How does the Ohio BWC catch people committing workers’ comp fraud?

how the BWC stops workers' comp fraud

Let’s be clear: workers' comp fraud hurts everybody. When a worker collects compensation illegally, the cost of the scam eventually trickles down to employers, workers still on the job, and, ultimately, consumers.

It's estimated that over $7 billion—that’s billion with a “b”—is paid out annually on fraudulent grounds nationwide.
 

With such losses, the Ohio Bureau of Workers' Compensation (BWC) will make every effort to catch these fraudsters.

However, sometimes the methods of the Special Investigations Department (SID) are a little too far-reaching, and innocent people are accused.

Special Investigations Department Methods

Workers’ comp fraud can involve employers, healthcare providers, and workers. The BWC assigns investigators to each area but relies heavily on reports from employers, co-workers, neighbors, and even family members to catch employees committing fraud. Often, these reports are anonymous tips called to the SID or submitted on its website.

When the SID receives a report about a suspicious worker, it may investigate by:

  • Following the worker to catch him on another job, hitting the gym, or engaging in some activity that “proves” he’s not disabled. This may even involve taking video or photos of the target.
  • Talking to neighbors, employers, or other people familiar with the accused to locate eyewitnesses to the alleged fraud.
  • Interviewing the employee to get him or her to admit to something illegal. The investigators’ line of questioning can be extremely manipulative and confusing.

Don’t get me wrong. If people are collecting workers’ comp on fraudulent grounds, they should be stopped. However, the reliance on anonymous tips and the sometimes enthusiastic efforts of the SID can mean innocent people get accused.

Don’t Talk to a BWC Investigator

If you were accused of defrauding the BWC and are innocent, contact me before talking to an investigator. It’s far too easy to fall victim to the SID’s aggressive tactics and not only lose the benefits you need and deserve—but also face a criminal conviction.

To learn more about workers’ comp in Ohio, request a free digital copy of my book, The Worker’s Guide to Injury Compensation in Ohio, and call me for a consultation about your case.

 

James Monast
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Fighting for Ohio’s Injured Workers and their Families