Workers’ Compensation Fraud

Most employers are required to carry insurance. When a person is injured during the course of his or her work duties, he or she can file a claim for workers’ compensation. This kind of compensation provides for medical benefits, lost wages, and other monetary compensation and is governed by Title 65.2, Virginia Workers’ Compensation Act.

When someone lies, however, to financially benefit from a workers’ compensation claim, things can get bad quickly. That lie could be considered workers’ comp fraud, and if convicted, an alleged offender faces up to 20 years in prison as well as fines, restitution, and/or probation.

If you have been charged with workers’ comp fraud, you need the assistance of an experienced fraud defense attorney. Workers’ compensation fraud is a serious allegation for which any Virginia prosecutor will work hard to get a conviction. S.L. England understands the urgency in these types of cases. He believes firmly in upholding the principle that you are innocent until proven guilty beyond a reasonable doubt. Contact his office today to begin your defense.

WHAT IS THE CRIME OF WORKERS’ COMPENSATION FRAUD IN VIRGINIA?

Workers’ compensation fraud occurs when a person or entity knowingly provides false information about workers’ compensation or otherwise employs fraud to receive financial or other benefits for him or herself from the insurance company. Obtaining money in this manner is typically grand larceny (unless the value is less than $500, in which case it is petit larceny). Grand larceny is governed by Virginia Code § 18.2-95 and is a felony charge.

Virginia takes workers’ compensation fraud seriously. The Virginia State Police Insurance Fraud Program focuses on this offense alone. There’s even a hotline for co-workers, employers, or other persons to leave tips about someone who may be committing the offense in Virginia. And though tipsters can remain anonymous, Virginia is so persistent regarding workers’ comp fraud that it offers up to $25,000 in rewards for tips leading to an arrest. These facts underscore the seriousness of this offense.

WHAT ARE EXAMPLES OF WORKERS’ COMPENSATION FRAUD IN VIRGINIA?

Workers’ compensation fraud can be committed by either the employee, the employer, or a healthcare provider. To better understand what workers’ comp fraud looks like, listed below are a few common examples.

  • A worker may see an easy opportunity to exaggerate an injury to collect more benefits and avoid returning to work as soon as she or he may be able to do.
  • Likewise, a worker may heal faster than anticipated and, thus, can return to work sooner than expected, but this person continues to collect workers’ comp rather than return to work.
  • An employee may opt for unnecessary medical treatment even though he or she doesn’t need it.
  • An employee may injure him or herself outside the workplace but report the injury as a workplace injury to collect benefits.
  • An employer may under-report injuries on the job to reduce insurance premiums.
  • Likewise, and employer may improperly categorize employees and/or their injuries to reduce premiums.
  • A healthcare provider may submit falsified medical documentation regarding a worker’s job-related injury to an insurance company.

ARE THERE DEFENSES IN VIRGINIA TO WORKERS’ COMPENSATION FRAUD?

You can defend against an allegation of workers’ compensation fraud. A few of these defenses include:

  • Lack of Intent. If you didn’t mean to steal the money, then you may have a defense. For example, you may have made an honest mistake in the paperwork to the insurance company and that mistake led to additional benefits that you would have otherwise not been eligible for.
  • Mistake of Fact. If you misunderstood stood the facts of the situation and reported the erroneous information based on this misunderstanding, then the mistake of facts can negate the mental state required in Virginia to be convicted of workers’ compensation fraud.
  • Constitutional violations. If your constitutional rights were violated during the course of the investigation before you were arrested, then any evidence flowing from the violation can be suppressed as evidence. For example, according to the Fourth Amendment, you have a right to privacy and not to be unreasonably searched. If you or your home was searched without your consent and without a properly obtained warrant, then evidence found from that unlawful search can be excluded.

Defenses are not your only option. As mentioned, S.L. England believes in holding the state, the judge, and the jury accountable to the principle you are innocent until proven guilty beyond a reasonable doubt. He will introduce reasonable doubt regarding your involvement in any alleged workers’ compensation fraud.

DEFEND AGAINST ALLEGATIONS OF WORKERS’ COMPENSATION FRAUD IN VIRGINIA: CONTACT S.L. ENGLAND, PLLC

If you have been charged with workers’ compensation fraud in the District of Columbia / Virginia metropolitan area, reach out to S. L. England today. He is committed to formidable, smart criminal fraud defense. He understands how mistakes are made in workers’ comp cases. And he is ready to help you clear your good name and get back to healing or returning to work. 

Contact S.L. England, PLLC online or at 202-489-0720.

“Mr. England is one of the best lawyers I have encountered, he was always there whenever I had a question or needed information, he listens , he calls and replies in and out of working hours , his priority is his client! He has helped me in more than one aspect of the law ; family , business , contractual and other areas, he is super smart and very quick with solutions. I highly recommend Sheridan.”

Mariam Wagdy

“Mr. England is a real professional that gets you results and will fight for parents that are doing the right thing for their children. I recommend him especially to fathers that are fighting just to see their child.Great lawyer.Wonderful lawyer.Without a doubt.”

Martell Woodson

“I highly recommend S.L. England! He is an excellent attorney who has his clients back 110%.”

Karina Alvarado

“Mr. England is a real professional that gets you results and will fight for parents that are doing the right thing for their children. I recommend him especially to fathers that are fighting just to see their child.Great lawyer.Wonderful lawyer.Without a doubt.”

Martell Woodson

“Sheridan is an excellent attorney. He advised me on issues in family as well as civil law. What I like about him the most is that he was able to think outside of the box and provide constructive solutions. He understood the issues very quickly and gave me a helpful advice.”

Karolina Muyingo

“Mr. England is the go-to guy to get positive results. He was able to guide me in the right direction with some great referrals. I can count on him to get some resolutions.”

J Thalley

“Mr. England is absolute perfection. He is incredibly professional and follows through until the end. In the end I won. Thank you so much Mr. England for everything.”

J Angonett

“A fantastic attorney in every aspect. Cool dude also.”

C H

“I needed a strong litigator to handle a contractor dispute, Attorney Sheridan was amazing! Provided strong legal counsel, negotiated only the best terms for me as a client, and provided top notch service. I slept well every night knowing he was on my side.”

Alisha Commodore

“Amazing!! Very knowledgeable, on your side and professional. Highly recommended! Great work Sheridan!”

Norma B

“S.L. England is bright, caring and brilliant... Thank you for all of your help.”

Regelle Harris Tanjang

Ask Us A Question

Contact Us Today!

Washington, DC Office

1325 G Street NW, Suite 500
Washington, DC 20005

New York Office

200 Park Avenue, Suite
1700 New York, NY 10017

Alexandria, Virginia Office

1800 Diagonal Road, Suite
600 Alexandria, VA 22314