Tag Archives | Fraud & Abuse

WorkCover is oppressive, duplicitous and unjust says supreme court

Adelaide’s Today Tonight TV Show aired a documentary entitled “WorkCover is Oppressive, duplicitous and Unjust”, again highlighting the corruption, deceit, tactics and wrongdoings experienced by a real workcover victim. A must watch for all those directly or indirectly affected by the workcover system. The Supreme Court says WorkCover is oppressive, duplicitous and unjust!     [...]

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Economic downturn and rise in workers compensation fraud

In an article in the Insurance Journal (2009), it was noted that the economic downturn has resulted in a rise in workers compensation fraud. According to a senior special agent for the National Insurance Crime Bureau, people stay out longer on claims and multiple body parts are reported in the same claim…. This of course [...]

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Exams of Injured Workers Fuel Mutual Mistrust

Dr. Hershel Samuels, an orthopedic surgeon, put his hand on the worker’s back. “Mild spasm bilaterally,” he said softly. He pressed his fingers gingerly against the side of the man’s neck. “The left cervical is tender,” he said, “even to light palpation.” The worker, a driver for a plumbing company, told the doctor he had [...]

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Workplace Injury System, Ill Will on All Sides

TONAWANDA, N.Y. — The sprawling DuPont plant along the Niagara River here can be a grim place, but less so on the days when the company hands out coupons to reward workers for a few weeks without injury.Called “safety bucks,” the coupons look like real money and can be redeemed at Red Lobster, Home Depot [...]

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For Injured Workers, a Costly Legal Swamp

The hurt workers wait on benches at the Queens office of the New York State Workers’ Compensation Board.People like Hopeton Watkis, 64, a laborer, who lost two teeth when he fell and hit a wheelbarrow. Or Rajcoomar Jagan, 50, a construction worker, who injured a leg falling off a scaffold. Or Vicki Marquez, 32, a [...]

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How workcover insurances use fraud accusations to rob injured workers

“News Tips” kindly sourced this very interesting article on The personal injury Law Journal  about how the insurance industry uses the threat of fraud accusations as a way of keeping injured workers from pursuing their rights… WorkCover fraud How the [workcover] Insurance Industry Uses Fraud Accusations as a way of Keeping Injured Workers from Pursuing [...]

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Deceased injured worker sister shares horror story of workcover mistreatment

When a workcover insurance case manager from hell can cause a ‘causal link’ in the death of an injured worker all steps available  by law should be taken to see that this person (and their manager and their company) is no longer–ever–allowed to take another life or cause the mental and/or psychological terror they caused [...]

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Disillusioned workcover rehabilitation clinician’s speaks out

An anonymous rehabilitation service provider clinician, who undertakes many injured workcover victims rehabilitation and vocational assessments on behalf of various workcover insurance agencies, has kindly (thank you!) shared her/his insights in dealing with workcover case managers via our “share a story” page. Here is his/her story about his/her experience in dealing with workcover case managers. [...]

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Some workcover insurance violations and wrongdoings

Here is an extensive list of well known and reported workcover insurance companies’ violations and wrongdoings. Please feel free to add any more wrongdoings to the list! [source: personal emails from injured workcover victims, personal experience, multiple workcover related national and international websites]  

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How workcover treats injured workers: a video

Check this great acted Utube video out, it truly represents how workcover treats seriously injured workers; and although the video is targeted at the workers compensation system in Canada, our Australian workcover system does exactly the same thing! How workcover really treats injured workers The workcover system is nothing but a scam, they treat all [...]

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Is the Workers Compensation system committing murder?

Considering that injured workers experience nearly 4 times the rate of poverty; 1 in 5 seriously injured workers loses their home after injury; 1 in 5 seriously injured workers are on some sort of social assistance after injury; 1 in 5 seriously injured workers are living in extreme poverty post-injury ; there is 13 fold [...]

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Workcover case manager: It is time to put care back in the hands of the doctors

The injured worker’s own doctor must be able to manage care and be able to override caseworker cost containments! But nowadays, the primary injured worker’s GP or specialist is not in charge anymore of the patient. For example: [surgeon] ” if I see a low back pain patient, I am not allowed to send him/her [...]

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Don’t become the victim of a workcover insurer “Doctor Shopping”

If you have been injured at work and have made a claim, expect the workover insurance company to require you to see one of their doctors for examination. These doctor reviews are also called independent medical examinations This of itself is not a problem…in fact it is quite reasonable for the workcover insurer to have [...]

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Hired guns in Workers Compensation

Workers compensation insurance companies will desperately try to rely on their so called “insurance doctors” and “expert witnesses”, best known as “hired guns” to disprove your injury or the extent of your injury. There are hired guns in a variety of medical specialties, but they appear to be most frequent, and most vicious, in psychiatry [...]

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A study and survey of independent medical examinations

In 2004, the State of Oregon in the USA conducted an independent study and survey on Independent Medical Examinations, widely known as IMEs. The 271-page report is nothing short of a wholesale indictment of the exams and those who conduct them. “To be blunt, when an insurer or employer order an IME their objective is [...]

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An independent medical examiner practiced for 10 years without a medical degree in the USA

I just stumbled on this horror story, which was published in an American newspaper. Not that long ago there was a case of a fake psychologist (who also undertook independent medical examinations) here in Australia! A fake doctor undertook independent medical examinations  for 10 years without a medical Degree! Mark Nepokroeff practiced medicine in Niagara [...]

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