Protecting Your Portfolio from Fraudulent Claims.
Services/Workers Compensation Fraud
Workers Compensation Fraud

Protecting Your Portfolio from Fraudulent Claims.

Targeted investigation of fraudulent workers compensation claims — protecting employers and insurers from significant financial exposure.

Overview

What we deliver

Workers compensation fraud costs Australian employers and insurers billions of dollars annually. Everguard specialises in the investigation of fraudulent and exaggerated workers compensation claims, providing insurers, self-insurers, and employers with the verified intelligence needed to defend against fraudulent claims and protect their financial position. Our investigators understand the specific legislative frameworks governing workers compensation in each Australian jurisdiction.

Typical outcomes

Fraudulent claims identified and documented
Significant reduction in claims payouts
Court-admissible fraud evidence packages
Deterrence effect on future fraudulent claims
Compliance with workers compensation legislation
Expert witness support for dispute resolution

Capabilities

Activity Monitoring

Covert surveillance to document claimant activity levels against stated injury limitations.

Social Media Intelligence

Lawful open-source intelligence gathering identifying activity inconsistent with claimed injuries.

Medical Verification

Coordination with medical experts to identify inconsistencies in claimed conditions and treatment.

Employment Verification

Investigation of undisclosed employment or business activities during claimed incapacity.

Witness Interviews

Structured interviews with co-workers, neighbours, and associates to gather corroborating evidence.

Fraud Documentation

Comprehensive fraud documentation packages structured for insurer, employer, and court use.

How we approach this work

01

Claim review and red flag identification with claims manager

02

Subject profiling and intelligence gathering

03

Covert surveillance and activity monitoring

04

Medical and employment verification

05

Fraud documentation package delivery

Related services

Ready to discuss your matter?

A senior analyst will respond within 2 business hours.

Initiate Briefing