Fighting Fraud in Workers' Comp: Strategies with Sam King from Apex Investigations

Self-Insurance Podcast with Kaya Stanley

In this episode, we look into the intricacies of workers comp fraud investigations with Sam King, Vice President of SIU and Program Management at Apex Investigations. Sam brings over a decade of experience in law enforcement and insurance fraud examination.
We explore the four key categories of workers comp fraud, investigation options for different types of injuries, and essential elements required to support criminal prosecution. Sam shares intriguing case studies exposing fraud through social media and offers valuable tips for employers to help curb fraudulent claims.
Tune in for an enlightening discussion on the importance of vigilant fraud detection in the workers comp self-insured industry.
00:00 Introduction
00:15 Welcome to the Self Insurance Podcast
00:36 Guest Introduction: Sam King
00:46 Understanding Workers Comp Fraud
02:13 Categories of Workers Comp Fraud
03:11 Investigation Options for Minor Injuries
05:11 Key Elements for Criminal Prosecution
06:55 Prevalence of Workers Comp Fraud
12:38 Using Social Media to Expose Fraud
15:10 Employer's Role in Fraud Prevention
16:39 Conclusion and Farewell

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Chapter

1. Introduction (00:00:00)

2. Welcome to the Self Insurance Podcast (00:00:15)

3. Guest Introduction: Sam King (00:00:36)

4. Understanding Workers Comp Fraud (00:00:46)

5. Categories of Workers Comp Fraud (00:02:13)

6. Investigation Options for Minor Injuries (00:03:11)

7. Key Elements for Criminal Prosecution (00:05:11)

8. Prevalence of Workers Comp Fraud (00:06:55)

9. Using Social Media to Expose Fraud (00:12:38)

10. Employer's Role in Fraud Prevention (00:15:10)

11. Conclusion and Farewell (00:16:39)