Instruction contexts / 05
Workers compensation investigations ProFact conducts
ProFact is briefed on injury claims where insurers, self-insurers, scheme agents or employers need impartial factual evidence on capacity, activity or claim integrity. Each instruction is scoped by a senior investigator, conducted lawfully under agreed written terms, and reported in a form suited to workers compensation review or proceedings.
Return-to-work verification
When a claimant reports readiness to return to work, or a graduated return is under consideration, ProFact can verify observed activity and attendance patterns against the proposed duties or hours. Findings help claims handlers assess whether return-to-work plans are realistic and whether further medical or workplace intervention is required.
Capacity and restriction inconsistencies
A common instruction involves reported physical or psychological restrictions that appear inconsistent with observed movement, employment activity or lifestyle. ProFact gathers lawful surveillance and factual evidence so decision-makers can assess whether stated capacity aligns with field observations.
Activity monitoring on open claims
On open or long-tail claims, ongoing activity monitoring may be required to establish patterns of work, social activity or physical function over time. ProFact deploys licensed investigators under written scope so surveillance is proportionate to the claim objectives and documented for later review.
Concurrent or undeclared employment
Where a claimant may be working while receiving compensation benefits, field surveillance and factual inquiry can help establish employment activity, trading patterns or undeclared income sources. ProFact reports findings clearly so instructing parties can assess the claim file against the evidence gathered.
Prolonged or escalating incapacity
Some claims remain open with escalating restrictions or delayed recovery. ProFact can investigate whether observed activity supports the ongoing incapacity reported, assisting insurers and self-insurers managing claim drift, treatment pathways and case strategy.
Restricted-duty and suitable duties surveillance
Where a claimant is on restricted or suitable duties, employers and insurers may need verification that the worker is attending, performing agreed tasks and not engaging in activity outside certified capacity. ProFact gathers field evidence to support those return-to-work decisions.
Factual inquiry into injury circumstances
Not every workers compensation brief requires surveillance. ProFact also conducts factual inquiry into injury circumstances, witness accounts, site attendance and documentary inconsistencies, with reporting structured for claims handlers and legal advisers managing the file.
Litigation and IME file support
When a claim moves toward dispute resolution, mediation or tribunal proceedings, solicitors may instruct ProFact to gather evidence for IME review, prepare chronologies or support investigator attendance. Material is compiled under senior investigator oversight in formats suited to legal file review.