April 21, 2025
Fraud awareness posters now available in Spanish
Workers’ compensation fraud hurts employers and the insurance system by raising costs over time. At Texas Mutual, we have a zero-tolerance approach and are committed to protecting businesses from the cost of fraud. Our fraud team investigates all signs of fraud and abuse and works hard to stop bad actors from taking advantage of the system.
As an employer, you can help us take a proactive approach to identifying fraud by educating your management team and employees on common red flags. In fact, increasing awareness could result not only in an earlier detection of fraud, but also reduced claim costs. To keep common signs top of mind, we created new fraud awareness posters last year with information on recognizing and reporting three types of workers’ compensation fraud. We’re happy to announce that each poster is now also available in Spanish to help reach a broader audience.
These posters are available here as PDFs, so they can easily be downloaded, shared and printed. If you are a Texas Mutual policyholder and you’d like 11 x 17 posters mailed to your workplace, email fraudstoppers@texasmutual.com with the type, quantity and preferred language.
Claimant fraud (fraude del reclamante)
Claimant fraud involves an employee who is receiving workers’ compensation benefits for an injury or illness. Fraud happens when an employee fakes or exaggerates an injury, collects income replacement benefits for an injury that was not work-related or continues to collect benefits after returning to work.
Download the claimant fraud poster in English (PDF 183 KB) and Spanish (PDF 738KB).
Health care provider fraud (fraude en la atención médica)
Health care provider fraud can occur when medical offices use unlicensed providers, overbill Texas Mutual for services, bill us incorrectly or provide unnecessary treatments, supplies or tests. Other providers in the workers’ compensation system, such as claimant attorneys and pharmacies can also overbill for services or make unsolicited calls to injured employees.
Download the health care fraud poster in English (PDF 158 KB) and Spanish (PDF 676KB).
Premium fraud (fraude de primas)
Premium fraud can be initiated by policyholders or agents when they intentionally provide misleading or false information when applying for a businesses’ workers’ compensation policy, within the policy period or during a final audit. Fraud is committed when they underreport payroll, misrepresent the type of employees or work performed or create a new company to improve its safety record.
Download the premium fraud poster in English (PDF 187 KB) and Spanish (PDF 854 KB).
Fight back against workers’ compensation fraud in your business by reporting any signs to Texas Mutual. We’re grateful for your partnership and are here to help you protect your business. To report suspected fraud, you can notify your adjuster or contact our fraud team directly at fraudstoppers@texasmutual.com or (800) 488-4488.