White Paper

Workers Compensation Fraud Indicators

 
It is important to remember that indicators listed here are merely possible “red flags,” not actual evidence of fraud. Even the presence of several indicators, while suggestive of possible fraud, does not mean that fraud has definitely been committed. When you have several of these indicators present or a pattern begins to emerge, you should consult with your G4S Compliance & Investigation representative.

Faculty

Brett Douglas, CFE, CIFI

Brett Douglas, CFE, CIFI

G4S Compliance & Investigations

Agenda

Faculty

Brett Douglas, CFE, CIFI

Brett Douglas, CFE, CIFI

G4S Compliance & Investigations

  • Senior vice president of the Special Investigations Unit (SIU) and the Northeast Region, serves as a pivotal member of the global management team at G4S
  • Responsible for leading the Northeast Region and SIU Division while fostering close working relationships with operations and sales and to ensure G4S solutions are aligned with client needs and market demand
  • Established G4S’ Investigation Consulting Program 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 which have resulted in more than255 Arrests, 165 Convictions and over $4.1 million in criminal restitution
  • Responsible for the implementation and oversight of national SIU programs with more than $40M in revenue annually
  • Under his leadership and direction G4S’ SIU team has received numerous accolades for proactive fraud fighting
  • Led the effort to develop the company’s breakthrough Absence Management/Leave of Absence Investigation Program that is redefining the FMLA investigation marketplace
  • Accredited instructor, author and speaker in the arena of special investigations and anti-fraud awareness
  • Prior to G4S Douglas had 20 years of experience in the investigations industry, spanning operations, consulting and sales across North America
  • Holds the following designations: Certified Fraud Examiner (CFE) – Association of Certified Fraud Examiners, Certified Insurance Fraud Investigator (CIFI) – IASIU, Northern California Fraud Investigator’s Association (NCFIA), California Licensed Private Investigator, Association of Insurance Compliance Professionals
  • B.S. degree, California State University, Sacramento

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