The Special Investigation Unit at Beacon serves as an internal resource within the Claim Department, conducting research and investigation into potential fraudulent activity. The Special Investigation Unit, or SIU, provides assistance in reviewing situations where potential fraud has been identified. The definition of fraud is the "intentional misrepresentation of a material fact for personal gain".

The SIU is comprised of investigators who focus on both employee and employer fraud. In order to recognize potential fraud instances, the special investigator uses a thorough investigation procedure. This Unit serves as an internal resource to assist several departments including Claims, Loss Prevention, Premium Audit and Underwriting.

An example of fraud includes one in which an injured employee is working while simultaneously collecting workers' compensation benefits and not reporting their earnings. Another example of a potential fraud situation is one in which the employer intentionally misclassifies their employees under incorrect class codes.

Cases that meet the criteria for fraud are referred to the RI Workers' Compensation Fraud Prevention and Compliance Unit. This State Fraud Unit will then decide whether a referral to the Attorney General's office is warranted for possible criminal prosecution.

If you have a potential fraud situation that you would like to report, please call our toll free number at 1-888-886-4450 and ask to speak with our internal Special Investigation Unit at Beacon. You can also call the State of Rhode Island's Fraud and Compliance Unit directly by dialing 401-462-8110 (option #7 on the menu).

Should you wish to report a suspicion of FRAUD to Beacon on-line...
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