Workers’ compensation insurance fraud impacts all residents of San Joaquin County. Fraud may be committed by the employer, in the form of being under-insured or not insured at all. Or, fraud may be perpetrated by the employee who makes a fraudulent claim. Examples of workers’ compensation insurance fraud include:
- Claimant Fraud
- Misrepresenting an injury to obtain insurance benefits.
- Premium Fraud
- Misrepresenting payroll to avoid higher insurance costs.
- Provider Fraud
- Relating to medical or legal services provided in a fraudulent claim.
- Uninsured Employer
- Employers that willfully fail to provide workers’ compensation insurance.
The cost of workers’ compensation insurance fraud affects all of us in the form of higher prices for goods and services. Fraudulent claims also contribute to the high cost of medical care, with overbilling and unnecessary treatments. The San Joaquin County District Attorney’s Office aggressively investigates all forms of workers’ compensation fraud. Since 2015 the District Attorney has recovered nearly $250,000 in fraudulently obtained workers’ compensation benefits. If you suspect workers’ compensation insurance fraud, would like more information on the work being done by the District Attorney, our would like someone to speak to your group about this or other topics, please contact (209) 468-8963.