Workers' Compensation Fraud: Red Flags, Conducting Investigations, Defense Strategy, Best Practices for Prevention
A live 90-minute CLE video webinar with interactive Q&A
This CLE webinar will provide a comprehensive overview of workers' compensation (WC) fraud and the impact it has on businesses. The panel will examine who commits WC fraud and what to look for as signs of fraud. For counsel representing employers and insurance companies, the panel will address how to investigate potential WC fraud and what needs to be demonstrated to make a fraud claim. The panel will also discuss how to defend a party against a fraud claim.
Outline
- Introduction
- Parties who commit WC fraud
- Types of WC fraud
- Impact of WC fraud on businesses
- Conducting WC fraud investigations
- Red flags in a WC claim
- Methods for detecting fraud
- Proving a claim is fraudulent
- Defending WC fraud claims
- Penalties for committing WC fraud
- Best practices for preventing WC fraud
- Practitioner takeaways
Benefits
The panel will review these and other key considerations:
- Who commits WC fraud?
- What activities constitute WC fraud? What are red flags that signify fraud may be occurring?
- What are best practices for conducting a WC fraud investigation?
- What must be demonstrated to make a WC fraud claim?
- What are the potential penalties for committing WC fraud?
Faculty
James K. MacAlister
Attorney
Cohen, Snyder, Eisenberg & Katzenberg
Mr. MacAlister has represented workers injured on the job or those who suffer occupational diseases since 1990. He... | Read More
Mr. MacAlister has represented workers injured on the job or those who suffer occupational diseases since 1990. He also represented personal injury plaintiffs, including people hurt in car accidents or as a result of injuries that occurred on another’s property. Mr. MacAlister is admitted to practice before Maryland’s state and Federal Courts. He is a trial lawyer who handles hearings at the Maryland Workers’ Compensation Commission, and jury trials of appeals taken from Commission decisions. He also tries District Court trials and Circuit Court jury trials for clients injured by the negligence of others. Lastly, he has handled appeals in all of Maryland’s appellate Courts, including the Supreme Court, and the U.S. Court of Appeals for the Fourth Circuit.
CloseMatthew J. Troy
Partner
Conroy Simberg
Mr. Troy represents employers, carriers, TPAs, uninsured employers, PEOs and self-insured funds in all types of... | Read More
Mr. Troy represents employers, carriers, TPAs, uninsured employers, PEOs and self-insured funds in all types of workers’ compensation cases including permanent total disability, catastrophic injuries, toxic exposure, heart and lung bill presumption cases, drug test denials and PEO coverage. He is a frequent presenter on workers’ compensation legal issues.
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