To protect injured workers’ benefits and keep employer premiums down,
BWC is aggressively attacking fraud. The special investigations department
investigates allegations of fraud committed against the state insurance fund.
Many fraud cases start with tips or allegations from concerned citizens, injured workers,
employers and other witnesses who report activity that may be an abuse of the workers’
compensation system.
Special investigations seeks to identify and recover funds obtained illegally by injured workers,
employers, health-care providers or attorneys in cases such as these:
Individuals who collect BWC temporary total or permanent total
compensation benefits while working;
False information supplied to BWC for financial or other gain. This
includes injured workers submitting falsified or altered documents and
employers misreporting or under-reporting payroll;
Improper billing for medical services. This includes billing more than
once for a particular service, billing by unlicensed personnel and
billing for services not rendered.
