Insurance Claims Investigations

Every year, many different types of insurance fraud are perpetrated: staged car crashes, slip and fall claims, misrepresented facts on an insurance policy, and inflated injuries disputes aiming at higher compensation. To avoid monetary loss due to huge settlement payouts, businesses and insurers hire private investigators for car accidents or potentially fraudulent claims.

Our agents support insurance companies that need experienced investigators to help gather evidence of false claims or fraud, including claims related to product liability, commercial liability, premise liability, bodily injury claims, and claims that are fraudulent in nature and require a law enforcement referral. Our agents will obtain photographs, video and other supporting evidence to help document the evidence required. Our agents additionally provide expert testimony.

The main types of insurance investigations cover fraud investigation regarding health coverage, life or home insurance, and workers compensation

The “low risk/high reward” nature of insurance fraud has resulted in an increase of fraudulent insurance claims made that cost both businesses and consumers millions and millions of dollars. The Insurance Information Institute reports that auto insurance scams amount to $29 billion in damages absorbed by insurance carriers.

Another lucrative type of insurance fraud is the false slip and fall claims, where an alleged injured party hopes for a huge injury settlement. According to the National Insurance Crime Bureau (NICB), 79% of businesses such as restaurants, retail stores and parking lots were the target of questionable slip and fall claims. A private investigator can help discover these fraudulent claims.

A large number of accidental insurance claims, especially those aiming at exaggerated settlement amounts, warrant a closer scrutiny in the form of a claim validation investigation. The insurance claim validation process ranges from conducting a telephone interview with the petitioner to a meticulous insurance fraud investigation. This is where private investigation services come into play. The role of a private investigator for accident fraud is mainly to gather evidence that will do one of two things – support the claim or discredit it. Our team can uncover information and evidence to help our client’s situation.

Traffic crashes are a large part of insurance claims. We provide comprehensive crash investigations. Our team is experienced former law enforcement officers that have investigated hundreds of crashes from fender benders to multiple fatalities. We have crash Reconstructionists on-board that can provide answers and help determine causation. Many times law enforcement does not have the time to conduct comprehensive investigations and locate all relevant witnesses. Serious crashes, including serious injuries and fatalities can lead to multi-million dollar losses. A private investigator can conduct an independent investigation and review of the original report to locate additional evidence, witnesses or errors and omissions from the police.

Our Investigators Will

  • Examining records for evidence/mistakes/omissions
  • Conduct Surveillance
  • Gathering evidence to support/defend a case in court
  • Interviewing witnesses
  • Preparing reports at the conclusion of an investigation

Get in Touch

Call 855-479-8958 for a free confidential consultation, or fill out our contact form for more information.