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Identifying and Preventing Provider Fraud in Workers Comp Cases

Risk Management Monitor

As risk and insurance professionals, we rely on business rules and claims adjusters to catch all the details of a claim and then form a cohesive narrative to investigate. Workers compensation insurance provider fraud has become a multi-billion-dollar industry that is bad for business.

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Blog Post: Frequently Asked Questions on Complex Employment Issues for California Workers’ Compensation

LexisNexis

The subcontractor does not have a contractor’s license nor workers’ compensation insurance. Does the general contractor have liability for the injured worker’s workers’ compensation benefits? Insurance Code section 11663 provides that liability for workers’ compensation insurance follows payroll.