Gold Coast WorkCover Fraud
A licensed Gold Coast private investigator, private detective, is used to investigate WorkCover fraud, suspected fraud, on the Gold Coast. We are experienced private investigators; when an investigation is required, phone 1300 966 103, email us at [email protected], or 24/7 online form Contact Us, free quotes. You suspect, we investigate suspicion.
WorkCover investigation is either a factual investigation, or surveillance, occasionally a combination of the two. In the initial stages of a claim it may be filtered out by WorkCover, or the Workers Compensation private insurance company, if the claim raises flags. After the claim is accepted liability is attached to the employer, and the insurer becomes a rehabilitation coordinator.
At this time concerns, and suspicions, of the Gold Coast employer, that the employee is committing fraud may not be recognised by the insurer, without evidence, because the claim has been accepted. The onus falls on the employer to prove fraud, because the insurer won't move until evidence is supplied.
We are the way to gather evidence, and establish the fraud. We can establish that the employer has a reasonable suspicion of Workers Compensation claim fraud, through evidence.
Once a claim is accepted, the insurer becomes a workplace rehabilitation coordinator, with the injured worker as the client; it does not matter who is, and will continue, to pay for the insurance.
At this time we are often contacted by a Gold Coast business, to investigate a claim, to investigate fraud suspicions, to 'prove' a fraud. This is lawful. Private investigation, using a licensed private investigator, is legal.
A Workcover fraud investigation, a Workers Compensation fraud suspicion investigation, is about protecting the employer, the business. It may be at the start, when the employer does not believe the claim is legitimate. It may be when the insurance provider has entered their rehabilitation coordinator period, where the focus is the injured worker.
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 is designed to protect the business from further insurance liability, and may be presented to fraud section of the insurance provider, as evidence.
As a licensed private investigator, a private detective, we are engaged by the employer to investigate suspected Gold Coast WorkCover fraud. Often, when we are engaged, the task is to conduct WorkCover surveillance, private investigator surveillance, to compare real world restrictions displayed, with those claimed, to confirm or deny suspicions.
This surveillance is conducted over a block of days, weeks, or months, depending on the exposure, the evidence gathered, and the information available. What we do is legal.
The evidence obtained can be used for a court, tribunal, or negotiation. We investigate for the Government insured, and the privately insured.
We are a Gold Coast WorkCover fraud investigator service; you suspect, we investigate suspicion, verify facts, gather evidence, and report to you, discretion assured.
Indicators of fraud include a lack of recovery, a changing injury, a person who gets worse not better, a person who refuses to engage in return to work activity, or promptly injures themselves during such activity, or an uncontactable person. We investigate these.
It may be that the claim is accepted before the employer is aware. It may be that the claim acceptance is backdated, and the employer was never advised that the claimed injury occurred.
At times indications include an employee who changes address without advising you, who refuses to engage in return to work activities. It may be where information comes to hand that the employee is active, has started their own business, is working elsewhere, whilst claiming WorkCover.
Sometimes the contract has been terminated, or the work has dried up. Sometimes the person has used up all their leave, and still want leave in advance. Reasons vary, however, when there is a fraud suspicion, have it investigated.
A Workers Compensation insurance provider must always consider the workers claim. If there is no evidence of fraud, they accept it.
Just suspecting fraud alone is not sufficient. You must show a reasonable suspicion (civil standard) of Workers Compensation fraud. This is done through the provision of evidence.
When you suspect fraud, when you are exposed, you need a licensed private investigator, a private detective, a WorkCover investigator, to investigate suspected WorkCover fraud on the Gold Coast, for WorkCover Qld insurance, to gather evidence, contact us. We are local, and experienced.