ARE YOU UNDER INVESTIGATION BY THE SSA?
How do you know if you are under investigation by the SSA? Most claimants who are seeking disability benefits are not aware the Social Security Administration can investigate your activities. The SSA does put people under investigation. Therefore, you should be aware of when they are watching you.
SSA INVESTIGATIONS STARTS AT THE LOCAL OFFICE
Typically, it is the workers at the local claim office who start investigations. Workers at the local SSA office often talk to claimant’s on the phone. They may help you with your application. Or, they may call you to ask about your doctors. During these phone calls, if the worker gets the impression you are lying, then they can decide to start an investigation about you. The SSA can also receive fraud referrals from SSA’s Office of Hearing Operations, private citizens, and anonymous sources. In fact the SSA wants to expand their investigations of claimants into every state. Fraud cases, for example, can involve filing multiple applications or concealing work you are doing while claiming disability. Another example of fraud is lying about your disability.
Upon completion of the SSA investigation, a report detailing the investigation is sent to Disability Determination Services (DDS). A DDS staff worker serves as the ultimate decision-maker in determining whether you are eligible to receive a monthly disability benefit payment
It is always best to tell the truth to the SSA. Additionally, it is always best to hire a law firm with experience in disability law to speak to the SSA on your behalf. The SSA will not tell you that you are under investigation. Find out more about SSA investigations and Cooperative Disability Investigations (CDI) here.
YOU MAY BE UNDER SSA INVESTIGATION AT YOUR CONSULTATIVE EXAMINATION
Typically, when the SSA decides to start an investigation, they will have an investigator follow you at your Consultative Examination. The people who follow you are not police officers, they are investigators.
The reason the SSA may follow you at your Consultative Exam is that they know you will be attending. Therefore, it is a good time to watch what you do. Consultative Exams are set by the SSA and they pay the doctors who do the exams. Most people attend a Psychological Evaluation with a psychologist. Or, they attend a Physical Evaluation with a physician. Sometimes, the SSA will send you to both. The SSA sets the time and place for these examinations. It is best to go. They will deny your disability claim if you do not attend.
SSA sends investigators to the offices of the Consultative Examiner. The investigator can park outside the doctor’s office in a car. Sometimes, the investigator will be in the doctor’s waiting room, pretending to wait for an exam like you. The investigator may start a conversation with you. If you talk on your phone, they will listen. They will also watch how you get out of the car and how you walk. Likewise, they will check to see if you need a cane or other assistive device, like a walker. The investigator is comparing your behavior to the answers you wrote on the SSA’s forms about your daily activities.
WHAT WILL THE SSA INVESTIGATOR DO?
The investigator will listen to you if you are talking on your phone to someone. They will watch how you act and what you do. They are watching to see if you can drive a car. Also, they will write about whether you need a cane or assistance to walk into the appointment. Likewise, they will watch to see if someone drops you off at the appointment or picks you up. If you are using your phone, they might say in their report that you can concentrate on a phone or computer game. Also, if you sit in the waiting room and don’t stand up, but you are claiming back pain, they will write down the amount of time you sat on a chair.
The investigator may also follow you in a car if you drove to your appointment. If you drive home or to a gas station or a store, they will follow you. Wherever you go after your doctor’s appointment, they may be following you. If you go shopping, they will go into the store and watch what you buy. Their comments will be about whether or not you have physical problems getting in or out of your car. They will also comment upon your ability to walk into the store, or how long you can sit or stand.
Even if you are not being investigated, the doctor and the doctor’s staff will also write about you. Often, the doctor is watching you through the window when you get out of your car. SSA’s doctor is writing a report about your physical abilities. The doctor will report how you act, sit, stand, and how you get into and out of the building in their consultative report.
IF YOU ARE UNDER INVESTIGATION BY THE SSA THEY MAY COME TO YOUR HOUSE
Here is the second thing you need to know. The SSA investigators may come to your house to investigate you.
They will typically pose as detectives or perhaps, some form of police officer. You have a right to ask for their identification. They will usually say they are investigating the theft of your identity. Sometimes, they pretend they are investigating an internet crime. They might say they are investigating a complain that you or a neighbor made. Or, they make up some other lie in order to get you to invite them into your home. Most of the time, they say they think someone is trying to steal your identity. Sometimes, they look up complaints you may have filed with the police and claim to be interviewing witnesses in the neighborhood.
For example, let’s say you had your laptop stolen within the last year. They will come to your house and say they need to ask questions about your stolen laptop. This information gives them even more credibility, but they are still not telling you the truth. The CDI unit calls it an “investigative technique,” but the rest of the world calls it a lie. They are telling you a lie to get you to trust them and give them the same respect you would give a police officer. However, they are not there to solve a crime. Instead, they are there to write a report to the SSA about you.
YOU DO NOT NEED TO SPEAK TO THE SSA INVESTIGATORS
Please remember, just because two people show up at your front door claiming to be investigators with information about your identity theft or your stolen laptop, does not mean you need to talk to them. You do NOT need to let them into your house. Similarly, you do NOT need to answer their questions. In fact, you do NOT need to talk to them at all. You should ask for their police badge or official identification. If they cannot prove they are policemen, do not talk to them. Even if they do prove they are policeman, you do not need to invite them into your home.
Frankly, it would be best for you to not speak to them. Why? Because they are writing a report about you even though they do not have any medical training to assess your disability. The investigators are not medical doctors. They have no training in mental or physical medicine. Yet, they are writing a report about whether or not you “appear” disabled. Does this sound fair or ethical to you?
WHAT DO YOU DO IF YOU ARE UNDER SSA INVESTIGATION?
If investigators follow you or come to your house, you simply do not need to talk to them. Even if you are not at home, the investigators may ask your neighbors about you. Likewise, they may ask questions about you to your roommate or other members of your family.
Explain to your family members or roommate that you do not want them to talk to strangers about you. Even if those strangers are claiming to be investigating something on your behalf. There are serious constitutional issues with regard to the SSA collecting information about claimants and using it against them in this fashion. There are also issues with the government using taxpayer funds to investigate individuals who file credible claims for disability benefits.
Beyond those issues, it is wrong to have people with no medical background making medical assumptions about disabled claimants. Not all disabilities are visible, especially to people who aren’t doctors. Watch for these investigators. They are not on your side. The SSA investigators are trying to write a report that says you are not disabled, even though they are not qualified to make that determination. You do not need to feel paranoid about SSA investigations. They are not done in every case. Importantly, if you are not committing fraud, then you have nothing to worry about. However, it is good to be aware of the SSA’s investigative techniques.
HIRE CANNON DISABILITY LAW TO REPRESENT YOU IN YOUR DISABILITY CASE
The SSA conducts investigations into claimants who are seeking disability benefits. Can you see that you need a legal team with experience to represent you before the SSA? Not only do you need an attorney in court, you need a legal team to help you apply for benefits and appeal SSA denials. Make sure your paperwork is correct. Don’t give the SSA a reason to investigate you. You also need an advocate to explain to a judge why SSA’s investigators should not be evaluating your disability. Especially when they are not doctors.
Cannon Disability Law has lawyers and representatives in many states. Find out more about Utah disability information here. Likewise, find out more about Nevada Disability information here. Cannon Disability Law has been representing clients with disabilities for many years. During that time, we have won over $100 million in ongoing and back-due disability benefits for our clients. We work with you to build the evidence in your case. Also, we will help you from the day you apply for benefits through your hearing before a disability judge. Contact us today for a free consultation.