23 Mar 2022

How Can A PI Help With An Insurance Claim Investigation

The main purpose of an insurance company is to provide users with customary coverage, in case of a tragic incident. It’s a for-profit business, wherein an insurance company needs more money to come in than go out.

Unfortunately, since the past decade or so, insurance fraud has become a common phenomenon that has resulted in losses worth billions for insurance companies. Thousands of criminals attempt to falsely receive settlements, and as surprising as it may seem, a lot of them succeed. 

In order to combat this, insurance companies are getting investigators on board to analyse and look into the validity of claims made by individuals. Typically, the claim investigation specialist seeks to reconstruct the loss. Once hired, they perform certain tasks in order to determine the legitimacy of the claim. 

 

Examine existing claims: 

If the insurance company is suspicious of fraudulent activity, it reaches out to an external investigator to help review the case. The investigator then takes over and goes through the material and data provided to form an opinion and decide their next steps.

Perform background checks: 

An investigator’s primary task is to collect relevant information, one of which includes carrying out background checks. This helps examine the individual’s financial and criminal history, residential details, professional relationship history, etc.

Scan through social media: 

Social media is a tool that’s used by everyone on a daily basis, making it the perfect starting point for an investigation. Individuals who have filed fraudulent insurance claims often boast and brag about their victories, often giving away incriminating details and evidence related to their claims.

Deep-dive into personal data: 

Insurance agencies are extremely cautious when releasing a cash payment to their customers. Hence, insurance claim investigators dig deep into the claimant’s personal life in order to discover any suspicious activities or behaviour that’s directly related to the case. 

Conduct interviews: 

A private investigator interviews the claimant who’s suspected of committing fraud in order to uncover new information and even discover inconsistencies in their story. Using their expert interviewing skills, private detectives can help refute false claims. 

Conduct surveillance: 

Private investigators are trained to track and follow their targets, without causing any suspicion. Generally, this step is taken when an insurance company truly suspects that the claimant has filed a fraudulent claim. That’s not it – they can even shadow the witnesses in order to figure out if they have been in contact with the suspected claimant.  

Gather evidence for court: 

A detective is hired not only to obtain information of value but also to do so completely legally. This ensures that all the gathered evidence and data is admissible in court. If an insurance agency reckons that there’s been fraud, they’d want to take the filer to court. In order to do so, they’d need hard evidence – which is gathered by the private investigator.

While most insurance applicants have proper data backing up their claim, there is a fair share of scammers and fraudulent individuals too. In high profile cases, it’s vital to involve a private investigator, who can assist the concerned insurance company.

Our team at Globe Detective Agency has a set of trained investigators who can effectively help you uncover the truth about claims. To know more about our services, click here: https://www.globedetective.com/