Through years of investigations, I have often found it to be true that “A claim is a solution to a problem, so what is the problem?” In other words, if you find out what the problem is that the person is having, you have the solution to your fraudulent claim.
Something didn’t seem right. A nurse had claimed a significant knee injury. She returned to work, then had to take off again, then back to work, then off again. (more…)