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.
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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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Credit
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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
This course was last revised on August 24, 2021.
Call 1-866-352-9540 for further credit information.
- CA MCLE 1.5
- Lorman Education Services is a State Bar of California approved MCLE sponsor and this course qualifies for 1.5 CLE hours of participatory credit.
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.
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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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.
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