In the world of investigations, the difference between a good investigator and a great investigator is often measured by their ability to conduct true, covert surveillance without being compromised. In the business, we call this “getting burned”. Not getting burned is the mark of someone who truly understands the craft of surveillance. Covert surveillance is an art just like any other.
Insurance Investigations
Private Mortgage Insurance Fraud
Mortgage insurance fraud occurs whenever a property owner or other individual participates in a scheme to avoid repayment of a mortgage that is backed by government or private insurance. Examples may include:
Workers Compensation Fraud
Workers’ compensation fraud occurs when someone willfully makes a false statement or conceals information in order to receive workers’ compensation benefits or prevents someone from receiving benefits to which they might be entitled.RCI investigators may be able to assist with the following services:
Life & Health Care Insurance Fraud & Insurance Investigations
An insurance fraud investigation is a type of fraud investigation that centers around attempts to benefit from deceitful claims. Seeking compensation for false or inflated claims is illegal, dangerous, and raises the price of insurance investigations for everyone.
According to the Coalition Against Insurance Fraud, an estimated $80 billion is paid out annually in fraudulent insurance claims. This leads to the average household paying around $950 each year in higher premiums. In addition, being held liable in a staged accident can increase your risk of being sued.
The prevalence of this type of fraud has resulted in insurance investigations companies acting with caution when paying claims, meaning you may need professional help when making your claim. RCIs’ insurance fraud investigation aids by revealing false claims. Don’t let your insurance premiums be a waste of money; use a RCI private investigator to safeguard your insurance privileges.
According to the Coalition Against Insurance Fraud, an estimated $80 billion is paid out annually in fraudulent insurance claims. This leads to the average household paying around $950 each year in higher premiums. In addition, being held liable in a staged accident can increase your risk of being sued.
The prevalence of this type of fraud has resulted in insurance investigations companies acting with caution when paying claims, meaning you may need professional help when making your claim. RCIs’ insurance fraud investigation aids by revealing false claims. Don’t let your insurance premiums be a waste of money; use a RCI private investigator to safeguard your insurance privileges.
There are several methods used to find information in an insurance investigations fraud. 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 Investigations & Insurance coverage analysis
- Witness interviews
- Physician’s billing search and analysis
- Claimant background check
Automobile Insurance Fraud & Insurance Investigations
Fraudulent behavior falls into two categories. Hard insurance fraud refers to claims that are completely fabricated. Soft insurance fraud is when someone has a legitimate claim but inflates the value to make a profit.
Insurance investigations cover a wide range of schemes and crimes. Fraudsters file false claims for:
Insurance investigations cover a wide range of schemes and crimes. Fraudsters file false claims for: