12101324 - Master Compliance Training Book

12/7/24

Worker’s Comp Fraud

• Threats: o Employees exaggerating or faking injuries. o Claims for injuries that occur outside of work. o Collusion with medical providers for fraudulent claims. o Repeat claims from the same employee. • PreventionTips: o Implement surveillance to validate claims. o Conduct thorough investigations of reported injuries. o Partner with trusted medical professionals for evaluations. o Offer a safe and transparent reporting process for suspicious claims.

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Sports Book

• Threats:

o Match/Spot Fixing. o Betting Bots/Syndicates. o Good old-fashioned human threats. • Prevention Tips: o MORE training from vendor(s). o Effective regulation, reporting and enforcement. o Assurance/Integrity Services. o Surveillance observations and reporting. o Analytics to detect unusual betting patterns.

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