A woman with headphones is looking at a computer screen.

Fraud

If you suspect someone is committing fraud, you can report it by calling us on 13 18 55, emailing enforcement@rtwsa.com or completing our online fraud referral form.

At ReturnToWorkSA we take fraud seriously. We investigate allegations of fraud to protect the integrity of the Return to Work scheme, and pursue prosecution where we find evidence of offending.

Fraud increases the costs of running the Scheme and takes money away from providing services to people who have been injured at work. Fraud also impacts employers in the Scheme by negatively affecting the rates of insurance premium which are charged.

The information you provide us with can help us in our investigations.

Employers, workers and service providers found guilty of offending can be liable to criminal convictions, fines, recovery costs and imprisonment. Adverse publicity is also common for people found guilty of fraud.

What is fraud?

Fraud is obtaining financial gain or other benefits through deception and dishonest means.

Examples of work injury insurance fraud include:

Employer fraud

  • failing to register with ReturnToWorkSA when they are required to do so
  • supplying false information to obtain or renew insurance
  • falsifying documents like a certificate of registration
  • underestimating workers' remuneration or misclassifying workers to avoid paying the correct amount of premium (including “sham contracting”)
  • discouraging employees from pursuing a claim.

Worker fraud

  • claiming for an injury that didn't occur as a result of their work
  • failing to notify of a return to work or a change in income
  • providing false information related to a claim or exaggerating an injury
  • altering a medical certificate or other documents related to a claim.

Service provider fraud

  • billing for consultations or services that didn't occur
  • providing false or misleading information on a medical certificate or other documents.