As someone who works in the insurance business, you've likely seen your fair share of cases in which individuals have filed claims to benefits when they aren't entitled to receive them. There are several instances in which you as an insurer may deny an individual's claim for workers' compensation benefits.
Insurance fraud is unfortunately an all-too-common occurrence. While most policyholders are honest when making claims, others may falsify information to receive compensation under fraudulent pretenses. That's why it's crucial for insurance companies to be on the lookout for potential red flags. Doing so can possibly heady off fraudulent claims and prevent payouts that aren't warranted for legitimate reasons.