Alleged injury occurred on Monday morning or late Friday (reported Monday, recreational injury etc.)
Substantial delay in reporting the incident.
Alleged injury unwitnessed or occurred in location other than employee's usual work location.
Accident occurs just prior to strike, job termination, lay off or end of seasonal work. Employees aware of proposed plant shut down.
Employee generally dissatisfied with job, recently reprimanded, poor performance, tardiness, etc.
Co-workers or rumors indicated incident not legitimate or did not occur as reported.
Employees that protest too much about their inability to return to work and never seem to improve.
Previous work comp claim, recent purchase of disability policy, other family member on comp, social security, etc.
The injured worker appears to be taking more time off from work than the injury suggests.
Employee was terminated before First Notice of Injury.
The injured worker is unusually familiar with Worker's Compensation rules, laws and procedures.
Claimant and/or spouse have a business on the side.
The injured worker is rarely home when called, message taker is vague and non-committal. |
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The Index Bureau indicates prior claims .
Multiple or soft tissue injuries (often these allegations are made after termination or layoff).
Employee had immigration problems or was the subject of an immigration department action.
Several employees from the same employer are using the same attorney and/or doctors , similar injuries being reported.
The employee's medical clinic provides the First Notice of Injury and lists the attorney's name at the bottom of the form.
"Rubber Stamped" medical reports appear to be photocopies with the same information typed in (Employer, injury description, etc. Same type style or word-processed forms).
Employees that are athletically inclined or have hobbies requiring good physical condition.
Injuries are of a subjective nature with no credible objective findings.
The injured worker does not show up for an IME, cancels appointments, or is generally uncooperative.
Injured worker is new employee , is nomadic with history of short-term employment.
Review of rehab. report not consistent with claimant's reported limitations (muscular, callused hands with grease under fingernails, etc.) |