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CopperPoint
Alaska National

 

 

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CopperPoint
Alaska National

 

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    Fraud Prevention.

    Cracking down on criminal claims.

    We monitor claims cases closely to detect, deter and investigate fraud, using data analytics and working closely with law enforcement to prosecute parties involved in such activity, while helping instill a fraud prevention culture in each workplace.

    Special Investigations Unit

    Our expert SIU professionals work closely with policyholders to evaluate claim files for suspicious activity, making recommendations for further investigation and helping law enforcement agencies to prosecute parties involved, whether employees, employers or medical providers.

    Claims Investigation

    We obtain detailed recorded statements from injured workers, supervisors, co-workers and other relevant witnesses. Another key advantage is the use of advanced data and predictive analytics to dissect claims information and identify the patterns of potential fraud.

    Surveillance and Background

    Another option offered is high-tech onsite surveillance of suspect behavior or activity, plus in-depth investigations of a claimant’s background: criminal, civil, motor vehicle records, bankruptcy and claim history.

    Additional Services

    To complement our core Fraud Prevention services, we complete the picture by securing and compiling all relevant information from: social network research; alive-and-well checks; activity checks; hospital and pharmacy sweeps; public records/documents.

    $32b

    annual cost of workers’ comp fraud to U.S. business

    (Source: National Insurance Crime Bureau)

    20%

    of paid claims are claimant fraud

    2 years

    potential jail time if charged as a felony

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    Build a fraud prevention culture.

    Reducing the risk of fraud starts with instilling a fraud prevention culture in your workplace. We have a library of materials, including posters, checklists, questionnaires, educational materials to raise awareness – as well as anonymous hotlines for employer and employee alike.

    Insurance fraud affects everyone, but remember that you are not alone. When we work together, we can help protect you and your business. Also available in Spanish.

    Fraud Facts

    Claims fraud isn't always simple to spot. Review this list of our Top 20 Red Flag indicators to better protect your business and your employees. Also available in Spanish.

    Top 20 Red Flags

    Workers’ compensation insurance fraud is real and costs everyone. CopperPoint offers a customizable sample policy statement for businesses. Also available in Spanish.

    Insurance Fraud Backgrounder
    Help fight fraud.

    Call CopperPoint’s 24-hour toll-free Fraud Hotline: anonymity is assured. 800.526.5226.