Insurance companies from both the Life and Health, and Property and Casualty arenas consistently refer their adjusters to for the investigation of suspected fraudulent claims. Having worked with insurance companies for over 45 years, we are familiar with the nature and purpose of all varieties of claims investigations.
While determination of claims fraud is typically the primary purpose of initiating a private investigation, understands that this is not always the insurance adjusters` intent. We are the preferred service provider of investigations among insurance companies because of our understanding of the full claims process. Especially in the case of new claims, we realize that adjusters often simply require well-conducted initial inquiries at a reasonable cost in order to determine a claim`s validity. Based upon the insurance company`s requirements, the result of such preliminary inquiries may determine whether or not a full fraud investigation is necessary for a new claim.
In cases of either newly submitted claims or questionable claims, we are able to provide services tailored to the needs of each particular insurance company and claim situation. Our understanding of the claims process benefits insurance adjusters and examiners because we can provide recommendations for services and assist in devising subsequent approaches following preliminary efforts in the event further investigation is warranted. Often with new claims, we may be able to advise if subrogation is a possibility.
Investigative services commonly performed for insurance claim adjusters include:
- Activity checks
- Claimant background investigation
- Accident reconstruction
- Fire cause and origin investigation
- Medical records retrieval
- Retrieval of ambulance, police and fire department records
- Claimant and witness interviews
- Obtain signed medical release
- Arrange independent medical examinations
- Locate witnesses
- Subrogation research
- Equipment or scene photos, video, diagrams and measurements
Information relating to specific claims may be obtained online by clicking here.
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