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OnDemand Course

Uncovering Workers' Compensation Fraud

Gain the tools needed to identify the red flags of workers' compensation fraud.

Perhaps at no other time in our nation's history has the potential for workers' compensation fraud been more prevalent than in our COVID-19 world. Like other forms of fraud, fraud in the workers' compensation process is a crime. Everyone loses when workers' compensation fraud occurs. Systems and processes to be proactive against fraud should be put into place at both the carrier and the insured level. Risk management should include methodologies to mitigate claims of retaliation, slander, and libel by the claimant relative to workers' compensation fraud. This topic will provide a toolkit for you on how effectively mitigating the risk of and properly addressing fraud while minimizing the risk of potential associated losses by claimants.

88 minutes
Course Exam
Certificate of Completion
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Why Lorman?

Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Agenda

Overview: The Workers' Compensation Process

  • Brief History of Workers' Compensation Laws
  • Legal Definition of Occupational Illness vs. Occupational Injury
  • Purposes Workers' Compensation Fulfills
  • Exclusive Remedies Provided

Fraud and Workers' Compensation

  • Sample Legal Definitions of Fraud
  • Sample Penalties for Fraud
  • Danger Zone: Interplay Between Fraud, Slander and Libel
  • Workplace Violence Risks

Mitigation of Fraud

  • Steps to Take to Be Proactive
  • Recommended Systems to Put Into Place
  • Dos and Don'ts When Fraud Is Suspected
  • Signs of Fraud
  • Sample Cost Effective Investigations

A New Ballgame: Workers' Compensation Fraud in a COVID-19 World

  • Special Challenges the Pandemic Has Presented
  • Claims Unique to COVID-19
  • Considerations Going Forward
  • COVID-19 Fraud: A Case Study

Sufficient Evidence of Fraud Exists, Now What?

  • Going at It Alone vs. Involving Counsel
  • How to Report Fraud While Mitigating Legal Exposure (Retaliation, etc.)
  • Where to Report Fraud
  • General Guidelines After Fraud Has Been Investigated
  • Loose Lips Sink Ships: Confidentiality Is Critical
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Why Lorman?

Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Credits

OnDemand Course

Applications have not yet been submitted for Delaware, Idaho, Kentucky, Maine, New Hampshire, Ohio, Oklahoma, South Carolina, and Wyoming CLE for this course. However, if you are interested in obtaining CLE for any of the listed states or have any additional credit questions please email us at [email protected] or call us at 866-352-9540.

This course was last revised on August 24, 2021.

Call 1-866-352-9540 for further credit information.

  • ACFE 1.6
     
  • This program may qualify for 1.6 compliance or recertification CPE(s) through the Association of Certified Fraud Examiners (ACFE). Please visit the ACFE website for further clarification: https://www.acfe.com/cfe-credential/continuing-professional-education-cpe-requirements.
     
  • AR CLE 1.5
     
  • This course has been approved for 1.5 hours of CLE by the Arkansas CLE Board.
     
  • CA MCLE 1.5
     
  • Lorman Business Center, LLC. is a State Bar of California approved MCLE sponsor and this course qualifies for 1.5 CLE hours of participatory credit.
     
  • WA CLE 1.5
     
  • This program has been approved by the Washington State Board of Continuing Legal Education for 1.5 hours of A/V credit under the Law & Legal Procedure category.
     

To earn each credit Lorman offers through the OnDemand learning platform, you need to watch 100% of the program. Also, for certain credits you will need to fulfill additional requirements which will be displayed on the "credits" tab when viewing the course.

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

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Why Lorman?

Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Faculty

Kathleen M. Bonczyk, MBA, Esq.

Kathleen M. Bonczyk, MBA, Esq.

Workplace Violence Prevention Institute

Kathleen M. Bonczyk, Esq.

  • Attorney and Founder/Executive Director of the Workplace Violence Prevention Institute, a research organization whose motto is workplace violence may be predicted and therefore prevented
  • Former human resources executive and an attorney
  • Nationally recognized expert on the topic of workplace violence prevention
  • Has lectured and written on the topic of office safety for over two decades
  • J.D. degree, Nova Southeastern University; M.B.A. degree, Florida Atlantic University
  • Can be contacted at [email protected] or through the WVPI’s website www.workplaceviolencepreventioninstitute.org
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Add to Wishlist

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Why Lorman?

Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

All of your training, right here at Lorman

All of your training, right here at Lorman.

Pay once and get a full year of unlimited training in any format, any time!

  • OnDemand Courses
  • Live Webinars
  • MP3 Downloads
  • Course Manuals
  • Executive Reports
  • White Papers and Articles

Additional benefits include:

  • State Specific Credit Tracker
  • All-Access Pass Course Concierge

Questions? Call 877-296-2169 to speak with a real person.

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Product ID: 408964
Published 2021
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Available in Multiple Formats

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