Getting injured on the job is one of the most frustrating and discouraging things that can happen to an employee. After all, when you spend nearly half of your life working for a company, it can feel like poor payback to be seriously injured. When a company decides to investigate a claim for workers’ compensation based on your workplace incident, this can add insult to injury. You may feel as though your company does not trust you or that it is unfair that you should be subjected to a review after everything you have been through.
However, because workers’ compensation is paid out by insurance companies that have a financial obligation to protect their company’s well-being, they can investigate claims to ensure there are no fraudulent cases. While being subject to an investigation may make you feel uncomfortable, if you have a legitimate workers’ compensation claim and a great attorney by your side, you have nothing to worry about.
What Do Insurance Companies Investigate?
Insurance companies paying workers’ compensation want to see employees get to work and stop collecting workers’ compensation payments as soon as possible. When claims are filed for significant or permanent injuries, insurance companies may be especially motivated to make sure they are not making enormous payouts based on fraudulent claims.
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In 2020, over 80,000 North Carolinian, private-industry employees sustained injuries or illnesses at the workplace. That same year, there were 189 workplace fatalities. These alarming statistics do not include injuries incurred in the public sector. The North Carolina Workers' Compensation Act mandates that all private companies provide workers' compensation to employees. This coverage is akin to no-fault insurance, meaning an injured employee does not have to prove fault to recieve benefits.
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