A three-pronged approach harnesses the potential of big data to identify discrepancies within the business workflow enabling workers' comp adjusters to appropriately focus their attention and efforts.
The courts have continued to allow exceptions to exclusive remedy and expanded causation standards. Statutory reforms have also resulted in classifications of employees and work conditions that are excluded from workers compensation.
Equipped with the right information independent insurance agents can play a valuable role in identifying and preventing workers compensation insurance fraud.
Workers compensation fraud has been a particularly troublesome area for the industry, costing insurers and employers about $6 billion a year, according to the Coalition Against Insurance Fraud.