Melbourne WorkCover Fraud Investigators
Melbourne WorkCover investigator, Melbourne WorkCover fraud investigator, Melbourne Workers Compensation fraud investigators service; for a private investigation phone 1300 966 103, TEXT ONLY to 0427 703 120, email us at [email protected], or for 24/7 inquiries use our Contact Us form, free quotes. Ex-police and experienced private investigators.
Workcover fraud is receiving Workers Compensation payments by deception; that is the dishonest employee stealing by deception, costing the employer in claims history, in a subsequent civil claim, in costs associated with the claim. The insurance provider passes their costs onto the employer, over years; this is added to the direct cost to the employer of a lost employee, requiring a replacement employee, their induction, and possible training. This places pressure on the employer, the business, to investigate where fraud is suspected.
Using a licensed private investigator is legal. We are used to confirm or deny a suspicion, to gather evidence, to protect the employer, the business. We are an experienced, discreet, Melbourne WorkCover investigator, Melbourne WorkCover fraud investigator, Melbourne private investigator, private investigations and surveillance service; we are part of a national network of licensed investigators, who investigate Workers Compensation fraud.
Employers require Worksafe Victoria WorkCover Insurance, unless they are exempt. We investigate suspected WorkCover fraud, where the insurer will not engage. We gather evidence of WorkCover fraud, Workers Compensation fraud, to protect the business, and encourage the insurer to engage.
A private investigation is undertaken for the self insured, the privately insured, those that went through an insurance broker, or those under the Government scheme. In each case there are times when the employer requires a private investigation to establish that Workers Compensation fraud is occurring, that their suspicions are justified, that they hold a reasonable suspicion of fraud, supported by evidence.
A private investigator is permitted to gather private information about a person, and to conduct private investigator surveillance, to gather evidence. We need to know what the claimed restrictions are, we need to know any habits of the claimant the employer is aware of, any particular skills (e.g. qualified boilermaker, crane operator, computer programmer), and any information to hand indicating that there may be fraud.
Indications of fraud may be as simply as the person has been off work for six months, and not improving, they claimed a sprained ankle, went of Workcover, and never came back. It may be that news has come to hand that they have started their own business. It may be that they are working elsewhere.
One of the more common problems now, for the self insured, is worker mobility. Someone may live in Melbourne, be on Workers Compensation from a FIFO job in WA, and now be working on a job in Qld. We have seen this.
Victoria has specific rules, with regards the surveillance of workers. We do need to know when a worker is on return to work activities, or if they are not engaging. We do need to know if they are receiving ongoing medical assistance, or any other behaviours. We especially need to know what restrictions they are claiming. We are very experienced in investigating insurance claim fraud suspicions.
As markets tighten, and people start seeing themselves at risk of losing employment, you will see more claims. People will claim as a contract finishes, as their hours are reduced, when they are given a warning for poor performance, or when other stresses in their life are reflected in workplace behaviours. It is better to sit at home for 6 months on Workers Comp., than on unemployment benefits, whilst you find another job, or get retrained.
It is an anomaly of the system, where, once a claim is accepted, the focus is the claimant, not the person paying the insurance. There are times where the injured employee appears less than honest, that they are rorting the system. These are the matter where a Melbourne WorkCover investigator, Melbourne WorkCover fraud investigator, Melbourne private investigator, is utilised for Melbourne Workers Compensation insurance investigations. Call us to investigate your concerns.