Ohio Revised Code 2913.48 designates BWC's special investigations department (SID) as a criminal justice agency. SID protects the state insurance fund by aggressively pursuing cases of claimant, medical provider and premium fraud.
Workers’ compensation fraud occurs when someone knowingly makes a false representation of a material fact to obtain or to deny workers’ compensation benefits, when an employer misrepresents the amount of payroll or classification of its employees, or when a medical provider receives payment for services not provided.
Workers’ compensation fraud increases premiums for employers, which reduces the money employers can invest in their employees, community and future growth.
If you suspect someone is committing workers' compensation fraud, you can report it here.
Below are some of the most frequently asked questions that we receive. A list of all questions for worker and claims related topics can be found on on the Fraud FAQ page.