WORKERS' COMPENSATION FRAUD
INVESTIGATION!

 

 
 

 

 

THE BIBLE ON
WORKER'S
COMPENSATION
INVESTIGATION

For Investigators And
Adjusters Who
Represent Insurers
Investigative Techniques
And Legal Principles
For Of Worker's Compensation Claims

By Jody Ball
 
 
 
THE BIBLE ON WORKER'S COMP INVESTIGATION
For Investigators And Adjusters Who Represent Insurers
Investigative Techniques And Legal Principles For Of
Worker's Compensation Claims
By Jody Ball
 
Never before in the history of publishing has a comprehensive manual on how to conduct worker's compensation investigation been put together as outstanding as this one! You'll find in-depth coverage on how to go about conducting the worker's compensation investigation from detection of worker's compensation fraud, to recognizing signs of fraudulent claims, from obtaining records information to interviewing the claimant and physician, from tricks of the trade in conducting the surveillance to responsibility of the insurer and the insured, from understanding depositions and examinations under oath to investigation of property damage and from understanding benefits so you can investigate the case correctly to legal and medical terms and from needed references to investitgative forms you can us.
 
 
Chapter Contents
Detecting Fraud
Recognizing Signs Of Fraudulent Claims
Investigating Fraudulent Claims
Obtaining Records And Information
Interviewing The Claimant
Interviewing The Physician
Surveillance
Responsibility Of The Insurer And The Insured
Depositions And Examinations Under Oath
Property Damage
Benefits Payable
Forms
Glossary Of Legal Terms
Glossary Of Medical Terms
References
Test And Review Questions




This work has everything you need to conduct successful investigations that uncover worker's compensation fraud. The end of the book even has a set of questions you can use to review your comprehension. This work goes way beyond mere surveillance revealing to you all aspects of how to go about the successful investigation of worker's compensation investigation designed to specifically uncover insurance fraud and hands you extensive red flags on worker's compensation fraud. Built right into the manual are nineteen forms and checklists you will find quite useful that you can copy and use as well as an extensive insurance terms and legal glossary. Large 8 1.2 X 11, 124 pages. $38.00

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Note: This Material Is Part Of The Certified Insurance Claims Investigator Designation
(C.I.C.I.) Click Here For Details

 

WORKER'S COMPENSATION FRAUD CONTROL AND INVESTIGATION
A Manual Covering The Whole Spectrum Of Conducting Workers'
Compensation Claims Investigation
--By Robert Campbell, ALHC,HIA

Worker's compensation fraud investigation have become a major mainstay of many investigative services. This manual is unique in that although it covers expert techniques and procedures for conducting the worker's compensation surveillance, it goes way beyond that subject with expert techniques on how to go about conducting a whole spectrum of other related types of investigative procedures and fraud control that relate to worker's compensation claims investigation. This manual is also unique in that is covers state-by-state law and state agencies that relate to worker's compensation claims investigation. Armed with this manual, the practicing investigator will find extremely valuable information on not only worker's compensation surveillance but a whole range of other investigative services and fraud control worker's compensation claims clients would be interested in.

SUBJECT COVERAGE OUTLINE

UNDERSTANDING WORKER'S COMPENSATION AND
THE DIFFERENT TYPES OF FRAUD

Overview-Workers' Compensation Fraud- Workers' Compensation-Medical Benefits- Disability- Rehabilitation- Survivors Benefits- Detection- Examiner- Systems Identification- Employer

WORKERS' COMPENSATION FRAUD INDICATORS
Fraud Indicators: Claimant- Fraud Indicators: Incident- Fraud Indicators: Medical- Fraud Indicators: Other- Fraud Indictors: Employer- Disciplinary Action Reports

INVESTIGATIVE PROCURES AND TECHNIQUES: MEDICAL INFORMATION, PROCUREMENT AND HEALTHCARE PROVIDERS/INTERVIEWING AND DOCUMENTATION
Investigative Procedures- On-Site Questions- Interview With Physician- Audit Forms- Authorization To Release Information- Alcohol/Drug/Psychiatric/Aids Release- Authorization For Social Security Information-Post Audit Request- State Licensing Information

WORKER'S COMPENSATION STATE LAWS AND STATE BOARDS
State Workers' Compensation Boards- State Fraud Units- State fraud Legislation- State Mandating SIU'S- Education Of Claim Personnel- Investigator Qualifications- Reporting Requirements- Manuals- Staffing Requirements-Overview

THE WORKER'S COMPENSATION SURVEILLANCE: TECHNIQUES, PROCEDURES AND THE LAW
The Surveillance- Prior To Surveillance- Surveillance At Location- What To Expect- Surveillance In Court- Editing The Surveillance Film- Consistency Of Activities-Reasonable Surveillance- Unreasonable Surveillance

OTHER INVESTIGATIVE TECHNIQUES AND PROCEDURES RELATED TO WORKER'S COMPENSATION FRAUD INVESTIGATION
Auditing-Notification- Final Report- Tax Forms- Job Classifications- Report- Premium Fraud-Notification

All-in-all, you'll find this excellent training material on of the best manuals ever produced on conducting the entire spectrum of workers' compensation related insurance claims investigation and fraud control. 8 1/2 X 11, 89 pages. $45.00
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WORKER'S COMPENSATION FRAUD
How To Conduct Worker's Compensation Insurance Claims Investigations
By Greg Hauser

Worker's compensation claims investigation has become a major mainstay of many private investigative agencies. In fact, many investigative agencies have become extremely profitable doing nothing but these types of cases. This manual covers step-by-step techniques and procedures on how to go about the investigation of a worker's compensation insurance claim.


Extensive Selection Of Exhibits, Forms And Checklists For Worker's Compensation Claims Investigation. 8 1/2 X 11, 73 pages with NAIS certificate of completion issued in Worker Compensation Claims Investigation. $19.95


DISABILITY OR DECEPTION
By Bill Kizorek


Revealing advanced topics of how surveillance is used as a discovery tool with insurance claimants, this manual should be part of every investigative library. You will find actual case histories from one of the best known insurance surveillance professionals in the business. Discover for yourself how insurance companies are turning to physical surveillance and video surveillance experts to determine the activity of the claimant. Specific court decisions involving the use of video and film evidence are covered along with specific issues involved with invasion of privacy, Step-by-step techniques are outlined for controlling cost, maintaining quality of the investigation and staying out of trouble. 140 pages. $35.00
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PSYCHOLOGICAL CLAIMS INVESTIGATION
How To Determine If The Psychological Claimant
Is Traumatized or Dramatized

By Bill Kizorek And Dr. Paul Lees-Haley

Until now, there has been almost no material on how to go about the investigation of a psychological insurance claim or litigation claim. This book combines the knowledge of a well known psychologist and a well known claims detective handing you valuable knowledge and insight into investigating psychological claims and uncovering insurance fraud by claimants and sometimes their lawyers. 104 pages, with NAIS certificate if NAIS member issued in Investigating Psychological Claims. $29.95
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