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Uncovering Workers' Compensation Fraud

Get the tools needed to identify the red flags of workers' compensation fraud. Protect your company from unnecessary costs.Who pays for workers' compensation fraud? EVERYONE does, except the fraudsters. Workers' compensation fraud costs businesses millions of dollars a year in lost time, work moral, productivity, staffing and overall business growth. When is it time for employers, HR, and key personnel managers to take control of a suspicious workers' compensation claim? Understand how carriers and TPAs handle fraud cases and what you can do to assist them. Take a look into the inside world of what happens when a workers' compensation claim is handed over to the investigator. See case by case studies of how cases are prepared before surveillance is undertaken. What pre-surveillance measures are needed? Focus on social media investigations as the new 'electronic surveillance'. Lastly, there will be questions and answers regarding the use of surveillance in any current situation that you may be faced with.


Runtime: 92 minutes
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Why Lorman?

Over 30 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

Workers' Compensation Fraud - Who Pays the Price?

  • Statistical Trends, and How Effective Detection and Aggressive Hands on Integration Can Minimize the Damages and Provide Claim Mitigation
  • How to Detect, Identify and Deter Workers' Compensation Fraud in the Work Place - Red Flags
  • Self Insured Retention - Take Control of the Money … It's Your Money
  • Insurance Carrier Requirements and Insured Involvement, the NICB and CAIF
  • NICB - National Insurance Crime Bureau and CAIF - Coalition Against Insurance Fraud - Meet Your Friends
  • Reporting Fraud - State-By-State Reporting Agencies, Contacts, Address and Phone Numbers
  • The Tools of Anti-Fraud Programs and SIU Involvement
  • Employers' Preventative Measures, Pre-FROI (First Report of Injury) - What Can You Do to Prevent a Workers' Compensation Claim?
  • What Can You Do to Make the Outcome a Success? - Become an Investigator
  • Cost-Effective Field Investigations: Backgrounds, Social Media, Statement Taking and Surveillance
  • Ethics, Doing the Right Thing
  • Proper Use of Surveillance to Document Workers' Compensation Fraud
  • What Does a Good Day Mean?
  • Meet the Fraudsters
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Why Lorman?

Over 30 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 Webinar

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

Audio & Reference Manual

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

MP3 Download

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

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More Program Information

Why Lorman?

Over 30 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

Kevin A. Oliphant

Kevin A. Oliphant

Sedgwick Claims Management Services, Inc.

  • Director of Claims with Sedgwick Claims Management Services, Inc. in California
  • 26 years of experience in the insurance industry overseeing the administration of Workers’ Compensation and Subrogation claims over multiple jurisdictions for both insured and self-insured accounts
  • Experience working with a variety of employers in retail, trucking, automotive, manufacturing, paper goods, health care and hospitals, security industry, nonprofit organizations and public entities
  • Joined Sedgwick in 1998 as a claims manager, overseeing the administration of workers’ compensation claims for the second largest hospital provider in California
  • Has his self-insured license from the State of California
  • Member of the California Coalition on Workers’ Compensation
  • Earned the Associate in Risk Management designation from the Insurance Institute of America
  • B.A. degree in psychology, California State University Northridge
Tamara Warner, CFE

Tamara Warner, CFE

G4S Compliance and Investigations

  • Regional assistant vice president G4S Compliance & Investigations – Western Region
  • Under her leadership and direction, the G4S SIU team in the Western region has received numerous accolades for proactive fraud fighting, arrests and convictions
  • Responsible for leading the Western Region Field and Operation Teams, while fostering close working relationships with sales and to ensure G4S solutions are aligned with client needs and market demand
  • Monitors the G4S’ SIU Investigation Consulting Program in the Western Region to successfully bring together adjusters and expert investigators to provide guidance to clients regarding fraud mitigation strategies and the business impact of current and future trends and schemes
  • More than nine years of experience working in the insurance investigations industry as an SIU investigator, SIU director and currently as a regional assistant vice president and is a pivotal member of the Corporate Management Team of G4S
  • Prior to G4S, she obtained more than 13 years of experience in the law enforcement industry as a correctional officer, police officer, police detective and police sergeant
  • Has held a Certified Fraud Examiner (CFE) designation since 2010
  • Member of the Northern California Fraud Investigator’s Association (NCFIA) and Southern California Fraud Investigator’s Association (SCFIA)
  • B.A. degree, University of California, Santa Cruz
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Product ID: 397957
Published 2017
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