Workers' Compensation Fraud Investigation
NJM's Special Investigations Unit (SIU), which has been in existence for more than 50 years, can work with employers to reduce the impact of insurance fraud on their premiums.
The SIU Director is an attorney who previously held positions as a criminal prosecutor at both the county and state levels. The staff includes former law enforcement professionals with more than 25 years experience and veteran NJM insurance claims adjusters who are well versed in determining legitimate cases and in questioning claims that appear suspicious.
Civil and criminal penalties may be assessed for workers' compensation fraud. NJM urges policyholders to let us know of any reliable information indicating problems with a claim.
Clues of possible fraud include evidence of faked injuries, minor injuries that are exaggerated, or legitimate injuries or illnesses that occurred off the job. Report any information to NJM that may be material to entitlement of workers' compensation benefits, such as earning wages while seeking or receiving disability benefits.
Report suspected fraudulent claim activity: