Uncovering Workers' Compensation Fraud

On Demand Webinar Duration 90 minutes Credits CLE, NASBA, HR Certification Institute, SHRM

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Gain the tools needed to identify the red flags of workers’ compensation fraud.

Perhaps at no other time in our nation’s history has the potential for workers compensation fraud been more prevalent than in our COVID-19 world. Like other forms of fraud, fraud in the workers compensation process is a crime. Everyone loses when workers compensation fraud occurs. Systems and processes to be proactive against fraud should be put into place at both the carrier and the insured level. Risk management should include methodologies to mitigate claims of retaliation, slander, and libel by the claimant relative to workers compensation fraud. This topic will provide a toolkit for you on how effectively mitigating the risk of and properly addressing fraud while minimizing the risk of potential associated losses by claimants.

Learning Objectives

  • You will be able to define how fraud is legally defined.
  • You will be able to describe danger zones in the fraud investigation process.
  • You will be able to discuss the concept of workers compensation retaliation.
  • You will be able to explain the dos and don’ts when investigating fraud.

Agenda

Overview: The Worker's Compensation Process
  • Brief History of Workers Compensation Laws
  • Legal Definition of Occupational Illness vs. Occupational Injury
  • Purposes Workers Compensation Fulfills
  • Exclusive Remedies Provided.
Fraud and Workers Compensation
  • Sample Legal Definitions of Fraud
  • Sample Penalties for Fraud
  • Danger Zone: Interplay Between Fraud, Slander and Libel
  • Workplace Violence Risks
Mitigation of Fraud
  • Steps to Take to Be Proactive
  • Recommended Systems to Put Into Place
  • Dos and Don'Ts When Fraud Is Suspected
  • Signs of Fraud
  • Sample Cost Effective Investigations
A New Ballgame: Workers Compensation Fraud in a COVID-19 World
  • Special Challenges the Pandemic Has Presented
  • Claims Unique to COVID-19
  • Considerations Going Forward
  • COVID-19 Fraud: A Case Study
Sufficient Evidence of Fraud Exists, Now What?
  • Going at It Alone vs. Involving Counsel
  • How to Report Fraud While Mitigating Legal Exposure (Retaliation, etc.)
  • Where to Report Fraud
  • General Guidelines After Fraud Has Been Investigated
  • Loose Lips Sink Ships: Confidentiality Is Critical
Who should attend?

This live webinar is designed for human resource managers, benefits managers, safety directors, compliance officers, insurance professionals, business owners and managers, payroll professionals, accountants, controllers and attorneys.

In Partnership with Lorman


Your Instructor


Kathleen M. Bonczyk, MBA, Esq
Kathleen M. Bonczyk, MBA, Esq
  • Attorney with a practice concentrated on the fields of labor and employment and insurance
  • Founded The Workplace Violence Prevention Institute an interdisciplinary think tank comprised of professionals from various fields Including law enforcement, safety, risk management, business, law, human resources, medical and other fields as well as victims of workplace violence
  • Published author who has delivered content including for the Florida Bar’s Labor and Employment Section’s Newsletter, The Checkoff, BLR, Lorman, Claims Magazine, the National Underwriter, PLRB and the Department of Defense, The Threat Lab, Defense Personnel and Security Research Center
  • Has been sought out by such media outlets as CNN and NPR

Has delivered hundreds of seminars over the years including content authorized for continuing legal education credit by the Florida Bar and SHRM

  • Her first CEU article focusing on employee safety was written in 1995 and was published by Nursing Spectrum Magazine, she was the first non-clinician to ever be published in that leading periodical
  • Her first article on workers compensation fraud was published in Claims Magazine and Property Casualty 360 in 2007
  • Currently serves as a sub-committee chair, Florida Bar Continuing Education Committee (2020-2023)
  • Prior to becoming an attorney, she was a human resources executive and consultant
  • J.D. degree, Nova Southeastern University; M.B.A. degree, Florida Atlantic University

Credits

MP3 Download

  • Arizona CLE 1.5
  • CA MCLE 1.5
  • CT CLE 1.5
  • HI CLE 1.5
  • ME CLE 1.5
  • NJ CLE 1.8
  • NV CLE 1.5
  • VT CLE 1.5
  • WA CLE 1.5
  • WV MCLE 1.8
The CLE Code is ONLY a requirement when applying for CLE Credit in California (for participatory credit), Kansas, New Jersey or New York. Other states do not need to supply the CLE Code to apply for CLE credit.

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

OnDemand Course

This course was last revised on July 8, 2020.

Call 1-866-352-9540 for further credit information.

