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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 34 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 34 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, 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/maintaining-fields-of-study.aspx.
     
  • AK CLE 1.5
     
  • Alaska attorneys may receive 1.5 hours of continuing legal education for completing this program. Please contact the Alaska Bar Association or go to www.alaskabar.org for details regarding reciprocity with other states.
     
  • AL CLE 1.5
     
  • This course or a portion thereof has been approved by the Alabama State Mandatory Continuing Legal Education Commission for a maximum of 1.5 hours credit.
     
  • AR CLE 1.5
     
  • This course has been approved for 1.5 hours of CLE by the Arkansas CLE Board.
     
  • Arizona CLE 1.5
     
  • The Arizona State Bar does not pre-approve or pre-certify MCLE programs. However, records of this program and attendance will be maintained by Lorman Education Services for auditing purposes. This activity may qualify for up to 1.5 hours toward your annual CLE requirement for the State Bar of Arizona.
     
  • 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.
     
  • CT CLE 1.0
     
  • Neither the Connecticut Judicial Branch nor the Commission on Minimum Continuing Legal Education approve or accredit CLE providers or activities. This course has been approved for CLE credit in jurisdictions aside from CT and therefore it automatically meets the content and delivery requirements in Connecticut. Credit is based on a 60 minute credit hour and shall be awarded as follows: 1.0 CLE credit(s).
     
  • HI CLE 1.25
     
  • This program was approved by the Hawaii State Board of Continuing Legal Education for 1.25 CLE credit hours.
     
  • IL CLE 1.25
     
  • This course was approved for a total of 1.25 hours of MCLE Credit by the Illinois MCLE Board.
     
  • ND CLE 1.5
     
  • North Dakota CLE policy does not allow for pre-approval of any self-study courses. This course may qualify for up to 1.5 hours of CLE credit.
     
  • NH MCLE 1.5
     
  • NH MCLE does not approve or accredit CLE activities for the NH Minimum CLE requirement. Lorman Education Services believes this Ondemand course meets the requirement of NH Supreme Court Rule 53 and may qualify for CLE credit(s). Program Length: 88 Minutes.
     
  • NJ CLE 1.8
     
  • This program has been approved by the Board on Continuing Legal Education of the Supreme Court of New Jersey for 1.8 hours of total CLE credit.
     
  • PA CLE 1.0
     
  • This Distance Learning program has been approved by the Pennsylvania Continuing Legal Education Board for 1.0 hours of substantive law, practice and procedure CLE credit.
     
  • RI CLE 1.5
     
  • This program has been approved by the Rhode Island Mandatory Continuing Legal Education Commission for 1.5 hours of CLE credit.
     
  • VT CLE 1.5
     
  • This self-study program has been approved by the Mandatory Continuing Legal Education Board of Vermont for 1.5 hour(s) of CLE credit. Please note: Attorneys may only claim 6 credits per compliance period in this format. This course is considered "Non-Moderated Programming without Interactivity".
     
  • 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.
     
  • WI CLE 1.5
     
  • This program qualifies for 1.5 hour(s) of ondemand CLE through the WI Board of Bar Examiners.
     
  • WV MCLE 1.8
     
  • This program has been approved by the West Virginia State Bar MCLE Commission for 1.8 MCLE hours.
     
  • HR Certification Institute 1.5
     
  • This E-Learning program has been approved for 1.5 (General) recertification credit hours toward aPHR(TM), aPHRi(TM), PHR®, PHRca®, SPHR®, GPHR®, PHRi(TM) and SPHRi(TM)recertification through HR Certification Institute® (HRCI®). For more information about certification or recertification, please visit the HR Certification Institute website at www.hrci.org.
     
  • SHRM 1.25
     
  • Lorman Education Services is recognized by SHRM to offer Professional Development Credits (PDCs) for the SHRM-CPSM or SHRM-SCPSM. This program is valid for 1.25 PDC(s) for the SHRM-CP or SHRM-SCP.
     

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.

  • Those applying for AIA and HRCI must view 100% of the program and answer the questions following the program.

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

MP3 Download

  • Arizona CLE 1.5
     
  • CA MCLE 1.5
     
  • CT CLE 1.0
     
  • HI CLE 1.25
     
  • NJ CLE 1.8
     
  • VT CLE 1.5
     
  • WA CLE 1.5
     
  • WV MCLE 1.8
     
The CLE Code is ONLY a requirement when applying for CLE Credit in California (for participatory credit), Kansas, New Jersey or New York. Other states do not need to supply the CLE Code to apply for CLE credit.

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

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Why Lorman?

Over 34 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

  • Attorney with a practice concentrated on the fields of labor and employment and insurance
  • Founded The Workplace Violence Prevention Institute, an interdisciplinary think tank comprised of professionals from various fields including law enforcement, safety, risk management, business, law, human resources, medical, and other fields as well as victims of workplace violence
  • Published author who has delivered content for the Florida Bar’s Labor and Employment Section’s Newsletter, The Checkoff, BLR, Lorman Education, Claims Magazine, the National Underwriter, PLRB and the Department of Defense, The Threat Lab, Defense Personnel, and Security Research Center
  • Has been sought out by such media outlets as CNN and NPR
  • Has delivered hundreds of seminars over the years including content authorized for continuing legal education credit by the Florida Bar and SHRM
  • Her first CEU article focusing on employee safety was written in 1995 and was published by Nursing Spectrum Magazine, she was the first non-clinician to ever be published in that leading periodical
  • Her first article on workers compensation fraud was published in Claims Magazine and Property Casualty 360 in 2007
  • Currently serves as a sub-committee chair, Florida Bar Continuing Education Committee (2020-2023)
  • Prior to becoming an attorney, she was a human resources executive and consultant
  • J.D. degree, Nova Southeastern University; M.B.A. degree, Florida Atlantic University
  • Can be contacted at [email protected] and/or through the WVPI’s website www.workplaceviolencepreventioninstitute.org
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Why Lorman?

Over 34 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.

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Product ID: 408964
Published 2021
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