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Insurance fraud Investigation



An insurance fraud investigation is a fraud investigation that centers around fraudulent attempts to collect based on excessive or false claims.

According to the Coalition Against Insurance Fraud, an estimated $80 billion is paid out annually in fraudulent insurance claims. This affects every American, as these false insurance claims cost the average household more than $950 each year in higher premiums. Plus, false insurance claims can mean that you are held liable in a staged accident and increase your risk of being sued. The high instance of insurance fraud has meant that insurance companies are far more cautious when paying claims, which may mean that you need professional help to make your claim. An insurance fraud investigation is performed to find out if false claims are being submitted. Insurance fraud investigations are usually conducted when an adjuster has doubts about the case that they are evaluating. Don't let your insurance premiums be a waste of money. Use a private investigator to safeguard your insurance privileges.

There are several methods and techniques used to find information in an insurance fraud investigation. Most methods are used to find whether what the claimant claims is true or false. Here are a few commonly used techniques in insurance investigations:

  • 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