  • ACFE 1.6
  • This program may qualify for 1.6 compliance or recertification CPE(s) through the Association of Certified Fraud Examiners (ACFE). Please visit the ACFE website for further clarification: https://www.acfe.com/maintaining-fields-of-study.aspx.
  • SHRM-CP/SHRM-SCP Preferred ProviderSHRM 1.25
  • Lorman Education Services is recognized by SHRM to offer Professional Development Credits (PDCs) for the SHRM-CPSM or SHRM-SCPSM. This program is valid for 1.25 PDC(s) for the SHRM-CP or SHRM-SCP.

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

Live Webinar Registration

  • AL CLE 1.5
  • This course or a portion thereof has been approved by the Alabama State Mandatory Continuing Legal Education Commission for a maximum of 1.5 hours credit.
  • AR CLE 1.5
  • This course has been approved for 1.5 hours of CLE by the Arkansas CLE Board.
  • Arizona CLE 1.5
  • The State Bar of Arizona does not approve or accredit CLE activities for the Mandatory Continuing Legal Education requirement. This activity may qualify for up to 1.5 hours toward your annual CLE requirement for the State Bar of Arizona.
  • CA MCLE 1.5
  • Lorman Business Center, LLC. is a State Bar of California approved MCLE sponsor and this course qualifies for 1.5 CLE hours of participatory credit.
  • CT CLE 1.5
  • Neither the Connecticut Judicial Branch nor the Commission on Minimum Continuing Legal Education approve or accredit CLE providers or activities. This course has been approved for CLE credit in jurisdictions aside from CT and therefore it automatically meets the content and delivery requirements in Connecticut. Credit is based on a 60 minute credit hour and shall be awarded as follows: 1.5 CLE credit(s).
  • HI CLE 1.5
  • This program was approved by the Hawaii State Board of Continuing Legal Education for 1.5 CLE credit hours.
  • IL CLE 1.5
  • This course was approved for a total of 1.5 hours of MCLE Credit by the Illinois MCLE Board.
  • ME CLE 1.5
  • This course has been approved by the State of Maine Board of Overseers of the Bar. Lawyers who complete this course shall receive 1.5 hours of CLE credit under M. Bar R. 5.
  • NH MCLE 1.5
  • NH MCLE does not approve or accredit CLE activities for the NH Minimum CLE requirement. Lorman Education Services believes this course meets the requirement of NH Supreme Court Rule 53 and may qualify for CLE credit(s). Program Length: 90 Minutes.
  • NJ CLE 1.8
  • This program has been approved by the Board on Continuing Legal Education of the Supreme Court of New Jersey for 1.8 hours of total CLE credit.
  • PA CLE 1.5
  • This Distance Learning program has been approved by the Pennsylvania Continuing Legal Education Board for 1.5 hours of substantive law, practice and procedure CLE credit.
  • RI CLE 1.5
  • This program has been approved by the Rhode Island Mandatory Continuing Legal Education Commission for 1.5 hours of CLE credit.
  • VT CLE 1.5
  • This program has been approved by the Mandatory Continuing Legal Education Board of Vermont for 1.5 hours of CLE credit.
  • WA CLE 1.5
  • This program has been approved by the Washington State Board of Continuing Legal Education for 1.5 hours of Law & Legal Procedure credit.
  • WI CLE 1.5
  • This program has been approved by the Board of Bar Examiners for 1.5 hours for use toward the Wisconsin Mandatory CLE requirement.
  • WV MCLE 1.8
  • This program has been approved by the West Virginia State Bar MCLE Commission for 1.8 MCLE hours.
  • HRCI Approved ProviderHR Certification Institute 1.5
  • This program has been approved for 1.5 (General) recertification credit hours toward aPHR(TM), aPHRi(TM), PHR®, PHRca®, SPHR®, GPHR®, PHRi(TM) and SPHRi(TM)recertification through HR Certification Institute® (HRCI®). For more information about certification or recertification, please visit the HR Certification Institute website at www.hrci.org.
  • SHRM-CP/SHRM-SCP Preferred ProviderSHRM 1.5
  • Lorman Education Services is recognized by SHRM to offer Professional Development Credits (PDCs) for the SHRM-CPSM or SHRM-SCPSM. This program is valid for 1.5 PDC(s) for the SHRM-CP or SHRM-SCP.
  • National Registry of CPE SponsorsCPE 1.8 including Personnel/HR 1.8
  • Lorman Education Services is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its web site: https://www.nasbaregistry.org/cpas/complaints. . CPE Credit: Maximum Credit Hours: 1.8 each session (based on a 50 minute credit hour). You must attend at least 50 minutes to obtain credit. Field of Study: Personnel/HR for 1.8 hours. Prerequisite: . Level of Knowledge: Intermediate. Teaching Method: Seminar/Lecture. Advance Preparation: None. Delivery Method: Group Internet Based. Please refer to the information in this brochure for outline, course content and objectives. Upon completion of this course, you will receive a certificate of attendance. Final approval of a course for CPE credit belongs with each state's regulatory board. Please note: In order to receive CPE credit for this course you MUST use the streaming audio option, as well as enable and complete the required progress checks.

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