Workplace Safety & Insurance Board (WSIB) claims cost businesses in terms of time, resources, revenue, and reputation. We do the investigative work needed to protect our clients in the event of an accident by interviewing witnesses, identifying potential witnesses, and documenting the scene.
Since workplace fraud costs companies in countless ways, many have adopted a more aggressive approach to rooting out fraudulent work injury claims. This includes seeking outside help. The costs of doing nothing and capitulating don’t add up in today’s environment.
We specialize in discovering WSIB fraud. No matter where the employee is in their treatment plan, our experienced and trained team know how to uncover and document fraud.
Types of Claims:
- Bodily Injury Claims
- Accident Benefit Claims
- Life and Health Claims
- Casualty Claims
- Fire Claims
- Theft Claims
Types of Investigations
- Background checks
- Comprehensive Research and Investigations
- Accident Investigations
- Financial due diligence
Common Investigative Techniques:
- Field Visits
- Witness Locates
- Inquiries and Interviews
- Video and Photographic Surveillance
Common types of Workers’ Compensation Fraud:
- Exaggerating symptoms for benefits increase
- Other employment while claiming benefits
- Fraud against service providers
- Medical device purchase kickbacks
We serve corporate clients, HR managers, insurance adjusters, municipal managers, and small businesses in acquiring evidence related to workplace injury claims.
What kind of resolutions are we used to seeing?
When we obtain video evidence of an employee that contradicts their claims of incapacitation, it’s been our experience that PIPro can quickly resolve the situation, getting their schedule adjusted to better match the reality of their condition.
Most of us have seen someone who was abusing their benefits by exaggerating claims. That’s just how common it is. The largest number of exaggerated claims in North America are found in Ontario.
We’ve seen everything, and nothing surprises us. We sport the biggest deadpans you can imagine after decades of seeing activities across the spectrum of possibilities. On the one end are the types of exaggeration efforts we can all imagine, efforts like using canes/walkers, exaggerated body language, claims of pain in excess of what is medically expected. Then there are the things you never thought you’d see, like people arranging their own injuries.
Every case is unique. Get in touch to discuss your circumstances and how we can professionally and discretely advise you.