Toolbox - Fraud

Fraud can happen at any stage of the claim process. Potential warning signs include:

  • Claims reported first thing in the morning (especially Mondays) or just after lunch
  • Claims in which the story details surrounding the injury change over time
  • A medical bill that reflects services not provided
  • An injured employee rumored to be working at another job
  • An injury sustained in a highly populated work area with no witnesses

How to Report

If you suspect fraudulent activity, or have information regarding a fraudulent claim, contact one of the following:

California Department of Insurance Fraud Hotline

Colorado Fraud Reporting

Oregon Fraud Reporting

  • To report alleged fraud or system abuse, contact the Benefit Consultation Team at (800) 452-0288

National Insurance Crime Bureau

  • Text “FRAUD” and your tip to TIP411 (847411) or
  • Call 800-TEL-NICB (800-835-6422) or
  • Submit a form on NICB.org.

Your tip can be anonymous.

Fraud Materials