How to Identify and Eliminate Workers' Comp Misrepresentation

Recent estimates state that fraudulent or exaggerated workers' compensation claims account for a whopping 25% of the total money spent on workers’ compensation!

So...are you sure that workers' comp fraud is not happening to your organization?

Knowing the common signs of a fraudulent claim can make the difference between a denied claim and an unnecessary six figure settlement, and though we want to be trustful, fraud and misrepresentation become more prevalent everyday - and knowing what to look for is your best defense.

Sometimes the tell-tale signs of a fraudulent claim are apparent right away; other times they don't develop until the claim is already in progress, but either way, you need to know what to do to protect your organization.

Learning Objectives:

This training session will help you learn:

• The red flags of what could be fraudulent behavior
  
• What to do when you suspect someone is committing fraud or a misrepresentation
  
• What rules - including HIPAA - inhibit your ability to address fraud
  
• When I can deny a claim based upon fraud
  
• When I can criminally prosecute someone for committing a fraud or misrepresentation

Board Certified as a specialist in the field of workers' compensation law, Philip Augustine has practiced solely in the area of workers' compensation defense for the past 20 years.

Mr. Augustine represents a vast array of nationwide clients, as well as provides multiple courses in workers' compensation to both employers and claims handling entities through out the country.

Mr. Augustine is past-Chairman of the Florida Bar Workers' Compensation Board Certification committee and Vice-Chairman of the Workers' Compensatoin Rules Advisory Committee, as well as a member of the Executive Council of the Workers’ Compensation Section of the Florida Bar.

HRCI Credits

This program has been approved for 1.5 re-certification credit hours for HRCI's PHR and SPHR designations through the HR Certification Institute. For more information about certification or re-certification, please visit the HR Certification Institute website at www.hrci.org. The use of this seal is not an endorsement by HRCI of the quality of the program. It means that this program has met HRCIs criteria to be pre-approved for re-certification credit.

SHRM Professional Development Credits

This program is valid for 1.5 Professional Development Credits (PDCs) for the SHRM-CP or SHRM-SCP designations. For more information about certification or re-certification, please visit www.shrmcertification.org.