What Should I Do If I Suspect a Reported Injury May Be Fraudulent?

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Home > Supervisor & Manager Resources > Safety Leadership and Injury Response > Injury Response > What Should I Do If I Suspect a Reported Injury May Be Fraudulent?

Quick Answer

Supervisors should not confront, investigate, or accuse team members of fraudulent workplace injury claims. Any concerns must be escalated to HR.

Why This Matters

Improper handling of suspected fraud can create legal risk and undermine trust.

Supervisor Responsibilities

Follow standard injury response procedures.
Ensure Medcor contact and documentation occur.
Enforce restrictions consistently.
Escalate concerns privately to HR.

Partner With HR Early

Supervisors should raise concerns promptly and allow HR to manage review and next steps. Fraud review and claim determinations are governed by the LWG Workplace Injury Guide and handled by HR, Risk, and the claims administrators.

Disclaimer:
This article provides general information and guidance and may not address every situation or state-specific requirement. It does not create a contract, guarantee, or promise of any specific outcome. Company policies, practices, and legal requirements may vary by state and may change over time. This article does not replace or supersede applicable laws or official Company policies, handbooks, manuals, or training materials.

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