict statements given by yourself before or at a later date. So, expect workers’ comp investigators also to ask them questions.

If you’re the victim of a work-related injury and have had your claim wrongfully denied and are struggling to obtain the necessary treatment for your injuries—our expert workers’ compensation attorneys at Stockton Workers’ Compensation Attorneys P.C. want to help you get your life back on track and obtain the legal benefits that you deserve. Our workers compensation experts have represented thousands of injured workers across California and helped them obtain the necessary workers’ compensation benefits to recover from their injuries. To speak with an attorney member on our team, and seize your FREE no-obligation consultation, call us at (209) 323-5126.