Workers’ compensation fraud is a class E felony in New York State and increases the cost of the workers’ compensation for all New York State Employers.
Employee Fraud
An employee may be engaging in fraud when he/she misrepresents important facts about an injury in order to obtain workers’ compensation benefits. Examples may include reporting or filing a workers’ compensation claim for an injury that did not occur at work, misrepresenting an employment status while collecting workers’ compensation benefits; or falsely reporting the severity of an injury.
Some indications of employee fraud may include:
- Unwitnessed accident
- Employee’s description of accident is vague or inconsistent
- Fellow employees are describing the accident as “staged” or occurring off the job
- Employee discovered working another job while collecting workers’ compensation benefits
- Change of treating physician after employee is cleared to return to work.’
REPORT SUSPECTED FRAUD TO FCS
If you suspect or have knowledge of workers’ compensation fraud, please contact any claims professional at FCS Administrators or email us at info@fcsadministrators.com.
Please click here for a link to the Fraud Inspector General – Workers’ Compensation Board – NY.gov