Mind Mysteries:

4 Realities of Investigations and Defense of Psyche Claims

The white paper by a team of risk management and legal professionals dives into the intricate landscape of psyche claims, shedding light on the challenges and nuances involved in investigating and defending these claims. It discusses the impact of the 2013 amendment to California’s Labor Code in reducing questionable disability claims while addressing the prevalent issue of fraud in the mental health sector, leading to financial repercussions. The surge in False Claims Act cases in 2024 underscores the necessity for stricter scrutiny and enforcement measures.

Learning Objectives:

• Understand the key factors contributing to the decline in psyche claims post the 2013 amendment to California’s Labor Code.
• Identify the prevalence of fraud in the mental health sector and typical profiles of fraudsters.
• Explore the essential elements of a comprehensive investigation into questionable psyche claims and the role of investigative partners in the process.

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