WorkCover Investigation by a Private Investigator
A WorkCover investigation, a Workers Compensation claim investigation, a WorkCover insurance claim investigation, is generally divided into WorkCover surveillance, a factual investigation, or a background check, a licensed private investigator is utilised to investigate. We are experienced, phone 1300 966 103, for a free quote.
WorkCover investigations, Workers Compensation investigations, insurance investigations, are undertaken where fraud is suspected, and evidence is required for a court case, where an incident has occurred and there is a requirement to document the memories (written evidence as affidavits), cause a physical examination of items, record an incident scene, or where Workers Compensation claim exposure is large, as part of the due diligence. Suspicion may arise at the start, during the course of recovery where expected improvements fail to materialise, or as a result of information received. It can also be that a claim is lodged, of which the employer was not aware. Not all claims are fraudulent, but those that are a cost to the business.
There are three components, costs, associated with a WorkCover claim, a Workers Compensation claim. The first is the short term cost related to the injury, and time off work, which can be further divided into lost productivity for the workplace, and the actual income support for the worker. Second is the cost of investigation, documentation, and replacing the injured worker. The third arm is the long term cost of any civil claim associated with the WorkCover claim. The third arm may not become apparent until years after the event. There may be other issues such as a Department investigation, a Union action, or damaged equipment or product. These costs impact the profit margin, and the cost of insurance, for years to come.
The WorkCover private investigator role is as an investigator, an observer, and a recorder of evidence, for later production to a court. Where something isn't right a WorkCover fraud investigation, an employee investigation, to investigate a worker and their claim, by a private investigator, may be warranted.
Workers Compensation surveillance, WorkCover surveillance, is generally undertaken to compare claimed restrictions with the real world restrictions displayed by the claimant. The evidence, in the form of a surveillance journal and supporting stills or video evidence, can be used for negotiation, to prompt action by the Department, or for a future court case, where the degree of disability of the claimant is argued.
A factual investigation is about locating witnesses, conducting interviews, taking affidavits, and preparing briefs. It is best to record affidavits relatively soon after the event, when memories are fresh. This cannot, or does not, always happen, especially where an employer is blind sided by a claim, not realising the intent of the claimant. For some the claim will continue, despite Workers Compensation Insurance, or WorkCover, declining to accept their claim. Where a claim is accepted the focus of the insurer becomes the injured party, and their return to work, not the insurer. This is why a Workers Compensation private investigator, a Workers Comp investigator, is used. Factual investigations, good documentation, and procedures, assist in avoiding excessive exposure.
There are many indicators of fraud in this area, Workers Compensation fraud. It may be an employee who is aware that the contract is coming to an end, or that their role is being reviewed, that decides to claim for something that is illogical, or you are aware is highly probably an exaggeration. Some workplaces have a culture of claiming, especially by seasonal workers, or contract workers. It may be the person who has made a claim, but word comes back about them starting their own business, or doing cash jobs. There are classic cases like a person claiming disability who traveled the world, competing in surfing events, whilst on Workcover, Workers Compensation, Comcare. There are many other examples.
There are times when you become aware of a history that was not revealed when a person gained employment, and an Australian background check is required. We can assist with this. We are experienced in WorkCover mental injury surveillance. We investigate for you.
Our services are used by both the self insured and the government insured. If you believe there is a scam, a fraud, need to confirm a claim, or investigate an incident, call us for a free quote. We are experienced in WorkCover investigations, Workers Compensation investigation, private investigations.