COMPUTER FORENSIC INVESTIGATIONS

CHRONIC FRAUD INVESTIGATIONS

Today’s employers are willing to take a stand against workplace benefit fraud but may lack the internal resources to deal with these sensitive issues. At Marketview India we focus our expertise to include all areas of health benefit fraud including long and short term disability claims and chronic absenteeism investigations.

INDICATORS OF POTENTIAL FRAUDULENT CLAIMS

The mitigation of risk through effective management of claims is important because mishandling a claim can be very costly. For the Risk Manager, Safety Director and Human Resource Manager this spells challenge and the potential for liability and loss.


The injury occurs on a Friday but is not reported until the following Monday, or the injury happens early Monday morning or at the beginning of a weekly shift.
The accident occurs immediately before or after a vacation. If time off or requested vacation time is denied.
Prior disciplinary actions or other work related issues that pre date the onset of the disability.
The employee delays reporting the claim without reasonable explanation.