Why Workers’ Compensation Fraud Happens
Workers’ compensation fraud occurs when someone intentionally misrepresents an injury or work-related condition. Common motivations include:
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Exaggerated injuries
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Faked mobility problems
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Working another job while on disability
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Staged accidents
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Hiding physical capabilities
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Extended time off for non-medical reasons
Fraud is costly, illegal, and harmful to employers, insurance carriers, and honest employees.
Types of Workers’ Compensation Fraud in New Hampshire
Private investigators frequently handle cases involving:
✔ Employee Fraud
A worker exaggerates or fabricates injuries to obtain benefits.
✔ Medical Provider Fraud
A doctor or clinic falsifies documents or bills unnecessary treatments.
✔ Employer Fraud
A business misrepresents employee classifications to lower insurance premiums.
✔ Third-Party Fraud
Individuals outside the organization stage accidents for payouts.
Each type requires specific investigative techniques.
How NH Private Investigators Uncover Fraud
Licensed investigators use a combination of surveillance, research, and verification to determine the truth.
1. Covert Surveillance
Investigators legally document physical activity through:
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Video footage
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Photographs
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Time-stamped observations
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Activity logs
This evidence is often crucial in court.
2. Social Media Review & OSINT
Public posts can reveal:
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Recreational activities
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Travel
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Secondary employment
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Contradictory behavior
(External OSINT resource: https://www.osintframework.com)
3. Background & Employment Verification
PIs check for:
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Undisclosed second jobs
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Cash-paying work
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Prior fraud activity
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Conflicting records
4. Witness Statements
Co-workers, neighbors, and associates may provide relevant information.
5. Medical & Report Review
While investigators cannot access private medical data, they can:
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Verify appointment attendance
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Compare statements with behavior
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Document inconsistencies
6. Workplace Analysis
For employers, investigators may analyze equipment, procedures, or video logs to confirm details of the alleged incident.
Why Workers’ Compensation Fraud Investigations Are Legal
In New Hampshire, investigators must follow state regulations. They cannot:
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Trespass
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Hack accounts
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Access restricted medical files
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Interfere with medical treatment
They can legally observe public behavior, document activity, conduct research, and gather statements.
External reference for NH law:
https://www.gencourt.state.nh.us/rsa/
Who Uses Workers’ Compensation Fraud Investigations?
These investigations are commonly requested by:
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Insurance companies
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Employers (large and small)
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Attorneys
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Risk management departments
Fraud affects workplace morale and financial stability — making early detection essential.
How Evidence Helps Employers & Insurers
Investigators provide:
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Video proof
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Photographs
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Observational reports
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Activity comparisons
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Witness statements
This evidence is vital for:
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Claim denial
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Legal defense
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Settlements
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Fraud prosecution
Internal link opportunity:
👉 See all investigation services we provide:
https://executivedecisioninvestigations.com/services/
Why Choose Executive Decision Investigations for Workers’ Comp Cases
With over 40 years of investigative experience, Executive Decision Investigations brings:
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Proven surveillance accuracy
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Court-ready reporting
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Discreet fieldwork
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Local knowledge of NH workplaces and terrain
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Strong partnerships with legal and corporate clients
We help employers and insurers uncover the truth with professionalism and confidentiality.
Frequently Asked Questions
Can an investigator follow an injured worker?
Yes — surveillance is legal when conducted by a licensed PI.
Can evidence be used in court?
Absolutely. Properly collected evidence is admissible.
How long does fraud surveillance take?
It varies. Some cases reveal results quickly; others require multiple sessions.
Contact Us for Workers’ Compensation Fraud Investigations
Whether you’re an employer, attorney, or insurance carrier, we can help uncover fraudulent activity with accurate and legal investigative methods.
📞 603-230-4460
📧 magnumpinh@comcast.net
🌐 executivedecisioninvestigations.com
Request a confidential consultation today and protect your organization from fraud.
