Monitors activities of insurance carriers and self-insured employers to assure workers' compensation claims are processed in accordance with existing state laws and rules. Investigates reports of fraud. Also provides assistance to injured workers in understanding the system and their benefits.

Industrial Commission of Arizona Claims Division - Phoenix | Industrial Commission of Arizona Claims Division - Phoenix

Programs that provide a hotline, website or other mechanisms that the public can use to report to cases of suspected fraud involving claimants, employers, insurance company officials, officials of third-party administrators, insurance agents, lawyers, health care providers, and vocational rehabilitation providers who have lied to obtain a benefit through the Workers Compensation program or to prevent a benefit from being awarded. Examples of this type of fraud include employers who have lied about the nature of the work involved, the number of employees or their salaries in order to receive lower Workers Compensation insurance rates; employers who have not obtained Workers Compensation when required to do so; employees who file Workers Compensation claims for injuries that did not occur; employees who obtain benefits as a result of lying about their ability to work or income from other sources; and health care providers or lawyers who inflate their bills or bill for treatment of or services related to nonwork-connected injuries.

Workers Compensation Fraud Reporting

Programs that provide legal assistance for people who want to establish employment practices for their organization that will minimize or eliminate problems in the employment area or who need to resolve a dispute or initiate or respond to litigation which relates to their role as employers or employees, their rights and obligations. Labor and employment law deals with a variety of issues including ADA compliance, wage and hour compliance, workplace health and safety, interview and hiring practices, employee contracts, employee benefits, maternity/paternity leaves, medical leaves, supervision and discipline, workplace privacy, workplace violence, sexual harassment, wrongful termination, and worker's compensation cases as well as protection from a range of employer-committed crimes including wage theft, deliberate worker misclassification, evasion of unemployment and workers' compensation laws, labor trafficking, defamation including false statements by an employer during or after the firing process, violation of state laws related to whistleblower protections or other relevant statutes.

Labor and Employment Law

Programs that provide assistance for people who are having difficulty understanding and/or obtaining the full benefits to which they are entitled by law under state Workers Compensation statutes. The programs may help people understand the eligibility criteria for Workers Compensation benefits, the benefits provided by the program, and the rights of beneficiaries; provide consultation and advice; help them complete Workers Compensation application forms; negotiate on their behalf with Workers Compensation benefits staff; and/or represent them in administrative hearings or judicial litigation. Included are organizations that offer a range of advocacy services as well as legal aid programs which offer more formalized legal assistance. Workers Compensation is a disability insurance program mandated by the state and funded by employer contributions which provides compensation to covered employees for loss of their earnings as a result of an accidental injury or occupational disease sustained during employment, or which compensates dependents in case of a work-related death.

Workers Compensation Benefits Assistance

Assists people applying for or receiving Worker's Compensation benefits. Provides information about and referrals to resources for Worker's Compensation claimants.

Industrial Commission of Arizona Claims Division - Phoenix | Industrial Commission of Arizona Claims Division - Phoenix

Industrial Commission of Arizona Ombudsman Office | Industrial Commission of Arizona Ombudsman Office

Industrial Commission of Arizona Claims Division - Tucson | Industrial Commission of Arizona Claims Division - Tucson