Workers' Comp Workers' Comp

How to Report Fraud

If you suspect fraud in the workplace, contact the NICB (National Insurance Crime Bureau) Hotline. You may remain anonymous.

NICB Fraud Hotline 800.835.6422

You may also contact our Fraud Unit.

 

Our Special Investigations Unit

How ICW Fights Fraud

What Information to Report to Your Carrier

Indicators of Workers' Compensation Fraud

 

Our Special Investigations Unit (SIU)

Our SIU employs professionals who are licensed private investigators with insurance claims experience. The SIU function is not hired out to vendors. Our goal is to help prevent, detect and deter white-collar crime.

Our anti-fraud services include applicant, premium fraud, medical and legal fraud investigations.
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How ICW Fights Fraud

We actively fight fraud by:

  • Training our employees on the red flag indicators.
  • Partnering with professional investigative vendors who assist us in the investigation of suspect claims.
  • Providing "Outreach Programs" to employers to train them on red flag indicators and on the steps involved in the initial investigation of the claim.
  • Investigating cases and reporting, if fraud is suspected, to the Department of Insurance Fraud Division and local District Attorney offices.
  • Partnering with anti-fraud vendors who track insurance claims history.
  • Having our Safety Services Department inspect and make appropriate recommendations for a safe working environment.
  • Maintaining working relationships with local law enforcement agencies to fight insurance fraud.
  • Employing defense attorneys for discovery purposes to establish evidence and obtain statements from the injured workers.
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What Information to Report to ICW Group

If you suspect fraud, report the following information immediately. (See also the Indicators of Workers' Compensation Fraud):

  • If applicable, your Policy number, employee's name and claim number.
  • Your contact number.
  • Reason for suspecting fraud.
  • Employees / others who witnessed the injured parties activities away from work.
  • List of witnesses who were working in the area or who may have seen the injury.
  • Identification of any equipment that may have malfunctioned causing the employee's injury.
  • Any information concerning an employer who is paying cash to the employees, sending injured workers to the employer's doctor and not advising the carrier, and any information of the employer trying to avoid the proper classification of the employees jobs.
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