Insurance Investigation
What is Insurance Fraud?
Insurance Fraud is a crime involving one party deliberately trying to deceive or mislead another to inflict damage, by means of unjustly obtaining property or services. It can become a serious and expensive problem for its victims. We investigate claims to determine if in fact an employee has faked / exaggerated an injury, has unreported income, employment at a second job, and/or multiple claims under other identities.
Types of Insurance Fraud Investigation
Health Insurance
This investigation determines whether someone is getting paid for health care they are not receiving or is filing health care claims that are not valid or needed. Investigators will search billing records to make sure that doctors and patients are not colluding to commit fraud.
Home Insurance
With home insurance fraud, investigators discover disaster fraud, including false damage claims. They will often determine if the claimant upgraded their coverage right before the claim was filed. Investigators will also verify the validity of property damage claims.
Workers Compensation Insurance
When workers claim compensation for an injury, a workers compensation investigation will confirm the severity of the injury and whether the accident occurred while the person was working.
Car Insurance
Some criminals stage accidents in which they purposely collide with another car, then accuse the other driver of fault in order to file claims. Others attempt vehicle theft fraud, trying to get money for a car that is not stolen.
Life Insurance
This type of investigation uncovers cases of people who claim too much life insurance or claim it while still alive. Investigators also verify the existence of those claiming life insurance.
Insurance Company Fraud
Bad practices can also occur within the insurance companies themselves. If an insurance company takes money but does not sufficiently compensate, an investigator can aid with resulting court cases.
Isn't an Insurance Investigation Just for Insurance Companies?
Absolutely not. When people seek to make fraudulent insurance claims, they often attempt to make claims from the estate of someone else they’ve implicated in the accident. For example, if someone sideswipes your car and then claims you’re at fault, not only will your premiums increase, but the criminal may target you to receive additional money. A fraud insurance investigation by a professional investigator can uncover schemes and save you the hassle and costs of a court case. It can also help keep your insurance costs down.
If you have been accused of insurance fraud, a qualified insurance investigator can help clear your name by gathering evidence of the injuries or damage. This can help ensure that your insurance company pays you on time and pays you the full amount to which you are entitled.
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