Reducing the Likelihood of Employee Fraud

Posted on

August 6th, 2019

by

shutterstock_174875483Despite proper planning and safeguards, workplace accidents can happen. Injured employees often file worker’s compensation claims to help them pay for medical expenses and lost wages while they recuperate. However, some unscrupulous employees abuse the system and it costs everyone money. Fraudulent claims increase insurance premiums for employers, the workload for the remaining employees, the time required to complete projects or provide services, and manufacturing costs due to production delays.

Minimize the Prevalence of Fraud

One-hundred percent prevention isn’t always possible. However, employers can take several steps to reduce instances of fraud. These include:

  1. Full screening before hiring. Employers should only consider complete job applications. Missing information can indicate laziness or a history to hide. Employers should also follow up on job references as well as ask their contacts if they know anything about the applicant’s job history. Taking these steps prior to providing a job offer can save employers a lot of time, money, and hassle.
  2. Creating and enforcing safety programs. Employers should hold onboard training as well as continued safety-training exercises throughout the year. Improving safety will reduce accidents and injuries. If employees aren’t getting hurt, they won’t file worker’s compensation claims—fraudulent or otherwise.
  3. Establishing a return-to-work plan. After an employee files a claim for a work-related injury, employers need to follow up on a regular basis. An employer who stays up to date with the employee’s recovery can establish realistic expectations and make the necessary modifications for the individual to return to work.
  4. Not tolerating fraud. Businesses can work with their insurance company to develop methods that best prevent, identify, and rectify incidents of fraud.

Companies can also invest in an absence management system that can flag questionable absences to help employers manage employee attendance. If your company is struggling with employee absenteeism, abuse of paid leave, or fraudulent worker’s compensation claims, Actec can help. Contact us to learn more about our absence reporting system.

Absence Management Fundamentals

Posted on

February 11th, 2015

by


Absence management
pertains to any illness or unsanctioned absence from work. The rate of absenteeism can vary depending on the size of your company, but no matter the size it is vital to remember that absence is a cost for the company. This applies to the financial and operational aspect as well.

Given this, what are the main causes of absenteeism?

  • Short/long term sickness
  • Pressure at the workplace
  • Worry and unhappiness
  • Issues with family

There is no clear solution to absence, however firms can have procedures in place when an employee returns to work. Interviews and disciplinary actions will do the job well. Remember to always be careful to not to demean the employee.

One big reason to implement these protocols is to cut the employee costs and improve their engagement with the company, all of which will increase the all-round productivity. Similarly a key factor in cutting illness absence, is the commitment of senior level associates.

To know more about how our absence management system can aid your business click here.

Efficiently Manage Your Risks with Incident Reporting Services

Posted on

June 27th, 2012

by

Actec Systems is a reputable name in the industry for providing efficient incident reporting services to clients. The intake specialists are experienced in handling calls and reporting all vital details at FNOL. The call center employs multiple T-1 and T-3 lines and the most advanced VoIP switch technology so not a single call gets missed. They conduct an in-depth analysis of your goals and design customized scripts to capture the details that you need and then offer your customers various reporting options such as e-mail, fax, internet and electronic file submission. They improve the quality and quantity of the data captured. The specialists at Actec Systems are experienced in designing and implementing highly intuitive workflow driven applications for your business.

The best feature of Actec Systems is that their solutions are customer driven. For effective incident reporting management, they employ the best practices for capturing complete information at the first time. The customized workflows ensure accuracy and reduction in call times. All data is accurately recorded in their proprietary system. The claims reports are then converted into actionable reports so you can start investigations, track activities and manage risks. The complete incident reports are sent to various recipients such as government agencies via EDI, mail, phone, e-mail or other format.

Incident reporting services help reduce the claims paid out, the handling expenses and administrative costs. The litigation costs as well as medical expenses also get reduced. Their clear and accurate details provide you a complete overview and you can easily identify risks and manage them. The benefits of incident reporting management include lowering call handle times and increasing the efficiency of customer services. With Actec services, you can gain a complete view of claims operations through real-time analytics. You will be in a position to conveniently resolve claims faster and gain higher customer satisfaction and loyalty. For more information about Actec Systems, please browse through www.actec.net.

Fraud Prevention and Absence Management Via Outsourced Call Centers

Posted on

June 6th, 2011

by

Unmanaged employee absences can grind an organization to a halt. As soon as an employee reports an absence, many steps must be taken. Automatic notification of all affected parties, activation of replacement procedures, and the intake process for absences related to short-term disability, long-term disability, or Family Medical Leave Act (FMLA) incidents are all pivotal in unfettered operation. Beyond these necessary and basic requirements, Actec also records the intended beginning and completion of the absence so you can plan accordingly, all without consuming your supervisors’ valuable time. Another equally critical component is to stay connected with feedback from your employees regarding fraud, theft, sexual harassment, ethical concerns, equipment breakdowns, and safety matters to eliminate potential problems before they evolve into serious liability issues and lawsuits. Soliciting such feedback from your employees not only reduces your liability, but it also increases retention and improves the working environment for all of your employees as it makes them better appreciate the important role they play in the communication cycle. It also keeps organizations in compliance with the Sarbanes-Oxley Act of 2002, which mandates that companies provide a way for employees to submit anonymous reports about financial irregularities without fear of retaliation. Going without an expert outsourced call center can have a devastating long-term impact on a company’s future. Without FNOL, organization and loss mitigation technologies, things fall through the cracks.

Zurich Receives High Marks

Posted on

May 13th, 2011

by

Zurich was rated a close second in its category by risk managers, and 4th in class for claims handling. Actec handles all after-hours, weekend, holiday, and overflow calls for Zurich, and celebrates this triumph of efficiency and outsourcing FNOL in the insurance and risk management industries.

Safety Through DriverCheck

Posted on

May 12th, 2011

by

DriverCheck identifies unsafe drivers and corrects their behavior, before they have a collision, through Full-Cycle 24/7 Vehicle Monitoring and Training, guaranteed to reduce collision costs, increase profits, and save lives.Insurance and private companies have reduced at-fault collisions by 50% or more with DriverCheck. We guarantee at least a 10% reduction in at-fault collisions in the first year or the program is free. A superb compliment to claims handling and other risk management strategies – see for yourself.