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Examples of false workers' compensation claims

If you are employed in California, you should be able to trust that workers' compensation benefits may be available to you if you should ever be injured in an on-the-job accident or if you should ever develop a work-related illness. If you must file a claim for these benefits, you should know that your claim will be reviewed carefully as, sadly, there are people who attempt to cheat the system. For this reason, the workers' compensation program must assess every claim with this in mind.

The Coalition Against Insurance Fraud indicates that there are many ways in which people attempt to illegally and unethically benefit financially from workers' compensation. One of these is by remaining away from work longer than an injury or an illness truly requires and claiming benefits in the process. Some people may have legitimate injuries but they find ways to make them appear worse to seek more benefits.

Injuries or illnesses that did not originate from a work incident or condition may be said to be work-related in an effort to receive workers' compensation benefits, including coverage for medical care or treatment. Some people have been known to even fake a condition or an injury that does not exist at all or to rely on a prior condition or injury as the source of a current problem.

If you would like to learn more about fraudulent workers' compensation claims and how to identify potential cases of this type of fraud, please feel free to visit the false claims page of our California workers' compensation website.

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