Prevent Fraud in Washington State
– Spotting the red flags
Below are a few of the behaviors that might indicate injured worker fraud. Need
help determining? Contact the Fraud Investigations staff at 360-902-4755 or workerfraud@Lni.wa.gov.
| Claim
Fraud: Not injured at work (or not injured
at all) |
| If you see someone who … |
Then… |
- Appears to have been injured, but no one else witnessed the accident.
- Gives conflicting stories as to how the injury occurred.
- Appears to have let a lot of time elapse between the injury and the date they first got
medical treatment.
- Appears to have sustained the injury while off work.
- Appears to have been injured immediately prior to a planned strike or the completion
of a job.
- Appears to have been injured immediately prior to or after a disciplinary
action against them.
- Appears to have been Injured immediately prior to being terminated from
their job.
- Moves out of the state or the country shortly after the alleged injury.
- Appears to have a history of filing multiple claims.
|
Report
Claim Fraud
or
Call: 1-888-811-5974 |
| Unfair
Benefits Fraud: Doing activities inappropriate for an injured worker |
| If you see someone who appears to … |
Then… |
- Participate in recreational or other activities inconsistent with alleged injury.
- Claim dependents not in his legal/personal custody.
- Claim a spouse when not married.
- Misuse drugs or display drug-seeking behavior (prescription or non-prescription).
- Frequently change doctors ("doctor shopping").
|
Report
Unfair Benefits Fraud
or
Call: 1-888-811-5974 |
| Disability Fraud: Working while on disability |
| If you see someone who appears to … |
Then… |
- Be working while on time-loss.
- Be regularly away from home during normal business hours.
- Be receiving unemployment benefits while on time-loss.
- Be working and being paid "under the table" while receiving
time-loss benefits.
- Be doing "volunteer" work while receiving time-loss benefits.
- Be providing care under DSHS's COPES program while on time-loss.
|
Report
Disability Fraud
or
Call: 1-888-811-5974 |
