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. Using modern surveillance techniques, they help ensure that benefits are paid only for legitimate claims. Fraud is a crime with severe penalties in New Jersey. 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. Additionally, an employee is not permitted to work at another job or attend school full-time while receiving workers' compensation temporary disability benefits.
Report suspected fraudulent claim activity: