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We're protected by WORKERS' COMPENSATION Follow safety rules and you'll be protected from injury. But if you are injured at work, you're protected by benefits. PREVENT THE ABUSE OF WORKERS' COMPENSATION CLAIMS We Help Employers Fight Fraud If you suspect a claim is fraudulent, or that it abuses the system, work with your insurance carrier to prepare evidence of the alleged fraud. Then Report the case to: Workers' Compensation Fraud Unit 201 E. Washington Avenue P.O. Box 7901 Madison, WI 53707-7901 For quick help, call the Fraud Hotline: (608) 261-8486 What We Can Do to Help The Workers' Compensation Division is authorized by Wisconsin Statute 102.125 to work with employers and insurers to report, investigate, and prosecute allegations of Workers' Compensation fraud. Here's what we do: o Work with you and your insurance carrier to determine if there is enough evidence to take the case to court. o Refer the case to the local District Attorney's Office for prosecution if there is sufficient evidence of fraud. Cooperation from the Justice Department and District Attorneys has been excellent. They will prosecute! PROVE IT! Conviction of a fraudulent claim requires proof beyond a reasonable doubt of an intentional misrepresentation to secure benefits. Only the best - documented cases succeed. Prevention Is the Best Defense A well -designed loss control program and the serious threat of legal action are very effective deterrents to abusive claims. Fraud Prevention Tips 1. Develop a first-class safety program. Claims are less likely to mushroom if injuries are prevented and employees feel that management is genuinely concerned about their safety. You can do that by establishing and practicing clear and comprehensive safety policies. 2. Establish strong accident investigation procedures. Injured employees and witnesses should be interviewed in person about the accident as soon as possible. Document all statements. Get a signed statement from the claimant. 3. Send the Supervisor with the injured worker to the medical provider. Show concern for getting first-class medical evaluations and treatments. 4. Establish procedures for a clear understanding of essential information. Make sure the treating physician understands the nature of the job. Make sure the supervisor understands return -to - work limitations. 5. Make sure employees understand that false claims can be punished by termination and criminal prosecution. o You don't need a lawyer to get benefits o You won't get in trouble for reporting an injury or making a truthful claim. Report injuries to your supervisor immediately. o Your supervisor will help you start your claim. o Don't make a Workers' Compensation claim unless it's legitimate. You risk jail, a fine or job loss. Call the Fraud Hotline if you know about a false claim, (608) 261-8486. Or you can reach the Fraud Unit on the World Wide Web at http://www.dwd.state.wi.us/wc. Save everyone the added insurance costs and a possible reduction in wage increases. Fraud hurts us all. The Department of Workforce Development does not discriminate on the basis of disability in the provision of services or in employment. If you need this printed material interpreted or in a different form, or if you need assistance in using this servic Deaf and hearing or speech impaired callers may reach the Fraud Unit through the Wisconsin TRS. WKC-10 µop Risk Mwag merdDMsian REVIEWED & APPROVED BY. - Form WC 66 02 72 Printed in U.S.A. Z v --� Risk Pjanagement Analyst