WCD investigates fraud and system abuse complaints on employers, medical providers, insurers, attorneys, and vocational providers. (Fraud or abuse by injured workers is investigated by the insurer.)

In order to strengthen our investigation process, we changed our intake method.

The Benefit Consultation Team is the primary recipient of incoming fraud complaints. Staffed full-time with highly skilled workers’ compensation experts, the team will provide quick responses on questions that require brief, timely intervention, or where sharing accurate information with a worker, employer or insurer will immediately resolve a concern. The benefit consultants will also track complaint patterns to surface issues that may indicate larger system problems.

More complicated investigations will be referred to the Investigations Team. WCD’s investigators will determine what resources and technical expertise are needed for each inquiry, and will quickly assemble a response team of appropriate staff. This enables WCD to be more nimble and flexible, with better coordination, to solve issues of public concern.

To report alleged fraud or system abuse, contact the Benefit Consultation Team at 1-800-452-0288.