Home > SID Information > Special Investigations Units: SID Regional Claimant Fraud Teams

Special Investigations Units: SID Regional Claimant Fraud Teams

When claimants commit workers’ compensation system fraud and other crimes against the State Insurance Fund, the respective SID regional claimant fraud team responds to ensure compliance and integrity of the system. A special investigations unit (SIU) dedicated to investigating claimant fraud operates within most of the BWC customer service offices. Multiple SIUs comprise each of the three regional claimant fraud investigative teams. These teams are designated by their geographical location in North, South and West regions of the state.

SID has recently increased its staffing to combat claimant fraud, such as working while receiving disability benefits or “double dipping”, reporting false claims, exaggerating the extent of their injuries and/or misrepresenting the status of their physical recovery and their ability to return to work, forgery, falsifying their eligibility for death benefits, drug deception, drug diversion or doctor shopping.

During the last two years, their investigations have resulted in 289 criminal referrals and 195 convictions. Be sure to read more about the claimant fraud investigative successes in our SID FY 2011 Annual Report.

This concludes our claimant fraud awareness series. Look for our next fraud awareness article that will offer a review of the department’s 18 years of effectively and proactively preventing losses to the workers’ compensation system; and deterring, detecting, investigating, and prosecuting workers’ compensation fraud.

If you suspect that a claimant is committing workers’ compensation fraud, let us know. You may report it online at http://bit.ly/reportfraud or you may speak with a fraud hotline agent by calling 1-800-OHIOBWC.

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Categories: SID Information
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