To help minimize the financial impact of fraud, Zenith’s anti-fraud program is an integral part of our workers' compensation claims management process.
Our Special Investigation Unit (SIU)—staffed by seasoned professionals with law enforcement and claims experience—conducts investigations to either help to validate a worker’s claim or build a case of possible fraud or abuse.
Zenith’s anti-fraud program includes the following steps:
- We review 100% of workers' compensation claims where an employee has missed time from work for potential fraud or abuse.
- If we find one or more red flags in a claim, the SIU will begin an investigation to collect evidence.
- When there is reason to believe fraud has occurred, the SIU refers the case, along with our detailed evidence, to state fraud agencies.
District Attorneys’ offices have recognized Zenith’s fraud investigators for their outstanding work.
