Questionable Workers’ Comp Claims Increase

The total number of workers’ comp claims has been decreasing, but the percentage deemed “questionable” has been rising, according to the National Insurance Crime Bureau (NICB). In 2011, 3,349,925 workers’ comp claims were found in the Insurance Services Office (ISO) ClaimSearch database. That number decreased to 3,244,679 in 2012 and is on track to decrease again in 2013 based on the 1,498,725 claims received in the first half of 2013.Through analysis of workers’ comp questionable claims (QC) referrals submitted from January 1, 2011 through June 30, 2013, NICB discovered that number of workers’ comp QCs submitted increased from 3,474 in 2011, to 4,460 in 2012, and with 2,325 in the first half of 2013 the number of workers’ comp QCs is on course to increase again in 2013.