State of New York Office of the Workers’ Compensation Fraud Inspector General 2015 Annual Report

The mission of the Office of the Workers’ Compensation Fraud Inspector General (WCFIG) is to conduct and supervise investigations within New York State and elsewhere of possible fraud and other violations of laws, rules and regulations pertaining to the operation of the workers’ compensation system. Through its investigations, audits, and reports, the WCFIG focuses on reducing costs to the workers’ compensation system by eliminating fraud and acting to improve the efficiency and effectiveness of the system. The WCFIG’s investigations are complex and often involve detailed analysis of records and taking of testimony from employers, attorneys, employees, health care providers, and insurance carriers. These investigations result in criminal referrals, arrests, and prosecutions, as well as recoveries for overpayments made from the fraud identified.