Report suspected fraud

Workers’ compensation fraud involves intentionally providing false or misleading information, concealing important information or otherwise misrepresenting facts related to workers’ compensation insurance or a claim.

Fraud can occur in different parts of the workers’ compensation system and may involve employees, employers or others involved in a claim. Suspected fraud should be based on specific information or circumstances, not assumptions about an individual.

Fraud can increase costs and undermine a system designed to provide appropriate benefits and support following a workplace injury.

Examples

What could workers' compensation fraud look like?

• Knowingly providing false information about how, when or where an injury occurred
• Intentionally misrepresenting work activity, earnings or employment while receiving workers’ compensation benefits
• Knowingly submitting false or altered information related to a workers’ compensation claim
• Intentionally misrepresenting payroll, employee classifications or other information used to determine workers’ compensation insurance premiums
• A circumstance that seems unusual does not necessarily mean fraud has occurred. MEMIC reviews the available information to determine whether further investigation is appropriate.