How to Protect Your Business from Fraudulent Claims
False claims cost insurance companies billions of dollars per year. Left unchecked, fraud can spread from the consumer claims throughout the company. It could be aided by an unchecked agent writing policies. Sometimes, the care practitioners are involved, such as doctors, chiropractors or other people in positions of trust.
Unraveling the deceit within a fraudulent claim requires a series of preliminary planning as well as extensive follow-up:
- Upfront Planning
- Diligent Surveillance
- Review of Claim Documents
- Investigation of Loss Indicators
- Statements from Witnesses
- Online and Computer Investigations
- Background Screenings
- Comprehensive Reporting
Investigating the ‘Claims’ Made in Insurance Claims
Santoni Investigations accesses all of its investigative tools to mitigate and uncover insurance fraud for its clients. We support insurance carriers, TPA’s (Third Party Administrators) and self-insured as they handle claims involving:
- Workers’ Compensation
- Property, Auto-Liability
- Premises Liability
- Product Liability
- Construction Defect.
Our experienced investigators work with claims examiners, adjusters, claims managers, SIU and defense counsel on a daily basis to come up with strategic and cost-effective solutions to obtain the evidence needed to fight fraud or to negotiate and settle claims.