Insurance fraud is any act committed with the intent to obtain a fraudulent outcome from an insurance process. This may occur when a claimant attempts to obtain some benefit or advantage to which they are not otherwise entitled, or when an insurer knowingly denies some benefit that is due. It is a serious and costly problem for victims as well as consumers. Tacit Investigations conducts thorough investigations to uncover fraudulent claims for both insurance companies and individuals falsely implicated in accidents.
Our Specialist Investigators handle insurance investigations for virtually all industries. Our team is comprised of highly qualified experts who have extensive experience uncovering fraud and producing tangible results. Our Firm retains trained specialists in the detection and prevention of fraud and are skilled in various investigative and analytical procedures used to gather evidence to solve complex fraud investigations and meet critical objectives.
There are several methods used to find information in an insurance fraud investigation. Most are used to determine whether claims are true or false. Here are a few commonly used techniques:
- Surveillance to verify the claim
- Medical reports/history search
- Previous claims/accidents search
- Insurance coverage analysis
- Witness interviews
- Physician’s billing search and analysis
- Claimant background check
A fraud insurance investigation by our professional investigators can uncover schemes and save you the hassle and costs of a court case. It can also help keep your insurance costs down.Expert
Workers Compensation Fraud
Workers Compensation claimant fraud is one of the most common and popular frauds. This is also something an employer is a great position in order to assist with uncovering. The claimant fraud typically occurs when an employee lies knowingly in order to receive benefits. This can mean claiming an injury happened at work when it wasn’t. Or exaggerating about a minor injury or even continuing to work while at the same time collecting on the benefits.
Fortunately, an employer does not have to spy from a dark alley or use secret cameras to stop from becoming a victim. Businesses can take advantage of private investigation services to assist with this type of fraud.
Records Research and Background Checks
Investigations into Workers Compensation fraud can include checking up on employment records, medical records and any other records of significance. These investigations may include running background checks in order to establish if this worker has claimed for other compensations in the past.
Investigators also make use of video, audio and any other type of surveillance in order to determine the validity of the worker’s injury.
Private investigators can collect evidence if they happen to discover insurance fraud that is associated with workers compensation. These processes can assist businesses and employers to prosecute for fraud and to cut out the illegitimate Workers Compensation claims.
Automobile Insurance Fraud
Insurance related surveillance is a major element of a Private investigators work, as Claim Adjusters do not have the time of resources to investigate whether claimants are telling the truth. Therefore, in scenarios where there is a case for reasonable doubt, using surveillance helps to give an unbiased view of what actions a claimant has undertaken, especially if the claim pertains to personal injury. As in some cases, it has been proven that a personal injury claimant has been perfectly able-bodied, leaving them liable for insurance fraud