Ethics and Continuing Education in Insurance Investigating

06.26.2017
Ethics

Insurance investigation companies must ensure that their investigators remain educated on industry practices. Appropriate ethical behavior should always be practiced by claims administrators and their investigators to eliminate the possible liabilities of ethical breaches and fraudulent actions, resulting in problems like additional expenses, legal damages and the destruction of your brand reputation. Does your insurance […]

Injury Investigations Offer a Valuable ROI

06.26.2017

Reserving for surveillance and desktop investigations is not generally reserved for, until the claimant presents or you uncover enough red flags that will convince you that your investment in the investigation, will make your money back, plus a whole lot more. This system of claim “triage” can work, but have you ever thought of how […]

Don’t Let Your Subject “Go Dark!!”

06.26.2017
Going Dark

When you’re adjusting an injury claim, sometimes the window of opportunity for gathering critical mitigating information can close very quickly. Whether represented or not, claimants often “go dark,” by making their online footprint and social media profile private, changing profile names or no longer posting to their social media sites, leaving your claim file with […]

Social Media – SmartStart Investigations: Revolutionizing Fraud Detection

02.21.2017

“The temptation to form premature theories upon insufficient data is the bane of our profession.” – Sherlock Holmes Making a claim or investigations decision with half of the information can often be costly! SmartStart Investigations return you the best and most up to date information on your claimant or subject.  Often providing very valuable mitigating […]

Understanding the Difference between Hard Fraud and Soft Fraud

02.21.2017

You may be thinking, isn’t fraud just fraud? Well yes technically it is. However, understanding the difference between soft fraud and hard fraud will help save your company a lot of money. In fact, not understanding soft fraud can actually cost your company a lot of money in the long run. Technically, according to Merriam-Webster’s […]

Taking Advantage of the Lack of Personal Awareness on Social Media

02.21.2017

Have you ever met that one person who seems to have no personal or situational awareness, or that one person who will say anything in any crowd of people, regardless of who is listening or what impact it might have on the social dynamic? Lucky for us, in this day and age, all of those […]

Stationary Surveillance: A Discreet, Money-Saving Technique

02.21.2017

The goal of surveillance is to document claimant activities and determine if the claimant is acting within the noted doctor’s restrictions or acting outside of these restrictions. Surveillance investigations are conducted to gather evidence about claimants. Often, a person who has filed an insurance claim will keep up appearances of their injury or disability while […]