The professionals in CIRMA's Special Investigation Unit, along with the state prosecutor's office, work diligently to protect the insurance system and our members by validating claims. Insurance fraud schemes have grown larger and more complex in recent years; staged-accident gangs and health-fraud scams are now often well-organized professional operations. Abuse of the workers' compensation system increases rates and lowers productivity.
CIRMA's prompt identification of fraudulent claims followed by timely and professional investigations, enables us to avoid making unmerited claim payments, saving you money and helping to reduce rates.
How CIRMA fights fraud.CIRMA's SIU uses both innovative and time-tested techniques to combat Worker's Compensation fraud:
Experts estimate that fraud and abuse adds about ten percent to the cost of Workers' Compensation premiums across the nation. Fraud lowers work-place morale and disrupts good team-work. The entire community pays the price in the form of reduced services. Here are some important steps you can take to discourage fraud in your workplace:
When it isn't the employer or the employee who is responsible for an on-the-job injury or property damage, CIRMA may pursue the party who is at fault to recover claim payments. This process is known as subrogation and is an important way for CIRMA to lower its members' claims costs.