private insurance fraud investigator Archives

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 [...]

Business Owners, Insurance Companies and Private Investigators Work Together to Eliminate Insurance Fraud

As our clients know, earned our excellent reputation because we are results oriented. Definitely, we think outside the box, approaching every case with a willingness to use whatever skills and resources necessary to gather evidence. Even the best of scam operators can't slide past our investigative tools since those tools and research skills are also mixed with persistence and the highest level of confidentiality. These facts about our agency bring insurance companies to our door. Recently a claims agent called because one of the business owners the company insures came to them with some concerns. He was certain that at least one of his employees was fraudulently collecting workers compensation benefits. But he had recently heard gossip about a second employee who was also drawing [...]

Private Investigators Prove Insurance Fraud with Surveillance Video

When Wanda fell on a wet floor at work, she claimed to have suffered multiple injury-related problems. She quickly filed for workers compensation and sued her employer for millions of dollars in damages. Because they had no access to a videotape of Wanda’s slip and fall accident, her employers had no way of proving that she was lying – and committing insurance fraud. They heard a few grumbles around the community from Wanda’s co-workers and a few of her neighbors too, stating that Wanda was not only pretending to be injured, she was bragging about how she had her previous employer pinned to the ground like a bug. Frustrated and aggravated by the continuous stack of medical bills arriving in a thick manila envelope every [...]

Car Arson – Insurance Fraud or Criminal Case? Could be Both

You would think calls to regarding car arson would be from an insurance company representative saying that arson was expected regarding a claim. But experienced investigators never jump to a conclusion – they listen to the whole story before moving forward. And since investigates so many different cases, they know there are many directions a call can go. This particular story began with the attorney representing the accused. Sure enough, the insurance company wanted to deny a claim because of arson and the municipal police investigating were supporting the District Attorney’s decision to prosecute the car owner for arson – with insurance fraud charges on top of that. There was no need to be concerned about getting the accused man’s cell phone, he was happy [...]

Medical Service Providers Caught in Insurance Fraud Investigation

If you want to understand why insurance companies hire private insurance fraud investigators, consider this quote from the NorthJersey.com, the online home of The Record: "Three former chiropractors from Bergen and Passaic counties were sentenced to five years of probation Monday for setting up a fraudulent practice in Paterson and cheating more than 30 insurance companies out of what prosecutors say was millions.” Yes, you read that correctly – MILLIONS! The three medical services providers received sentences and were ordered to pay a total of $250,000 in restitution. But they cost the insurance companies millions of dollars, in fact it is reported that the three generated $2.8 million in fraudulent billings. When is called into a case like this, we know that it often results [...]