Claims Investigation Services
The insurance holder can often think of claim fraud as being primarily perpetrated by organized fraud rings. An individual's can be motivated by any number of factors, including greed, lack of income and the feeling that they are not being dishonest by defrauding insurers. The common thread among all types of fraud is the appearance of normalcy. The objective is to make a groundless or exaggerated claim that looks like all other legitimate claims so as not to raise the claim handler's suspicion. GREVESGROUP®'s Investigative service promises is to give the information to our client they need to make confident decisions by utilizing sound investigative techniques and proven methodologies to uncover every available detail in even the most complex of claims. Our team of highly trained investigators works closely with our clients conducting insurance claims investigations in an effort to prevent fraudulent activity.
Our fraud detection efforts are sufficient for the detection of fraudulent environment. Our strategy of fraud detection is concluded with all the aspects of fraudulent claim viz:
- Obtaining the recorded or written statements
- Obtain supporting documents
- Use medical and technical experts and obtaining their expertise
- Full record of occurred incident
- Obtaining independent medical exams
- Obtaining prior medical records to determine if there were pre-existing conditions
- Arrange for a medical examination as soon as possible (preferably the same day the injury is reported)
- Review of any security videotapes the commercial establishment may have to determine if and how the incident occurred
- Obtaining the claimant's written statement regarding pre- and post-fall activities and identification of potential witnesses and the alleged cause of the fall to identify similarities and differences in each version to focus the investigation
It is often difficult to obtain sufficient credible evidence in suspicious claims. Our ultimate goal is to help claim handlers to adhere a comprehensive investigative plan that is appropriate for every claim, balancing the risk of fraud and the practical cost of investigation.
We continuously strive to help you to provide a consistently high standard of service and understand the extensive enquiries related to the Insurance sector. We discuss all the issues in complete confidential manner which is also included non disclosure agreement where necessary. To obtain more comprehensive information related to our Insurance Investigation Services you may inquire on [email protected].