Suspicious nature and extent of injury

• Type of injury is unusual in claimant's line of work
• Injury concerns soft tissues and cannot be objectively verified
• Discrepancies exist between injury and facts of the accident
• Claimant refuses diagnostic procedures to confirm injury
• Claimant refuses to cooperate with rehabilitation personnel
• Claimant files for compensation because of vague complaints of stress
• Claimant has history of reporting subjective injuries (such as headaches, nausea and sleeplessness)

RED FLAGS

• Suspicious account of accident
• Suspicious timing of claim
• Suspicious nature and extent of injury
• Suspicion that the claimant may be working elsewhere while receiving benefits
• Suspicious medical treatment
• Suspicious engagement of legal assistance