Insurance Investigations is a fraud investigations that center around fraudulent attempts to collect based on excessive or false claims. According to the Coalition Against Insurance Fraud, an estimated $80 billion is paid out annually in fraudulent insurance claims. This affects every American, as these false insurance claims cost the average household more than $950 each year in higher premiums.
Workers Compensation Fraud
Workers compensation fraud happens when a claimant, employer, or medical provider knowingly lies in order for gain, savings, money, or other benefits. While many people believe that workers compensation fraud just consists of employees lying about or exaggerating their injuries, workers compensation fraud can involve employers and employees.
Life Insurance Fraud
Our Investigators work to uncover cases where people who claim life insurance are still alive or those who claim too much in life insurance. Investigators also verify the existence of an person who has life insurance being collected on them.
Health Care Insurance Fraud
This investigation attempts to determine if someone is getting paid for medical care that they are not receiving or is filing medical claims and requests that are not valid or needed. Insurance claims investigators will search billing records and make sure that physicians and patients are not working together to commit fraud.
Automobile Insurance Fraud
Criminals sometime stage accidents, in which they purposely collide with another vehicle and then try to accuse the other driver of the accident in order to file claims. Some criminals attempt vehicle theft fraud, trying to get money for a car which was not stolen. Insurance fraud investigators expose these types of fraud.
Property Insurance Fraud
This type of insurance investigation involves investigators exposing disaster fraud, which includes false claims of damage. Investigators will often try to find out if the claimant has upgraded their coverage before the disaster ocurred. They also investigate property damage fraud to find evidence against those who make false claims about property damage
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7 Days a Week
Offices in Oklahoma City and Edmond
1 to 1 Risk Control, LLC