In an ideal world, injured workers should be able to depend on the various systems designed to support them during their time of need. However, the unfortunate truth is that fraud can infiltrate even these spaces, leaving injured workers doubly victimized. At The Epstein Law Firm, P.A., we are committed to fighting on behalf of those who have experienced the added injustice of fraud in their journey to obtain compensation. This page will provide an in-depth look at two major types of fraud against injured workers: insurers’ fraud and provider fraud.

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Insurers’ Fraud

Insurance companies have an obligation to operate within the law, offering fair settlements and promptly processing claims. However, there are instances where insurers engage in unethical and illegal practices to either deny or minimize payouts. This can manifest in several ways, including:

  • Denying Valid Claims: In some cases, insurers may outright deny a claim that is otherwise valid, hoping that the claimant will not contest the decision.
  • Delaying Payments: A common tactic employed is the unnecessary delay in processing claims, causing financial stress to the injured worker.
  • Misclassifying Injuries: Insurance companies may attempt to misclassify an injury as less severe to reduce the compensation they are obligated to provide.
  • Coercing Settlements: Some insurers might pressure injured workers into accepting a lower settlement than they are entitled to, often through intimidation or misinformation.

At The Epstein Law Firm, P.A., we are keenly aware of these tactics and are well-equipped to counteract them, ensuring that you receive the benefits you rightfully deserve.

Provider Fraud

While healthcare providers are generally expected to offer the necessary medical assistance to injured workers, some take advantage of the situation for their own gain. Forms of provider fraud may include:

  • Overbilling: Charging for services not provided or inflating the costs of services that were provided.
  • Unnecessary Treatments: Recommending and administering treatments that are not medically required, solely to increase the billing amount.
  • Kickback Schemes: Providers might be involved in schemes where they receive money for referring patients to specific services or for prescribing certain medications, even when not medically necessary.
  • Falsifying Medical Records: Tampering with medical records to justify unnecessary treatments or to aid in overbilling is another form of provider fraud.

Our firm has significant experience in identifying and challenging provider fraud, making sure that your path to recovery is not marred by these unscrupulous practices.

Why Choose The Epstein Law Firm, P.A.?

When it comes to tackling fraud against injured workers, legal counsel should be more than just knowledgeable; they should be advocates for justice. At The Epstein Law Firm, P.A., we provide personalized, thorough legal representation aimed at upholding your rights and securing the compensation you are due. We pride ourselves on our meticulous attention to detail and our unwavering commitment to our clients.

Contact Us

If you suspect that you have been the victim of fraud in your workers’ compensation claim or treatment, do not hesitate to contact us. The Epstein Law Firm, P.A. offers a free initial consultation to help you better understand your options and begin the process of restoring justice to your case.

We serve clients across New Jersey and are devoted to representing your interests in the face of the various types of fraud that can affect injured workers. We don’t just handle your case; we fight for your rightful compensation and peace of mind.