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California Workers' Compensation Fraud Attorneys
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Have You Been Accused of Workers’ Compensation Fraud in California?
Goldberg & Loren specialize in defending individuals like you who have been accused of workers’ comp fraud. With years of experience and a deep understanding of the California legal system, our team is dedicated to protecting your rights and ensuring you receive a fair defense.
Contact Goldberg & Loren today to schedule a consultation and begin building your defense against workers’ compensation fraud allegations. Don’t wait; your reputation is at stake.
What is Workers' Compensation Fraud?
Workers’ compensation fraud refers to the deceptive actions taken by individuals or businesses to obtain undeserved benefits from the workers’ compensation system. This type of fraud can occur in various forms and involves different parties, including injured workers, employers, medical providers, insurance companies, and even organized fraud rings.
The fraudulent activities associated with workers’ compensation fraud can range from making false statements about a job-related injury to billing for services never received or exaggerating the severity of the injury.
The objective behind these fraudulent actions is often to secure compensation benefits, such as medical treatment, disability payments, or insurance coverage, to which the individual or entity is not legally entitled.
Workers’ compensation fraud not only impacts the injured worker who may be participating in the fraudulent behavior but also has financial repercussions on insurance companies and employers.
Insurance companies face increased costs due to fraudulent claims, and these costs are eventually transferred to the businesses through higher insurance premiums.
Being Accused of Workers Comp Fraud?
When accused of workers’ comp fraud, the first step is to secure legal representation from our experienced attorneys specializing in workers’ compensation defense. We will guide you throughout the process and protect your rights, ensuring you receive a fair and just outcome.
Take the accusations seriously and cooperate fully with any investigation. This means providing accurate and detailed information, as well as any relevant documents that can support your case. Building a strong defense strategy will require gathering evidence, identifying witnesses, and preparing to challenge any claims made against you.
Being accused of workers’ comp fraud does not automatically make you guilty. The burden of proof lies with the accuser, and they must present compelling evidence that supports their allegations. Our attorneys will work vigorously to challenge their claims, scrutinize their evidence, and uncover any inconsistencies or wrongful accusations that may arise.
Workers’ compensation premium fraud costs the U.S. $25 billion a year, reveals a new report by Coalition Against Insurance Fraud. [1]
Types of Workers Comp Fraud
Employee Fraud:
- Falsifying or exaggerating an injury: One common type of workers' comp fraud is committed by employees exaggerating the severity of a job-related injury or deliberately fabricating an injury altogether. This can involve providing false medical records, exaggerating symptoms, or even pretending to be injured when there is no actual injury.
- Claiming a non-work-related injury as work-related: Another form of employee fraud is when an employee claims a non-work-related injury as a work-related injury to receive workers' compensation benefits. This might be misrepresenting the cause of the injury or presenting misleading evidence to support the claim.
- Working while receiving benefits: Some employees fraudulently receive workers' compensation benefits while still working. This can involve unreported employment or working under the table, which allows them to receive income from both sources.
Employer Fraud:
- Underreporting employee injuries: Employers may engage in workers' comp fraud by underreporting employee injuries or failing to report them altogether. By doing this, they can avoid paying compensation benefits and reduce their overall insurance premium costs.
- Misclassifying workers: Employers may misclassify their workers as independent contractors rather than employees to avoid providing workers' compensation coverage. This allows them to shift the responsibility onto the workers themselves and avoid their legal obligations to provide compensation benefits.
- Payroll fraud: Some employers engage in payroll fraud by underreporting the number of employees or misrepresenting their job duties to manipulate workers' compensation insurance premium calculations. This fraudulent activity aims to reduce insurance premiums by underestimating the number and risk level of their employees.
Others:
- Healthcare Providers: Healthcare providers may be involved in fraudulent activities by exaggerating the severity of an injury, providing unnecessary medical treatment, or submitting false billing information to receive higher reimbursement from insurance companies.
- Claims Adjusters: Although rare, there have been instances where claims adjusters, who are responsible for evaluating and processing workers' compensation claims, have been involved in fraudulent activities. This can include manipulating claim information, wrongfully denying valid claims, or inflating claim settlements for personal gain.
Workers' Compensation Lawyers at Goldberg & Loren
If you have been involved in a workers’ compensation fraud case, seek legal assistance from our experienced professionals, who will guide you through the legal process. Goldberg & Loren is a trusted law firm specializing in workers’ compensation cases in California.
Goldberg & Loren has a team of dedicated attorneys who are well-versed in California’s workers’ compensation laws and have a proven track record of successful outcomes.
Have you been accused of workers' compensation fraud in California?
If you’re facing workers’ compensation fraud charges, you need a skilled and dedicated legal team on your side. Goldberg & Loren have a proven track record of successfully defending clients in similar cases and will work tirelessly to protect your reputation and future.
Contact us today to schedule a consultation and start building a strong defense against your workers’ compensation fraud charges.
Source
[1] Smith, K. (2023, March 28). JIFA: The Costly Crime and Impact of Workers’ Comp Premium Fraud – InsuranceFraud.org. InsuranceFraud.org. https://insurancefraud.org/publications/jifa-the-costly-crime-and-impact-of-workers-comp-premium-fraud/
If you're facing accusations of workers' compensation fraud in California, our team of skilled lawyers is available to provide assistance. Feel free to contact us today for the answers you need.
We Represent Clients Accused of Workers' Compensation Fraud all over California, Including the Following Cities and Communities.
- Los Angeles, CA
- San Diego, CA
- San Jose, CA
- San Francisco, CA
- Fresno, CA
- Sacramento, CA
- Long Beach, CA
- Oakland, CA
- Bakersfield, CA
- Anaheim, CA
- Stockton, CA
- Riverside, CA
- Irvine, CA
- Santa Ana, CA
- Chula Vista, CA
- Fremont, CA
- Santa Clarita, CA
- San Bernardino, CA
- Modesto, CA
- Fontana, CA
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