What is an Insurance Fraud Investigation?
An insurance fraud investigation is a type of fraud investigation that centers around attempts to benefit from deceitful and fraudulent claims. Seeking compensation for false or inflated claims is illegal, dangerous, and raises the price of insurance for everyone!
Below you will find the different types of Insurance Fraud Investigation:
Health Insurance: This type of investigation determines whether someone is getting paid for health care they are not receiving or is filing health care claims that are not valid or needed. Investigators will search billing records to make sure that doctors and patients are not colluding to commit fraud.
Car Insurance: Some criminals stage accidents in which they purposely collide with another car, then accuse the other driver of fault in order to file claims. Others attempt vehicle theft fraud, trying to get money for a car that is not stolen.
Home Insurance: With home insurance fraud, investigators discover disaster fraud, including false damage claims. They will often determine if the claimant upgraded their coverage right before the claim was filed. Investigators will also verify the validity of property damage claims.
Life Insurance: This type of investigation uncovers cases of people who claim too much life insurance or claim it while still alive. Investigators also verify the existence of those claiming life insurance.
Workers Compensation Insurance: When workers claim compensation for an injury, a worker’s compensation investigation will confirm the severity of the injury, and whether the accident occurred while the person was working.
Insurance Company Fraud: Bad practices can also occur within the insurance companies themselves. If an insurance company takes money but does not sufficiently compensate, an investigator can aid with resulting court cases.
Should you need assistance with a fraudulent claim please contact Uphando Forensic & HR Services