Workers’ Compensation Fraud Lawyer

Filing a workers’ compensation claim in Florida is stressful enough without having to defend your integrity. Yet, the reality is that the insurance company, and sometimes even your employer, is on high alert for signs of fraud. A single misstatement, even one made in confusion or under stress, can become a major issue. That’s why honesty and clarity are absolutely essential from the start. Whether you’re an injured worker or an employer, the consequences of workers’ compensation fraud are severe. In Florida, both civil and criminal penalties can apply, including loss of benefits, fines, and even jail time. Continue reading to learn what you need to know about avoiding fraud allegations, reporting suspected fraud, and, most importantly, what to do if you find yourself being accused.

Workers’ Compensation Fraud in Five Words – Do Not Even Consider It!

If you are considering making a claim for workers’ compensation benefits, it is critical that you tell the truth in connection with your injury claims. The insurance company is looking for a reason to deny your case and your benefits. Do not give them a reason. Do not give a recorded statement to the insurance company without conferring with an experienced workers’ compensation attorney. Many times, an injured worker is confused and overwhelmed by the process and may inadvertently make a misstatement that can be used against them later.

Fraud is not limited to just injured workers. Employers in the state of Florida have also been charged and convicted of fraud for not appropriately carrying and paying for workers’ compensation insurance.

Suspected workers’ compensation fraud may be reported directly to the Department of Financial Services, Bureau of Workers’ Compensation Fraud, 200 East Gaines Street, Tallahassee, Florida 32399, or to the bureau’s toll-free hotline number at 1-800-378-0445. Anonymous calls are accepted. The Non-Compliance Referral Form to report employers who do not have workers’ compensation insurance coverage can be accessed at the Financial Services website.

If Your Employer Accuses You of Fraud

Being accused of workers’ compensation fraud by your employer is an extremely serious matter. Even if the accusation is unfounded, it can jeopardize your benefits, your job, and potentially your freedom. If this happens to you in Florida, here are the steps you should take immediately:

1. Do Not Panic, but Take It Seriously

Even if you believe the accusation is based on a misunderstanding, treat it as a critical legal matter. Fraud allegations can result in criminal charges under Florida law.

2. Do Not Communicate Further Without Legal Counsel

Avoid discussing the matter with your employer, the insurance company, or investigators without first consulting with an experienced Florida workers’ compensation attorney. Anything you say—verbally or in writing—can be used against you in a fraud investigation.

3. Contact an Experienced Workers’ Compensation Attorney Immediately

You need legal representation from someone who understands the complexities of Florida workers’ compensation laws and fraud investigations. The Law Firm of Kevin A. Moore has extensive experience handling these sensitive cases and will help you protect your rights and defend your reputation.

4. Gather Documentation

Begin collecting all relevant documentation related to your injury and your workers’ compensation claim. This includes medical records, correspondence with your employer or the insurance company, timesheets, job descriptions, and witness statements. Your attorney will use this information to build your defense.

5. Understand the Basis of the Accusation

Fraud accusations can stem from a variety of alleged actions, such as:

• Exaggerating symptoms or injuries
• Working another job while receiving benefits
• Providing false or misleading information on claim forms
• Participating in activities inconsistent with claimed injuries

Your attorney can help clarify whether the accusation is based on misunderstanding, misinterpretation, or a deliberate act—and respond accordingly.

6. Know the Consequences

If fraud is proven, the consequences can include:

• Termination of workers’ compensation benefits
• Restitution of funds already paid
• Criminal prosecution (felony charges are possible in Florida)
• Permanent damage to your employment record and professional reputation

This is why it is so important to take swift, strategic legal action.

7. Do Not Attempt to “Fix” the Situation Alone

Trying to explain or correct the accusation without legal help can make matters worse. Misstatements or incomplete explanations could unintentionally reinforce the employer’s suspicions.

Contact The Law Firm of Kevin A. Moore

Kevin A. Moore is a Florida area-based workers’ compensation (workers’ comp) lawyer who provides workers’ comp law services statewide.

As a premier Florida workers’ comp lawyer, Kevin Moore not only provides the legal advice and counsel expected of an experienced workers’ compensation attorney, but his firm also collaborates with other professionals and para-professionals to provide his clients with all of the resources needed to successfully resolve their cases.

If you’ve been injured on the job and require the services of a knowledgeable workers’ compensation attorney, simply contact the Law Firm of Kevin A. Moore today.