3 ways an insurance fraud investigator assess a fraudulent case

 

A fraud investigator detective can use a variety of tactics to dismiss the claim or collect evidence to justify a proceeding against the claimant. This blog highlights the most commonly used tactics by insurance fraud investigators to assess a fraudulent case. These methods are as follows-

1.     Surveillance Tactics- One of the most common tactics that fraud investigator presently uses is surveillance. These tactics were famous even in the past, but now surveillance is done using more advanced techniques. Surveillance allows investigators to validate or debunk someone's claims by monitoring their activities and lifestyles compared to the types of claims. For example, if a person claims to have a back injury but is caught working on the weekend landscaping side during surveillance, it can indicate that they are faulty and their claim is phony.

2.     Background Check- If allegations are often flagged for fraud, one of the preferred ways to dig deeper into a person's past is to perform a comprehensive background check. Checking criminal records such as arrest records, financial status, citizen records, occupational licenses, and residence history can provide valuable insights into allegations. A background check can reveal the answer to the questions like whether the person has a history of past claims, has an extensive criminal record, or shows any signs of financial distress? All these situations can lead people to attempt fraud. The information obtained may not provide evidence of fraud but may lead to further investigation based on the evidence found.

3.     Inspecting Social Media Profile- With the evolution of social media, it has become an irreplaceable resource for researchers. Individuals involved in the scam may know that they are being monitored and may be impersonating something other than themselves. However, the frequency with which people unknowingly post evidence online on social media never fails. They may not know who will see their post, so they share it online without thinking. Even family and friends may unknowingly share photos and information about the complainant's activities, revealing the truth about them. This strategy effectively works in assessing the fraud insurance claims of a claimant.

A renowned insurance fraud investigator would go to the lengths to determine whether an insurance claim is genuine or fraudulent. Their specialised skills can help insurance companies save millions of dollars that they lose every year because of fraudulent insurance claims. Reach out to a Fraud Investigator detective today if your organisation is facing similar issues.