Claim questions, not assumptions
Workers’ Compensation Investigations
A workers’ compensation claim calls for facts, not assumptions. Our investigators examine claim questions under Andrew Palmore’s leadership. Talk with the Trident team about the circumstances and what needs to be investigated.
AOE/COE and workers’ compensation casework
Andrew leads Trident’s AOE/COE and workers’ compensation investigations, with our investigative team handling claim-related casework. Our work includes claimant, witness, and employer interviews, gathering documentary evidence, and preparing clear investigative reports used in liability decisions. The investigation starts with the claim question, not a presumption of wrongdoing.
Discuss an unanswered claim question
If you have a question about a workers’ compensation claim, explain your connection to the matter and ask our team whether it fits our investigative services. An inquiry does not presume fraud or establish that a claim is invalid.
Identify what needs clarification
Focus on the particular question rather than a desired decision about the claim. The scope and engagement details must be agreed with our team.
- Which circumstance or part of the claim needs clarification?
- What information is known, and what is uncertain or disputed?
- What relevant dates or deadlines should our team consider when discussing scope?
Keep the first inquiry non-sensitive
Briefly describe the claim question and your connection to the matter. Do not include sensitive medical information, claim identifiers, or attachments in an initial inquiry. Ask our team what information is needed and how to provide it before sharing claim materials.
Frequently asked questions
Does investigating a workers’ compensation claim imply fraud?
No. A question about a claim is not evidence of fraud. Start with the circumstances and the facts that need clarification, without assuming wrongdoing or a particular outcome.
Should I include medical records in my first claim inquiry?
No. Keep medical records, claim identifiers, and other sensitive materials out of the first inquiry. Describe the question broadly and ask our team what information is needed and how to provide it.
Can an initial discussion determine whether a claim is valid?
An initial discussion identifies the claim question and whether a proposed inquiry fits Trident’s services. It should not be treated as a decision about claim validity or entitlement to benefits.