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Case Study · Workers Compensation Fraud

$73,000 Saved. Fraud Exposed.

Workers Compensation Fraud Investigation · Greater Sydney

How a focused workers compensation fraud investigation in New South Wales turned four hours of surveillance footage into tribunal-ready evidence that ended a fraudulent claim and saved one construction business $73,000.

ServiceWorkers Comp Fraud
LocationSouth East NSW
Duration3 surveillance days
Outcome$73,000 saved
The Client

A NSW Construction Boss Looking After His Team.

Marcus (not his real name) owned a construction and civil works company in Greater Sydney with 38 employees. He had built the business over eleven years and took genuine pride in looking after the people who worked for him. Proper safety protocols. Above-award wages. A culture where injuries were taken seriously.

So when a long-standing employee filed a workers compensation claim citing a lower-back injury that prevented any physical activity, Marcus's first response was sympathy. He knew the job. He knew injuries happened.

The Challenge

The Insurer Was Toothless.

Within a few weeks, something didn't add up. A colleague had reported seeing the claimant loading heavy materials at what appeared to be a competitor's worksite. Activity directly inconsistent with a claimed inability to lift more than two kilograms or stand for more than ten minutes.

Marcus reported his concerns to the insurer. He was told the claim was "under assessment." Three months passed. The weekly compensation payments had already totalled more than $18,000. The insurer's process was, in Marcus's own words, "completely toothless." Nobody seemed willing to take action without proof that the insurer wouldn't go and gather itself.

Marcus wasn't just frustrated about the cost. This was personal. He had built a business on the principle of looking after honest workers. Someone was exploiting that, and the system was letting it happen. What he needed was a workers comp fraud investigator who could deliver evidence the insurer couldn't shrug off.

The Investigation

Three Days of Focused Surveillance.

Stirling Investigations deployed a surveillance operative across three separate days over a two-week period. The surveillance covered the claimant's residential address, a sporting venue he was known to frequent, and a worksite where he had been observed by Marcus's contact.

During the third deployment, over a continuous four-hour period, our operative documented the claimant carrying heavy construction materials between a vehicle and an active worksite, climbing scaffolding on multiple occasions, and engaging in sustained physical labour. All directly contradicting his treating practitioner's medical reports.

Tribunal-ready evidence. Footage was captured via professional video with GPS-confirmed timestamps. A secondary social media investigation identified multiple recent posts, including one from two weeks prior showing the claimant at a gym performing exercises directly inconsistent with his claimed injury. The complete evidence package was compiled into a tribunal-ready report formatted to meet workers compensation dispute requirements.

Every step of the WorkCover surveillance was conducted in public locations and under Australian law. No laws were broken and no private property was accessed.

The Outcome

Claim Rejected. Premiums Protected.

3
Surveillance Days
4+
Hours of Evidence
$73K
Estimated Saving

The evidence report was submitted to the insurer's fraud team. The claim was immediately suspended pending investigation. The workers compensation tribunal accepted the surveillance and social media evidence and rejected the claim in full.

The $18,000 in compensation already paid was recovered through the rejection process. The estimated total financial benefit, including future liability extinguished by the claim rejection, insurance premium savings, and legal cost avoidance, was calculated at approximately $73,000.

Marcus described the experience not just in financial terms but as a matter of principle. The system had been gamed by someone he had trusted, and for the first time in months, the right outcome had happened.

I built this business to look after people who work hard for me. When someone abuses that system, it's not just financial, it's personal. Stirling Investigations got me the evidence I needed quickly, professionally, and in a form that actually held up at tribunal. That's all I needed.
Marcus · Workers Compensation Fraud ClientGreater Sydney · Name changed for confidentiality
If You Suspect a Claim Is Fraudulent

The Longer It Runs, The More It Costs.

Every week a fraudulent claim continues is another week of payouts your business doesn't owe. If something doesn't add up, your first call to Stirling Investigations is completely confidential. We'll tell you honestly whether surveillance is the right next step.