Insurance fraud is one of the most prevalent white collar crimes, amounting to billions of dollars each year. It is relatively easy to achieve when it comes to a criminal network that runs smoothly. A good example is health insurance, in which unscrupulous doctors collude with criminal clients to make misrepresented diagnoses in order to make unjustified claims.
All insurance companies run 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 arrest these criminals.
Why use professional researchers?
An insurance fraud investigator is usually a person trained in law enforcement and experienced in handling white collar crimes. This professional can access more resources in the monitoring and surveillance of suspected criminals. You can access medical reports, police reports, and witness statements to reach a conclusion if there is an attempted fraud.
Unlike private investigators of the past, professional investigators today have a broader range of equipment and technology for surveillance operations and other tactics used to gather information. There are cloud-based tools that can be deployed anywhere, as well as other tools that can track evidence collection on social media. What Kind of Work Can Insurance Fraud Investigation Experts Do?
Accident investigations
In some accident cases, the person at fault will lie to avoid liability. In other cases, the fraudster will file a bodily injury claim after intentionally crashing a car. It is the job of an insurance fraud claims investigator to reconcile these narratives with facts, including police accident reports, medical reports, and witness statements.
Operations monitoring
Fraudulent injury insurance claims are probably the most common cases of insurance fraud. Criminal complaints for injuries and disabilities are far from the truth. This type of fraud is detected through the use of surveillance techniques to establish the veracity of these claims.
A surveillance expert can conduct discreet surveillance in which audio and video evidence is collected to present a case against the scammer. A person claiming to have a wheelchair disability, for example, can be caught on video walking their dog. However, undercover surveillance investigators are always careful not to violate privacy laws, which would invalidate the case.
The National Special Investigations Unit is a private investigation firm made up of professional insurance investigators with long experience in catching and arresting insurance scammers. NSIU uses the latest technology to ensure accurate evidence is collected. We also perform background checks, scene investigations, medical scrutinies, and other investigative services. NSIU is your trusted partner in stopping scammers in their tracks.