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 Depending on who is talking about it, workers' comp fraud is either an epidemic or an overblown rarity which lets insurance companies lobby for changes to the laws. Big business and insurance companies complain that most injured workers aren't really injured, that they could go back to work, and that they just enjoy watching daytime television.  We can count on one hand the number of clients who fit that description.  We're told that an Industrial Commission study done a few years ago found that about 1% of injured workers' committed fraud, about 1% of insurance companies committed fraud, and about 7% of employers committed fraud. As far as injured workers go, instances of fraud such as working while drawing weekly checks are pretty rare. At least in our firm cases of people staging an accident to make big bucks is almost unheard of. Workers' comp just isn't that lucrative an area of the law.  Insurance company fraud is most often exhibited in direct lying about what benefits are available to an injured worker. For employers, fraud usually involves telling injured workers to put a claim on health insurance rather than on comp, telling workers that they have to have been an employee for a certain period of time before they are eligible for comp, or similar things.  In our opinion, though, workers' comp fraud is fairly rare and is more a scare tactic used by insurance companies to whip support for tort reform. 

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Information for injured workers in North Carolina

 


Q: What is workers' compensation fraud?

A:

Depending on who is talking about it, workers' comp fraud is either an epidemic or an overblown rarity which lets insurance companies lobby for changes to the laws. Big business and insurance companies complain that most injured workers aren't really injured, that they could go back to work, and that they just enjoy watching daytime television.  We can count on one hand the number of clients who fit that description.

We're told that an Industrial Commission study done a few years ago found that about 1% of injured workers' committed fraud, about 1% of insurance companies committed fraud, and about 7% of employers committed fraud. As far as injured workers go, instances of fraud such as working while drawing weekly checks are pretty rare. At least in our firm cases of people staging an accident to make "big bucks" is almost unheard of. Workers' comp just isn't that lucrative an area of the law.  Insurance company fraud is most often exhibited in direct lying about what benefits are available to an injured worker. For employers, fraud usually involves telling injured workers to put a claim on health insurance rather than on comp, telling workers that they have to have been an employee for a certain period of time before they are eligible for comp, or similar things.

In our opinion, though, workers' comp fraud is fairly rare and is more a scare tactic used by insurance companies to whip support for tort reform. 


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Offices

OTP - Greensboro
1155 Revolution Mill Drive,
Studio 4
Greensboro, NC 27405
Phone: 336-274-4494
Fax: 336-271-6769
Toll Free: 1-866-OTP-Law1

OTP - Winston-Salem
110 Oakwood Drive, Suite 420
Winston-Salem, NC 27103
Phone: 336-274-4494
Fax: 336-631-5225
Toll Free: 1-866-OTP-Law1

OTP - Burlington
409 Alamance Road, Suite C
Burlington, NC 27215
Phone: 336-226-5925
Fax: 336-226-4492
Toll Free: 1-866-OTP-Law1

OTP - Asheboro
904 South Cox Street
Asheboro, NC 27203
Phone: 336-633-4496
Fax: 336-633-3394
Toll Free: 1-866-OTP-Law1

OTP - Raleigh
3700 Glenwood Avenue, Suite 350
Raleigh, NC 27612
Phone: 919-573-5241
Fax: 919-785-2239
Toll Free: 1-866-OTP-Law1

OTP - Fayetteville
4200 Morganton Road, Suite 200-11
Fayetteville, NC 28314
Phone: 910-764-3363
Fax: 910-764-3364
Toll Free: 1-866-OTP-Law1

OTP - Charlotte
550 S. Caldwell Street, Suite 1800,
Charlotte, NC 28202
Phone: 704-547-1617
Fax: 704-919-3439
Toll Free: 1-866-OTP-Law1

OTP - Hickory
101 Government Avenue SW
Hickory, NC 28601
Phone: 828-322-1271
Fax: 828-322-1643
Toll Free: 1-866-OTP-Law1

OTP - Wilmington
1213 Culbreth Drive,
Wilmington, NC 28405
Phone: 910-509-7274
Toll Free: 1-866-OTP-Law1

FAQs

Workers' Compensation

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Case Studies

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