Preventing fraud
We all have a stake in watching out for workers’ compensation fraud. Preventing fraud keeps rates low and protects workers’ benefits by making sure the right people are receiving them - and that’s good for employers, workers, and all Oregonians.
SAIF's commitment to preventing fraud starts with our responsibility to protect the integrity of the state industrial accident fund. The experienced staff in our Fraud and Investigation Division manage the largest insurance investigation unit in Oregon.
Contact our Fraud and Investigation Division, 800.285.8525
Email us at fraud@saif.com
Remember, one or more of these signs could apply to a worker with a legitimate injury.
Employers who knowingly underreport their payroll, doctors who knowingly bill for services unrelated to a workplace injury, and workers who knowingly receive benefits not rightly theirs are all guilty of workers' compensation fraud. If fraud is proven, all related claims costs are removed from the claim and we seek repayment from the offending party.
To report suspicious claims
Call our 24-hour anonymous Fraud Hotline, 800.282.8822Contact our Fraud and Investigation Division, 800.285.8525
Email us at fraud@saif.com
Signs of questionable claims
Remember, one or more of these signs could apply to a worker with a legitimate injury.
- The report of an injury comes after a scheduled break (such as weekend or days off).
- There is a delay in reporting an incident.
- There are differing descriptions of the incident.
- You have difficulty contacting the injured worker at home.
- The worker refuses a reasonable diagnostic procedure.
- The worker has recently obtained disability policies.
- The worker frequently changes doctors or other medical providers.
- The worker makes excessive demands.
- The worker receives a release for work, followed by a change in doctors.
- The disability is beyond that normally associated with the injury.