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Workers' Compensation Fraud

Fraudulent activity undermines the integrity of the workers’ compensation system. This module explores the different types of fraud committed by claimants, providers, and even employers. You’ll learn how to identify red flags, report suspected fraud, and protect your organization from legal and financial consequences.

Key Learning Outcomes

  • Understand what constitutes workers’ compensation fraud

  • Recognize fraud indicators from employees, providers, and employers

  • Learn how to investigate and document suspected fraud

  • Navigate the reporting process and work with enforcement agencies

  • Prevent exposure through proactive claim handling

Who Should Enroll

This course is ideal for adjusters, investigators, employer reps, and any professionals involved in identifying, documenting, or reporting potential fraud. It’s especially helpful for those working in high-volume or high-risk claim environments.

Sullivan on Comp

The Claims Practitioner in Workers’ Compensation (CPWC) program is powered by Sullivan on Comp (SOC) and SOC Essentials—the most trusted resources in California workers’ compensation.

These expert materials deliver:

  • In-depth legal analysis

  • Practical, real-world claims guidance

  • Current updates on laws, regulations, and case law


With SOC integrated into this course, you’ll gain the legal insight and practical tools needed to handle California workers’ compensation claims with skill and confidence.

Topics Covered

This module focuses on fraud detection and prevention in WC claims:

  • Definitions and types of fraud

  • Common fraud schemes and red flags

  • Investigation techniques and documentation

  • How and when to report suspected fraud

  • Role of enforcement agencies and prosecution process

Why Professionals Trust This Course

This course is designed for professionals who are ready to build—or strengthen—a career in California workers’ compensation:

Updated for 2024 with real-world claims examples
Aligned with California DWC training requirements
Integrated with Sullivan on Comp for legal and practical clarity
Flexible, on-demand format for working professionals
Part of the full CPWC Certification path

CPWC15

On-Demand

Payment plans available.

Up-to-Date Content Developed with Industry Leaders

Upgrade to a Certification on Workers’ Comp

Students who chose certifications got:

Become a Workers' Compensation Expert

Ready to take the next step towards a rewarding career in the workers’ compensation industry? Look no further!

Connect with our experienced counselor to determine the best class or path for your goals.

Fill out the form to get in touch




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