An Insurance Fraud Investigation is an investigation conducted to determine whether or not insurance fraud has occurred. For example during investigations in law enforcement, the goal of an insurance fraud investigation is to determine what happened, whether or not it was legal, and who was responsible.
Investigations into suspected cases of fraud are triggered when insurance adjusters feel that a case they are evaluating seems suspicious, lacks key information, or is outright fraudulent. The insurance company may alert law enforcement to the fact that someone is under investigation for suspected insurance fraud, and the insurance fraud investigation begins. During the investigation, the investigator may check the claimant's credit, perform surveillance, collect information from the scene, consult experts, and use law enforcement resources for assistance.
At FIDELIFACTS, insurance fraud investigation is one of our key competencies. We work closely with many of the major Life and Health insurance providers, Attorneys / Lawyers, Loss Adjusters, Investigation Agencies, self insured and self funded employers to assist in identifying those committing fraudulent insurance acts. Our team of specially trained investigators works with the legal staffs and executive committees to process insurance fraud claims and will testify during trials about their discoveries during their insurance fraud investigations. |
Insurance Fraud Investigation 
