GOLD COAST WORKERS COMPENSATION FRAUD
Suspected Gold Coast Workers Compensation fraud investigation requires Qld licensed, or occasionally a Qld and NSW licensed, experienced, private investigators; we are. To investigate suspicion phone 1300 966 103, email us at [email protected], or 24/7 online form Contact Us online, free quotes.
Workers Compensation fraud, WorkCover fraud, insurance fraud, is a hidden cost to business. It has two components. The first is the increase in charges from industry average, as you gain an insurance history of claims. The second is the cost of civil claim, that follow many fraudulent claims.
This cost is seen by the business for years to come. We are experienced Gold Coast Workers Compensation fraud investigators, we are here to assist.
We all accept that accidents, and incidents, happen in the workplace, that people do get injured. The insurance is there to ensure these people are looked after, and hopefully return to work. These are not the people we target.
We investigate where the original claim was suspect, where the injury was illogical, where the claimant keeps getting worse not better, the claim changes, there is no effort to rehabilitate, to be involved in return to work activities, to keep the employer updated, or the employee breaks off communications. When suspicion forms call us.
There are times when the employer becomes aware of new business ventures, or activities inconsistent with claimed restrictions. These may trigger Workers Compensation investigations on the Gold Coast, call us.
The insurer, be it the Government WorkCover insurance, or private Workers Compensation insurance through a broker, is in a difficult position, because, once a claim is accepted, they become a rehabilitation coordinator; this does not align with the employers needs, where fraud is suspected.
At the end of the process, years later, they may cross back to being aligned with the employer, who pays the insurance, when the matter is before a court. This is sometimes too late.
This is where the Gold Coast private investigator, the experienced Workers Compensation investigator, the covert WorkCover investigator, comes into the picture. We investigate for the employer, the business, to establish the true situation.
Gold Coast Workers Compensation fraud investigation is about gathering evidence of Workers Compensation fraud. It is also about giving some power, some control, back to the employer, frustrated by the lack of action by the insurer, in investigating Workers Compensation fraud suspicion.
The evidence is about protecting the employer from fraud, and may finally get the insurer to change their stance. A private investigation, using a licensed private investigator, is legal.
To trigger further investigation, and other actions, by the insurance company requires more than suspicion. You must have evidence to show reasonable suspicion, a reasonable belief that Workers Compensation fraud is occurring. The insurance provider, including WorkSafe Qld, will not act if you cannot reach this level.
A Workcover fraud investigation, a Workers Compensation fraud suspicion investigation, is about protecting the employer, the business, when the insurance provider has entered their rehabilitation coordinator period, where the focus is the injured worker. A private investigation gathers evidence, establishing evidence of fraud.
A private investigation, gathering Workcover fraud evidence, Workers Compensation fraud evidence, gives the Gold Coast employer, the business, back some power when they suspect fraud. It may protect the business from further insurance liability, and evidence may be presented to fraud section of the insurance provider.
As most files come to us once the claim is accepted, and the insurance provider is focused on the injured worker. Some files come to us for investigation when a claim is accepted over employer protests.
We generally are engaged to conduct Gold Coast Workers Compensation surveillance, to gather evidence of claim fraud. We are Government licensed to conduct surveillance.
The evidence we supply is lawfully obtained, and able to be used to protect the business from future claims, to be presented to an insurers fraud section for current claims, to be presented to a court, if a civil claim is lodged. Contact us when you need to act.