Workers Compensation Investigations on the gold coast

Where you suspect employee fraud, you may require Workers Compensation investigations on the Gold Coast. We conduct these investigations, phone 1300 966 103, TEXT ONLY to 0427 703 120, email us at [email protected], or 24/7 online Contact Us for a free quote.
We are a Gold Coast private investigator, Gold Coast private detective, Gold Cost private investigation and surveillance service. We investigate Workers Compensation claim suspicions, Workers Compensation claim fraud, on the Gold Coast.
We have many years experience investigating suspected Workers Compensation fraud. We are often contacted after the claim is accepted, and the insurer become a rehabilitation coordinator. At this time they are loath to commence a fraud investigation without evidence.
Basically the onus is on the employer to prove the fraud. You must provide good evidence, because you only get one shot at changing their mind. We are the way to gather that evidence, and protect the business.
There are many indications of fraud. These can include an injured worker not engaging in return to work activity, the worker being uncontactable, doctor shopping, information of other activities inconsistent with claimed restrictions, or a failure to recover.
A suspicion of fraud is not sufficient. You must establish that the suspicion is reasonable, through evidence, as a minimum.
For the self insured the requirement is higher. Unlike the Government insured you do not need to just provide evidence of deception, fraud, to have the insurance take over.
For the self insured there may be multiple periods of observation, over an extended period, gathering evidence of the deception, the fraud. This is in preparation for either a termination of the Workers Compensation support, court action for claim fraud, or to prepare for the civil claim.
A Workcover fraud investigation, a Workers Compensation fraud suspicion investigation, is about protecting the employer, the business. This is especially 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 action to protect the business from further insurance liability, and may be presented to fraud section of the insurance provider.
Workers Compensation claim fraud has become an investigation of intangibles, for many claims. A mental injury, stress, PTSD, or similar, has become the new 'back injury'. As this is a mental injury we need to investigate surrounding circumstances.
You need to look at the timeline. Was the worker on performance management? Had they been cautioned? Had they recently been let go?
You need to look at outside influences. Have they recently separated, divorced? Was there an accusation in the workplace? Was there some other outside influence you can document?
We are generally used for the observation of the subject, for a mental injury claim. You are looking for outside employment, enjoyment, social engagement, sporting activities.
You are looking for the injured employee driving, when they claim they are unable to get behind the wheel. You are looking for social engagement of the person who claims to be a recluse.
It can be argued that these are part of rehabilitation, which they are, however the objective is to reduce liability, as the probability of acceptance of the claim is higher. A mental injury is not something that you can see, like a broken arm.
For a mental injury the surrounding circumstances are an indication of the capacity of the subject, as they are for a physical injury. Capacity loss is part of a settlement. The more capacity they have, the smaller the settlement cost.
This is not about doing an injured worker out of their entitlements. It is about ensuring that the claim, the claimed loss, the restrictions claimed, are honest. It is about deception, fraud prevention.
We investigate both the more traditional claims, and the 'new age' mental injury claims. Sometimes injured employees will morph a claim from a real injury they are recovering from to the intangible mental injury claim. These can be an indication of fraud.
The mental hardiness of people is falling, as we become a more entitled, powderpuff, society. With falling resilience, rising financial stress, comes more potential insurance claims, and more potential claim fraud.
When Workers Compensation investigations on the Gold Coast are required, we provide both factual investigation, and Workers Compensation surveillance investigations, WorkCover surveillance investigations. Our investigators are either Qld licensed Gold Coast private investigators, or dual Qld and NSW licensed Gold Coast private investigator, Gold Coast private detective, for Gold Coast private investigation and surveillance services.
We have many years experience conducting Workers Compensation fraud investigations, on the Gold Coast, Qld, and across the border, into NSW. Many of our investigators are dual licensed, as we work on both sides of the border, The Tweed Heads area, as well as the Gold Coast.