Recent estimates state that fraudulent or exaggerated workers' compensation claims account for a whopping 25% of the total money spent on workers’ compensation!
So...are you sure that workers' comp fraud is not happening to your organization?
Knowing the common signs of a fraudulent claim can make the difference between a denied claim and an unnecessary six figure settlement, and though we want to be trustful, fraud and misrepresentation become more prevalent everyday - and knowing what to look for is your best defense.
Sometimes the tell-tale signs of a fraudulent claim are apparent right away; other times they don't develop until the claim is already in progress, but either way, you need to know what to do to protect your organization. Learning Objectives:
This training session will help you learn:
About Your Speaker
- The red flags of what could be fraudulent behavior
- What to do when you suspect someone is committing fraud or a misrepresentation
- What rules - including HIPAA - inhibit your ability to address fraud
- When I can deny a claim based upon fraud
- When I can criminally prosecute someone for committing a fraud or misrepresentation
Philip Augustine is a Shareholder with the law firm of Langston, Hess, Augustine, Hussey, Greenhill & Moyles, P.A. Mr. Augustine has practiced solely in the area of workers' compensation defense for the past 17 years. He is Board Certified as a specialist in the field of workers' compensation law.
Mr. Augustine represents a vast array of nationwide clients throughout the State of Florida. He provides multiple courses in workers' compensation to both employers and claims handling entities through out the country.
Mr. Augustine is currently Chairman of the Florida Bar Workers' Compensation Board Certification committee and Vice-Chairman of the Workers' Compensatoin Rules Advisory Committee, as well as a member of the Executive Council of the Workers' Compensation Section of the Florida Bar.PHR / SPHR Re-Certification Credits!
This audio conference is approved for 1.5 hours of HRCI credit. The use of this seal is not an endorsement by HR Certification Institute of the quality of the program. It means that this program has met HR Certification Institute's criteria to be pre-approved for re-certification credit.