Insurance Fraud

Insurance Beneficiaries and Forensics Data Recovery

Insurance Companies and Law Firms deal with very controversial subject matters.  And usually when we are asked to conduct an Investigation for an Insurance Company, we can be assured there is an attorney on the other side. We were contacted by a Major Insurance Company regarding an apparent suicide, the coroner and the police department both stated the insured committed suicide, but yet the family couldn’t believe he would take his own life.  There was just too much, they felt, he had to live for.  There was no suicide note, no indication that he was depressed and he was supposed to announce his engagement in less than a week.  He and his girlfriend had recently returned from a Caribbean vacation and become engaged during the [...]

Insurance Fraud is More Common Than You May Think

There are many kinds of insurance that individuals need to be covered for every event in life.  And here at , we do conduct the following:  Personal Injury Investigations, slip and fall accident investigation, product liability cases, vehicle accident investigations, worker’s compensation fraud investigation and disability insurance fraud investigations and many times just fraud investigations. We received a call from an insurance company that they had a claimant who filed a claim that his house had been broken into and his audio equipment had been stolen.  He estimated the worth to be around $35,000.00.  He had called the police and made a report and was given a police report.  In the report there were a few statements that just didn’t make sense to the Insurance [...]

Insurance Fraud Investigations Reveal Blatant Untruths

When it comes to insurance fraud, the bad guys can be quite brazen. Take, for instance, a North Carolina couple who were arrested for insurance fraud and obtaining property by false pretense. It is alleged that Mister filed a claim after an automobile accident with information about lost wages due to the accident. The couple is accused of inflating the amount of wages that were lost and, on top of that, the company he worked for did not even exist. They went to a great deal of trouble to document wages and the company in order to file the claim. Here at we are never surprised or taken aback by the extremes that some people will go to in insurance fraud cases. We have uncovered [...]

Insurance Fraud Exposed in Surveillance Recordings

Every year, billions of dollars are lost due to people filing false insurance claims. Because that kind of loss tends to trickle downward, the rest of us pay much higher premiums. Unfortunately, there are a lot of dishonest people in the world. They are the ones who torch their own vehicles and then insist that their cars were stolen. They set fire or hire someone to set fire to their homes and businesses. And, you guessed it, they lie about it in an effort to rake in the big bucks. Those who commit workers compensation fraud or disability insurance fraud to collect benefits also very negatively affect the rest of us and the workforce in general. Most of the time, a person files a false [...]

Who’s the Fraudster in Insurance Fraud?

Insurance fraud is a huge problem and insurance companies have gotten a reputation for being hard to work with on insurance claims. They see a lot of fraud and the red flags that pop up are taken very seriously. is called in by insurance companies when they see red flags. We don’t make decisions on cases. Our job is to find facts. Sometimes the facts just keep compounding. In one workers compensation fraud investigation, we were asked to surveil a claimant to determine if the patient was really disabled. Workers comp fraud is everywhere and the premiums are very expensive, in part because of the amount of fraud. Workers compensation investigation can include documenting the claimant’s activity as well as their contact with medical providers. [...]

Solid Investigation Prevents Scammers from Bullying Victims

When Paul and his attorney came into the and shared his story, we were not exactly shocked. Like our staff, Paul is well aware of numerous scamming attempts made by criminals. Despite that knowledge, he found himself a victim. It all began on a congested city street one snowy afternoon around rush hour. Paul was startled by a loud thunk sound. He wondered if kids made his vehicle their target with a snowball filled with rocks, or if perhaps that sound was explained by a chunk of ice melting and falling away from the undercarriage. But then he noticed a female driving an older model car honking and waving in his direction. She motioned for him to roll his window down and insisted that he [...]

Private Investigators Play Big Role in Detecting Workers Compensation Fraud

As professional investigators, we provide each of our clients with only the best combination of skill sets. Very proudly, we can boast that our investigators are long-time leaders in the areas of digital forensics including both forensic computer analysis and mobile phone forensics. In fact, our lab is one of only a few private, full-service forensics labs in the nation. But along with our dedication to mastering all of the newest technology, we also pay close attention to social issues and criminal activities which, unfortunately, continue to thrive. One of the fastest growing schemes is fraudulent claims filed for workers compensation benefits. In fact, in the most recent studies of this form of fraud, more than 45,000 active cases were active, involving employees pretending that [...]

Intuition Speaks Loud and Clear When You Need an Investigator

The staff at would like to remind you of a couple of old sayings. Both are about intuition. One of the sayings goes something like, “If you wonder if you can trust a person, you already know you can't” and the other is, “If it feels wrong, it usually is.” There are countless ways these sayings can apply to your career. If you are an insurance provider and your client tells you that his house just suddenly burned to the ground, you might get the feeling that your client is being dishonest and you have uncovered a case of insurance fraud. There may be red flags that pop up as you discuss the incident like the house being empty while they were away for a [...]

Surveillance Equipment Documents Workers Compensation Fraud

Like nearly every other business owner he knew, Lance paid close attention to the bottom line. He felt responsible for employees working in his chain of convenience stores. Many of those employees had been with Lance for more than a decade. In fact, Lance believed his stores were surviving the economic crunch because employees were friendly and fair to customers, just as Lance was friendly and fair to workers. That was exactly why Lance was upset about a workman's compensation claim filed two months ago by a new employee. According to the claim, the employee injured his back and neck when he slipped and fell on a freshly mopped floor. Other employees told Lance the wet area was marked with a cone and no one [...]

What DO Private Investigators DO?

It’s not unusual for furious people to call or visit . They aren’t furious with us, but with a situation and that is the reason they are contacting us. And sometimes with that fury comes an intent that we cannot service. For instance, one man recently came in with a situation that had him in a blind rage. He was red in the face and yelling. He knew an employee was stealing from his supply house and he wanted this employee stopped. He wanted us to, “threaten him with his job and intimidate him into confessing publicly.” We let him have his say and then we told him we would not, could not do as he requested. He stopped and told us he thought that [...]

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