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Posts Tagged ‘Internship’

What do you know about workers’ comp fraud? Our sleuths have questions – and answers!

By Melissa Vince, BWC Public Relations Manager

We’ve had a great time talking workers’ comp fraud this International Fraud Awareness Week. We enjoyed sharing what we do to detect, deter and put a stop to workers’ compensation fraud in Ohio.

Our fraud investigators especially look forward to participating every year because they want to raise awareness and encourage tips from the public, but also because they truly enjoy what they do.

And we appreciate them because they do a great job. So, in honor of them, we let them take a little break to have some fun putting together this quiz challenging your knowledge of workers’ compensation fraud.

So, fire up that brain and let’s get started. Just flip your monitor over for the answers listed at the bottom.

Thanks for following us this week! We’ll be back next year for Fraud Awareness Week, but don’t go away because we’re here all year long on our blog, Twitter and Facebook.

  1. True or false?
    Fraud and abuse are the same.
  2. True or false?
    Proving fraud requires evidence of “knowledge and intent”
  3. True or false?
    Abuse can be criminally prosecuted under the law.
  4. BWC has teams focused on investigating the following types of fraud:
    a) Claimant
    b) Employer
    c) Medical provider
    d) All of the above
  5. Which is an example of fraud?
    a) Billing for services not rendered (a doctor bills for procedures not performed)
    b) Classifying full-time employees as independent contractors/subcontractors.
    c) A claimant performing physical activity outside of his or her restrictions
    d) All of the above
  6. What are the two most common fraud allegations our investigators receive related to medical providers?
    a) Billing for services not rendered (a doctor bills for procedures not performed)
    b) Unlicensed provider (not licensed to practice medicine in the State of Ohio)
    c) Unbundling (charging separately for bundled services)
    d) Upcoding (billing for a more expensive service than the one provided to the claimant)
  7. What is the most common fraud allegation our investigators receive related to employers?
    a) No coverage
    b) Lapsed coverage
    c) Falsified certificate of premium coverage
    d) Underreporting payroll
  8. What is the most common fraud allegation our investigators receive related to claimants?
    a) Physical activity (performing physical activity outside of his or her restrictions; malingering)
    b) Work/Comp (working while receiving lost time benefits)
    c) False claim (staged accidents; false injuries)
    d) Altered documents

 

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Spotlight on SID’s college relations program

Developing tomorrow’s leaders in criminal justice, law enforcement

By Jeff Baker, Program Administrator, BWC Special Investigations Department

Interested in getting coffee? Making photocopies?

You won’t find that at the Ohio Bureau of Workers’ Compensation’s (BWC) Special Investigations Department (SID). SID interns are real employees who do real work as part of our college relations program, now in its 23rd year.

“We’re treated like coworkers,” says Ohio State University student Gabby Master, an intern in SID’s intelligence unit. “We do all the projects everyone else does.”

On top of all that, she adds, “It’s really fun!”

(You can catch Gabby sharing more about her intern experience in this YouTube video.)

Established in 1995, SID’s college relations program promotes the study and practice of criminology, criminal justice, law enforcement and public administration. Since its inception, SID has recruited, selected, oriented and trained more than 300 paid college interns.

Gabby Master, Kelsey Wilson, Loryn Competti and Brianna Belmonte

Many have humbled us with favorable feedback over the years, but we know the credit and accolades go to them. Their careers are testament to their professionalism.

Many have gone on to become officers, criminal investigators, special agents, fraud analysts, digital forensic analysts, assistant special agents in charge, special agents in charge and assistant director.

We’re pleased that for more than 20 years our college relations program has attracted students from a variety of backgrounds, schools and experiences.

Today we have seven talented interns working with our special investigations units (SIUs) statewide. Four college interns (pictured above) are based in our Columbus headquarters: Gabby Master, Kelsey Wilson, Loryn Competti and Brianna Belmonte. Our other SID interns (not pictured) are Allison Castle (Lima), Stephen Kersey (Toledo) and Connor Yuellig (Governor’s Hill).

These interns are here for the same reasons that our past interns have worked with SID. They want a challenge, and that’s what they get.

“Our interns have helped us tremendously over the years,” says SID Director Jim Wernecke. “Their work has helped us convict hundreds of fraudsters and saved the BWC system tens of millions of dollars.”

Are you enrolled at a college or university and interested in joining our team as an intern? If so, I invite you to contact me at Jeffrey.B.1@bwc.state.oh.us.