Fighting fraud

Our internal fraud department works hard to protect you and your injured workers from those who take advantage of the system. Each year we investigate around 1,500 cases, and in 2017, we identified more than $6 million in fraud. 

Recent fraud news

Fraud-fighting statistics

  Case Activity 2015 2016 2017
Claimant referrals to SID 1,649 1,698 1,786
Claimant fraud convictions 8 11 4
Claimant fraud identified 199 155 175
Claimant fraud $ identified $710,116 $963,169 $779,824
Estimated future savings from claimant fraud identified $3,556,622 $4,663,622 $4,781,405
Health care fraud (criminal cases) 3 2 3
Indictments for health care fraud 0 0 4
Convictions for health care fraud 1 2 0
Health care fraud and abuse prevented $1,048,031 $1,681,882 $1,045,609
Health care fraud restitution collected (criminal) $6,512,022 $58,537 $10,990
Premium fraud identified $3,115,033 $2,484,261 $4,565,506
Premium fraud indictments 1 4 1
Premium fraud convictions 3 1 1