Infoquest - Fraud Indicators

Early Attorney involvement - notorious claimant attorney

Repetitive Medical

Physician Change - notorious claimant physician

Conflicting Medical

Rumors & Tips

Soft Tissue Injuries

Disability Beyond normal AMA Guidelines

Claimant never home or able to come to phone

Missed therapy and medical appointments

Refusal to cooperate with case managers

Claimant's that "live" claim on a daily basis

No witness accidents

Monday morning accidents

PO Boxes

Change of address

Unreasonable demands

History of malingering/exaggerating or taking time off work

Injury prior to termination, lay-off, shift change or disciplinary action

Disgruntled employee

History of self-employment

New employee

Appearance - calluses, grease on hands and nails, muscular, tan

Threatens/complains to upper management

History of recreational or sporting activities

Exaggerates pain and symptoms

Family issues

Examiner intuition