Unfortunately, insurance fraud is commonplace. The FBI estimates that insurance companies billions a year through fraud across all non-health insurance. Though approximately 95% of insurance companies use anti-fraud technology, fraud still occurs. Across all lines of the insurance business, it is estimated that fraudulent claims cost billions annually. Today, we at Advanced Private Investigator & Security of Miami, FL would like to discuss how private investigators help insurance adjusters.
Most Common Insurance Frauds
Stolen Vehicles / Auto Theft. Body shop involvement and/or international sales is also included.
Vehicle Accidents. The scam can be elaborate for witnesses and other parties to be involved in.
Health Insurance Billing. This usually coincides with unnecessary medical procedures billing.
Deliberate House Fires. Main mechanism for carrying out homeowners’ insurance fraud is staged vandalism.
Renter’s Insurance. Prior to moving, there have been cases where the renter sold their possessions, only to claim theft and attempt to defraud their insurer.
Fraudulent Storm Claims. When a homeowner acts to compliment damage done to the property by weather events is this type of fraud. Getting a larger payout from the insurer is the ultimate goal.
Faked Death. When a criminal takes out a life insurance policy on himself, name his spouse or another trusted party as the beneficiary and then fake his death to cash in on the policy.
Why Do Insurance Companies Use Private Investigators?
The private investigator will locate, interview, and can also take a recorded statement for the claim’s adjusters or attorneys. Below are common tasks a PI will do for an insurance adjuster.
Find Document Discrepancies. Within the paperwork, there are many indications hidden that may reveal a claim to be fraudulent. Especially the ability to use such tradecraft methodology as OSINT which allows seasoned private investigators to dig down in to the “deep web” providing information not usually obtainable on the world wide web and not everyone has the skillset to find those out. Fortunately, private investigators have the special training needed to extract useful information from the claim’s adjusters or insurance defense attorney’s paperwork. They will assess the case file documents to see if those are falsified. They can also detect if there are any hidden details in the docs that may indicate the claim to be fraudulent.
Surveillance. Private investigators are trained and are experts at following suspects and studying their activities. Private investigators covertly follow the claimants and study their behaviors and activities to look for fraudulent activity especially when it comes to fake injury claims whether accident or workers compensation claims.
Legal Evidence is Collected. To find legal evidence to present in court, investigators can go through all the important details of the case. They most likely want to collect admissible evidence to present to the court if the claim adjuster thinks the claimant is committing fraud.
Private Investigator & Security Services in Greater Miami, Sunny Isles, Hialeah, Fort Lauderdale, Pembroke Pines, Hollywood, Miramar, Boca Raton, West Palm Beach & Miami Gardens Florida
If you are an insurance adjuster or company and need a professional private investigator to help sift through claims, call Advanced Private Investigator & Security of Miami, FL and let us assist you!
