People who provide false information when making insurance claims steal millions of dollars off Western Australian motorists and taxpayers every year. People who stage motor vehicle accidents, exaggerate their workplace injuries and make false statements, make insurance premiums higher for us all.
The Insurance Commission has a zero tolerance approach to fraudulent activities and will pursue those engaged in attempts to defraud.
Insurance fraud is dishonestly attempting to claim or receive a benefit otherwise not entitled to, and may be committed by claimants or service providers.
Insurance fraud committed by a claimant may involve:
- deliberate falsification of a claim or providing false information (lying about work propects and health conditions);
- working a second job when claiming workers’ compensation from another job;
- exaggerating injuries and inability to work to receive greater benefits; and
- purposefully causing a crash or an injury in order to make a claim.
Insurance fraud committed by service providers (including medical providers) may involve:
- charging claimants for long consults irrespective of the consult time;
- dispensing generic drugs to claimants, but charging the Insurance Commission for the non-generic kind; and
- billing the Insurance Commission for an exaggerated number of working hours.
We actively investigate fraud and catch many people doing the wrong thing every year. When we find fraud, we may:
- refer it to Western Australia Police for criminal investigation;
- initiate civil action to recover compensation amounts overpaid; or
- refer to the Corruption and Crime Commission or Public Sector Commission if a public sector employee is suspected to be involved in a fraudulent workers’ compensation claim.
View a complete list of Fraud Case Studies in the News and Publications section of this site
Please report fraud. After all you’re paying for it.
Catching out people who make fraudulent claims saves WA motorists and taxpayers millions each year.
You may know someone who is trying to rip off the system. Please report it:
You can remain anonymous.