Predictors of Fraudulent Monday Effect Workers Compensation Claims Filing

Monday Effect Claims refer to workers compensation claims filed on Mondays for easy to conceal injuries such as strains, sprains, and back injuries. Researchers and industry experts have long believed that there is an element of fraud in these claims, resulting from individuals who were injured during the weekend, while not at work, looking to take advantage of the medical benefits available through workers compensation insurance. Fraudulent Monday Effect Claims (FMEC), as presented in this study, specifically refer to workers compensation claims filed for injuries that occurred while an individual was not at work, presumably during the weekend. A study of 507 adult survey participants examines how injury type, level of financial exposure, as determined by medical and accident insurance coverage status, along with an individual’s job satisfaction level and acceptance of fraud, can predict the extent to which an individual would be likely to file a Fraudulent Monday Effect Claim (FMEC). The findings of this research indicate that while injury type and level of fraud acceptance may predict the likelihood of a Fraudulent Monday Effect Claim filing, financial exposure and job satisfaction may not.