WSI has a responsibility to the employers and employees of North Dakota to investigate all allegations of fraud. Workers' compensation fraud robs North Dakota workers and businesses of money every year and in return may cause an increase in premium. When workers' compensation premiums rise, employers may be forced to cut back on employee benefits such as raises, health insurance, and even jobs.
WSI investigates hundreds of new fraud cases each year in an effort to prevent employer, injured worker, and provider fraud. WSI has zero tolerance for fraud and hopes to protect employers and hard-working employees.
If you suspect that someone is committing fraudulent activity, please report it immediately.
WSI cannot stop fraud alone.
If you suspect fraudulent behavior is occurring, please contact us:
- Call the Fraud Hotline at 800-243-3331
- Use the online Fraud Reporting service
- Complete and return a Fraud Report form to the Special Investigations Unit at WSI
Fraud occurs when a person knowingly or intentionally conceals, misrepresents, or makes a false statement to obtain workers’ compensation benefits or insure coverage, or otherwise profit from the deceit. Fraud ranges from a business under reporting worker hours to providers billing for services not performed, to an injured worker collecting undue time-loss compensations benefits.
If a fraudulent act is committed to obtain benefits or services of $1,000 or less, the offense is a class A misdemeanor.
If a person defrauds the system of more than $1,000, the offense is a class C felony, which can be punishable with a fine of up to $5,000 and 5 years incarceration, or a combination of both.
WSI's Special Investigations Unit (SIU) is responsible to investigate fraud reports and educate the public. The SIU program includes anti-fraud training for WSI employees, as well as external business and providers.
SIU investigates to prove, but also disprove, fraudulent behavior and activity, by gathering evidence through a variety of means. This may include subpoenaed information, witness statements and interviews, and review of surveillance footage.
In addition to fighting fraud, SIU also conducts special assignments to gather information to expedite WSI’s services to employers, injured workers, and providers of North Dakota.
The success of detecting workers’ compensation fraud depends on everyone reporting questionable or suspicious activities. All information received is reviewed which may result in an investigation. Information will remain anonymous upon request.