Workers’ compensation insurance fraud

We all pay for insurance fraud. Whether through higher insurance premiums, diminished workplace morale, or higher taxes—fraud hurts our economy, legal system, and communities.

Insurance fraud:
a high price to pay

Workers’ Compensation Fraud violates Connecticut General Statute 31-290c (2019). If the benefits obtained through fraud exceed $2,000, the offense is a Class B felony punishable by up to 20 years in prison and up to $10,000 in fines.

Fraud schemes have become increasingly more complex in recent years; staged-accident scenes and healthcare fraud scams are often sophisticated, scalable operations. Bad players can quickly adjust their approach to try and remain undetected.

We can help

From fraud detection to finalizing an investigation, CIRMA’s Special Investigation Unit is equally swift to react. Our claims handling model ensures that data trends and insights are shared early and often. Our prompt identification of fraudulent claims followed by timely and professional investigations enables us to avoid making unmerited claim payments, saving you money, and helping reduce loss costs.

Suspect something? Say something. 

If you suspect fraud, call CIRMA’s Special Investigation Unit at (203) 946-3797 or
email cirmasiu@ccm-ct.org. Our teams are here to help—all information will be kept confidential. 

Can you identify fraud?

Workers’ compensation fraud can take many forms, such as making false claims, withholding information, exaggerating claims, and working at another job while collecting benefits. Download and print our collection of anti-fraud posters to raise awareness about fraud in the workplace: 

Wellness At Work

The adoption of workplace social and emotional health programs skyrocketed over the past two years due to heightened visibility during the pandemic when remote…

View Posts

Preventing Tick-borne Disease Exposure

In Connecticut, occupational exposure to tick-borne diseases is a recognized hazard. Outdoor workers must protect themselves in the spring, summer, and fall when ticks…

View Posts
wrist pain image

Preventing Sprains & Strains

Sprain and strain injuries are the most common and costly workplace injuries. Employees can injure their knee, shoulder, wrist, or back while performing everyday…

View Posts

Water you waiting for?

Claims involving dehydration and heat exhaustion can be costly—Connecticut municipalities experienced over $150 million in related medical expense losses alone over the past five…

View Posts

Bee Safe

Bee and wasp stings are a common summer nuisance that can turn deadly if the victim develops a severe allergic reaction (anaphylaxis). Public Health…

View Posts

Submit a claim

Get A Quote