Fighting Fraud
Some Advertise It. We Do It.
Free downloads
- Sample company fraud policy
- Fraud-fighting tips
- Fraud StoppersSM 8.5"x11" posters in English and Spanish
Order LARGE (11"x17") Fraud StoppersSM posters through our safety resource center.
Workers' Compensation Fraud Hurts All Texans
The majority of workers' comp claims filed in Texas and other states stem from real instances of on-the-job injuries. Unfortunately, the people who cheat the system drive up costs for employers, consumers and insurers.
As a corporate executive once noted, if workers' comp fraud were a legitimate business in the United States, it would rank among the
Fortune 500 companies. Indeed, according to the National Insurance Crime Bureau, workers' comp fraud totals $7.2 billion a year—more than Yahoo! Inc.'s revenue in 2007. The Texas Department of Insurance notes that insurance fraud is the second most profitable crime after drug trafficking.
That's why Texas Mutual employs three teams of full-time investigators to protect your premium dollars. From 2005 through 2007, we discovered or headed off more than $40 million in workers' comp fraud committed by employees, employers, health care providers and others. Those figures represent just three years of battles in the ongoing fight against fraud.
Some insurance carriers write off workers' comp fraud as merely one cost of doing business. Texas Mutual, on the other hand, takes workers' comp fraud seriously—and so should you.
We're in this for the long haul.
Russell R. Oliver
President
| Case Activity | 2006 | 2007 | 2008 |
| Claimant referrals to SID | 1,531 | 1,473 | 1,544 |
| Claimant fraud convictions | 8 | 13 | 9 |
| Claimant fraud discovered | 213 | 224 | 203 |
| Claimant fraud $ discovered | $445,029 | $462,611 | $467,435 |
| Estimated future savings from claimant fraud discovered | $3,878,865 | $4,224,191 | $2,185,170 |
| Health care fraud (criminal cases) | 6 | 6 | 6 |
| Indictments for health care fraud | 3 | 0 | 0 |
| Convictions for health care fraud | 4 | 1 | 2 |
| Premium fraud discovered (million) | $6.9 | $8.0 | $9.3 |
| Premium fraud indictments | 3 | 5 | 2 |
| Premium fraud convictions | 4 | 3 | 2 |