
How Insurance Fraud Investigators Do Their Work
Because of false or exaggerated personal injury fraud claims covering home, motor, and business accident policies, premiums have increased. While some people really get hurt in a car accident, the thing that makes them fraudulent is that they exaggerate their injuries and they are dishonest when it comes to the amount of time it took for them to recover. It is true that if you suffer injury from a car accident you will compensated for damages but it becomes insurance fraud, if you want to get more compensation, and you exaggerate your injury or you lie about the number of days it took you to recover from the injury. As an investigator and surveillance specialist, it is very important that these claims should be validated. Any insurance claims that people make should now be validated by an investigator or surveillance. Today, insurance companies hire their own in-house investigators and surveillance teams to investigate every person that claims insurance on injuries. Anyone cheating on insurance have to be exposed and punished because they are the cause of why good clients have to pay higher insurance premiums. At the same time genuine claimants should be looked after.
Surveillance specialists or fraud investigators regularly conduct observations on claimants, a true account of the claimants day to day activities are reported and at no time should it be advantageous or disadvantageous to the client or the subject. Before, a private investigator would entrap the subject but the industry has changed and most of these private investigators have been weeded out of the industry. In years past fraud investigators did entrapment work which was changed to what it is now. During an investigation you should not create any circumstance which may encourage or enforce any person subject of an enquiry to engage in activity which may be harmful to their interests and at all times you should perform your duties in a lawful and ethical manner. An investigator should not make unnecessary circumstances that will make the subject of iniquity engage In an activity which is harmful to their interest, and the private investigator has to always perform his duties in a lawful and ethical manner.
Surveillance shoud be carried out by 2 investoigators particularly when doing mobile surveillance. No matter how well trained the investigators are, there are no guarantees on surveillance but the risk is gradually reduced when the required private investigators are used on operations. When operations are conducted when the purpose of assessing the capabilities of the subject, it is vital that these are carried out in a discreet manner and by taking cognizance of the relevant legislation.
Preventing fraudulent criminals from abusing the system is something that most insurance fraud victims cannot be solved. But these private investigators can actually prove when people commit insurance fraud and they can report these abusers to the right authorities.
There is a way for private investigators to determine if injury claims and property loss are valid or fraudulent and this is done through surveillance, interview,and various other investigation technique.
It is through their hard work that private investigators are able to prove that insurance fraud has occurred and they use means such as providing videos, pictures, and detailed reports to authorities to prove their claim. Not only will the client save money by not paying fraudulent claims, but also scam artists are prevented from receiving undeserved monetary reward for their fraudulent insurance claims.
Some other examples of fraudulent insurance claims include workers compensation fraud, staged accidents, arson, and false or exaggerated theft reports. When a worker has submitted multiple claims, when there are no witness to the accident, when there is delay in seeking medical help, when the person tells a different story every time, where he alters his medical reports, if he is a disgruntled employee or new hire with a questionable work history, then you are In for a possible investigation for insurance fraud.
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