Insurance Fraud Investigation14 min read

47 Workers' Compensation Fraud Red Flags Adjusters Miss Every Day

Pattern fraud costs the WC industry $34 billion annually. Most of it passes through undetected because adjusters aren't systematically capturing signals. Here are the 47 you need to know.

David Okafor

CFE, Fraud Investigation Lead · April 15, 2026

Insurance claim forms and a magnifying glass on a dark desk, analytical workspace with dramatic side lighting

Pattern fraud costs the WC industry $34 billion annually. Most of it passes through undetected because adjusters aren't systematically capturing signals. Here are the 47 you need to know.

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#Workers Comp#Fraud Red Flags#SIU

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