Insurance fraud is one of the most prevalent white collar crimes, running into billions of dollars every year. It is relatively easy to pull off when a smooth working criminal network is involved. A good example is health insurance where unscrupulous doctors collude with criminal clients to issue misrepresented diagnosis with the aim of making unjustified claims.
Every insurance company is at the risk of falling victim to insurance fraudsters. It is only with the help of professional insurance fraud investigators that an insurance company can uncover these attempts and stop these criminals.
Why use professional investigators?
An insurance fraud investigator is usually a person trained in law enforcement and experienced in handling white-collar crime. This professional is able to access more resources in tracking and surveillance of suspected criminals. He can access medical reports, police reports and witness statement to make a conclusion if there is a fraud attempt.
Unlike private investigators of the past, today’s professional investigators have a wider range of equipment and technology for surveillance operations and other tactics used in collecting information. There are cloud-based tools that can be deployed anywhere, as well as other tools that can trawl social media gathering evidence. What kind of work can insurance fraud investigation experts handle?
Accident investigations
In some accident cases, the person at fault will lie to avoid the liability. In other cases, the fraudster will make a bodily injury claim after wilfully crashing a car. It is the work of an insurance fraud claims investigator to reconcile these narratives with facts including police accident reports, medical reports, and witness statements.
Surveillance operations
Fraudulent injury insurance claims are probably the most common cases of insurance fraud. The criminal claims for injuries and disabilities far from the truth. This type of fraud is caught by using surveillance techniques to establish the veracity of these claims.
A surveillance expert is able to conduct discreet surveillance where video and audio evidence is collected to make a case against the fraudster. A person claiming wheelchair disability, for example, may be caught on video walking his dog. However, undercover surveillance investigators are always careful not to break privacy laws, which would invalidate the case.
National Special Investigations Unit is a private investigations firm made up of professional insurance investigators with long experience in catching and stopping insurance fraudsters. NSIU uses the latest technology to ensure that accurate evidence is collected. We also do background checks, scene investigations, medical canvasses and other investigative services. NSIU is your trusted partner in stopping fraudsters in their tracks.