Here are the top 10 warnings signs a workers compensation claim is potentially fraudulent:

Monday Morning Reports

The alleged injury occurs first thing on Monday morning, or the injury occurs late on Friday afternoon but is not reported until Monday.

Employment Change

The reported accident occurred immediately before or after a strike, job termination, layoff, end of a big project, or at the conclusion of seasonal work.

Suspicious Providers

An employee’s medical providers or legal consultants have a history of handling suspicious claims, or the same doctors and lawyers are used by groups of claimants.

No Witnesses

There are no witnesses to the accident and employee’s own description does not logically support the cause of the injury.

Conflicting Descriptions

The employee’s description of the accident conflicts with the medical history or First Report of Injury.

History of Claims

The claimant has a history of a number of suspicious or litigated claims.

Treatment is Refused

The claimant refuses a diagnostic procedure to confirm the nature or extent of an injury.

Late Reporting

The employee delays reporting the claim without a reasonable explanation.

Claimant is hard to reach

The allegedly disabled claimant is hard to reach at home.

Changes

The claimant has a history of frequently changing physicians, changing addresses and numerous past employment changes.

Experience shows that when two or more of these factors are present in a workers’ compensation claim, there is a chance the claim may be fraudulent.  Remember though, that these are simply indicators. Many perfectly legitimate claims are filed on Mondays-and some accidents have no witnesses.