Accused of Fraud

[CatugalCat]

What is the name of your state (only U.S. law)? Hawaii
My husband got hurt at work on 5/21/08, he tore his rightr rotator cuff. He had surgery 10/01, and is currently going to PT. He has been on TTD since his injury. He drives a bus, a co-worker of his told his boss that she saw him driving for another bus company on several occasions, this is totally false, as he has been home since his injury. Someone from his company called the company he is accused of working for (which is the one I work for) to ask if he is employed there. They were told no, but that his wife (me) works there. He just received a letter from the insurance co. they are requesting the State to supeona his employment records from this other company that he does not nor has he ever worked for. Basically, what his employer is saying is that my husband is committing fraud, that is a very serious accusation, we know that this is a wild goose chase on his bosses part, but does this constitute harrassment?

 

[msiron]

Let the carrier sort it out. Obviously your husband has a real injury and has no employment records from your company.

Who has a vendetta that they would file a false report?

 

[cbg]

No, this is not illegal harassment. The employer has received a report that he is working elsewhere while collecting benefits - they have no way of knowing whether the report is true or false without investigating. It would be negligent of them NOT to investigate.

 

[InsaneJane]

I certainly don't blame your husbands boss or the insurance Co for looking into this, after an accusation has been made.
I know it might seem like a hassle, but getting a noterized statement from the bus company that you work for stating that your husban is not employed as a bus driver from (what ever date he got hurt) to the date today. Don't bother giving them anymore info then what is required. It would only cause more problems.

Your husband is now on the insurance companies radar. Don't push it.

 

[CatugalCat]

Oh, believe me we have no intention of pushing anything. I just thought it odd that they called my company to see if he was working there and they were told no, however, they felt the need to take it to the next level. Whatever, let the insurance company follow his every move, unlike some people, he filed a legitimate claim, and all he has been doing is trying to recover.

 

[msiron]

let the insurance company follow his every move

... and they will.

Also if you or he know he is being watched NEVER engage the PI. You'll be asking for trouble. The pi doesn't care if the injury is really bad/half bad or non-existent, they are only observers and will report what they see. The carrier investigates many obvious legitimate cases, even the day someone comes home from a hospital where they've had major surgery. This is not unusual.

 

[CatugalCat]

If we even think one is watching, we'll just go about our business like he wasn't there.