Insurance

Methods of defrauding insurance companies are diverse, as are the ways of investigating them. Recent trends show evidence that insurance fraud in wealthy nations are increasing, with many enforcement agencies running public awareness campaigns to deter potential frauds and appeal to the public to report any suspicious activity.

One of the most common forms of insurance fraud is the exaggeration of injuries resulting from an accident. Such exaggerations are made with the intention of receiving a higher award or settlement on a claim. Since many of these injuries can be difficult to quantify from a "loss perspective",  (psychological and soft tissue), investigators are retained to establish the validity of these conditions. Often surveillance is used to verify these claim.

Another lesser known fraud, are claims on an insurance policy for injuries sustained before the policy came into effect. For example, in a vehicle accident, a person may claim to have sustained a debilitating back injury. Upon closer investigation, details are uncovered that the injury had been sustained in an incident some months or even years before. Very often insurance companies and investigators will seek to find past medical reports to eliminate this possibility, as well as searching for proof of previous claims or accidents.

There are also many forms of fraud involving property, some of which receive more attention in the media due to higher monetary value of the policy or notarity of the person or property associated with that claim. An example would be a person with valuable assets (property, for example) who deliberately destroys it, often through arson, with the intention of cashing in on the value of their insurance policy. Another form of high value fraud would be an art collector who reports a peice of art or collection stolen - cashing in on the insurance  claim and reselling the art piece on the black market.

SAMPLE CLIENTS

  • Associated Construction Company

    Based in Hartford, Associated Construction has provided general contractor services since 1942 to the likes of Aetna, Yale University and United Technologies.

  • Chubb Insurance Company

    Chubb Group provides a full range of insurance and risk management services for individuals, homes and businesses.

  • Colony Insurance Company

    The Colony Group writes specialty insurance and is approved as a non-admitted insurer in 49 states, DC and the US Virgin Islands.

  • First State Management Group

    A mature insurance business with a well diversified portfolio.

  • GAB Robins

    A leading provider of risk and claims management services and solutions to the insurance and self-insured marketplace.

  • Gallagher Bassett Services

    A worldwide company offering claims management, information management, risk control consulting, and appraisal services.

  • Hartford Insurance Company

    One of the largest insurance and investment companies based in the United States, with offices in Japan, United Kingdom, Canada, Brazil and Ireland

  • IAT Investigative Unit

    IAT Specialty is a marketing, underwriting and claims office for a group of property and casualty insurance companies. IAT Specialty operates in Omaha, Nebraska and Scottsdale, Arizona.

  • Markel Southwest Underwriters

    Based in Richmond, Virginia, Markel markets and underwrites specialty insurance products and programs to a variety of niche markets.

  • Mutual Marine Insurance Company

    Mutual Marine Insurance Company is an insurance holding company that specializes in commercial lines property and casualty and ocean marine insurance.

  • New York Central Mutual Insurance Company

    A family owned property and casualty insurance company employing over 1,000 dedicated insurance professionals, located in central New York.

  • Scottsdale Insurance Company

    A wholly owned subsidiary of Nationwide®, Scottsdale Insurance Company benefits from the backing of one of the largest insurance and financial service providers in the United States

  • The Travelers Companies, Inc.

    A leading property casualty insurer selling primarily through independent agents and brokers.

  • Tower Insurance Company

    Tower Insurance delivers a broad range of property and casualty products to individuals and businesses throughout the US.

  • Utica First Insurance Company

    Utica First Insurance serves the insurance needs of property owners in New York, New Jersey, and New England.

  • Zurich Insurance Company

    Zurich is an insurance-based financial services provider with a global network that focuses its activities on its key markets in North America and Europe.