Injury and Insurance Fraud Investigations
Claim Validation
Our private investigators have provided support to a number of insurers having difficulty assessing precarious claims. In many situations they are aware that the claim has some truth to it, but need to clarify the extent of the damage or injury. Our evidence and reports can serve as invaluable testimony in many cases, leading to reductions in insurers’ financial liability.
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Why would private investigators get involved in Injury & Insurance Investigations?
I had a car crash and the other person is lying about their injuries
Injury & Insurance Investigations
In the event of a false injury claim, our most powerful tool is surveillance. In a case like this we would collect all the details you have for the individual and talk about your concerns. This will help us identify an address and a plan to observe the individual and gather photo and video evidence. While the effects of injuries can change over time, with some good days and bad days, if we can gather robust evidence of their behaviour over time, showing it to be inconsistent with their alleged injuries, you will be able to make a case that your insurance should not pay compensation to them.
An employee sustained an injury at work and is claiming they are unable to return to work
Injury & Insurance Investigations
In manual handling industries, particularly, firms take great steps to ensure their employees are operating in a safe manner, but injuries do happen. If an employee’s claims are inconsistent with the nature of their injury or with your records of the accident, you may have reasonable cause to investigate. As with insurance fraud, the most conclusive evidence we can provide is video evidence of the employee behaving in a manner inconsistent with their claims.
Using employee investigations and surveillance at their home address, we can ascertain whether or not the employee is really unable to work and provide photographic or video evidence to support this.
I suffered an injury and I need evidence to make a claim
Injury & Insurance Investigations
What our customers said
Insurance Fraud Case Studies
Whiplash Claim
Corporate Private Investigation Services
We assist employers, who might otherwise avoid investigating dishonest staff because they lack experience or fear legal action.
Lying about injuries for financial gain creates stigma and undue stress for those who rely on compensation and injury payments.
Becoming a victim of fraud can be stressful and financially devastating so investigating it professionally and effectively is vital.
Process servers provide a trusted method of delivery that ensures documents have been received.
Mystery shoppers collect vital intelligence about the customers experience and can find evidence of unscrupulous retailers.
Enquiry agents can conduct covert and overt enquiries, obtaining additional information to support investigations.
Insurance for fraud investigation: FAQs
Yes, you must have reasonable grounds to investigate claims validation, and the investigation itself must be proportionate to the claim and the accusation.
If you are instructing us from a Public Body such as a local authority you may need to obtain judicial approval to adhere to the Regulation of Investigatory Powers Act (RIPA) and we are happy to advise on the application should it required. This does not apply to individuals and corporate clients.
The first step is to establish whether you have cover to protect yourself against the claim, once you have done that you should try to gather as much information about the incident as possible and identify who is liable for the claim.
If you feel the claimant or the incident is suspicious then contact an investigator to discuss the possibility of launching an investigation.
Yes, all of the injury & insurance investigations we conduct are done so legally, lawfully and ethically.
The information we obtain will be prepared to a standard that is suitable to be admissible as evidence.
FAQ
If somebody is making a fraudulent claim against you or your business we can obtain evidence to establish whether their behaviour is consistent with their claim.
This is particularly important in cases where you may be liable for damages or injuries that are being exaggerated or lied about.
We always aim to provide indisputable evidence however this is not always possible. In the event that the information we provide is questioned or scrutinised we will attend court to support our evidence as required.
There is no set timeframe for an insurance investigation as it will depend on a number of factors, the severity of the issue, the awareness of the subject, the size of the claim and the evidential requirements.
On average we see insurance investigations last for between 1-3 weeks at a time but they are frequently revisited months and sometimes years down the line to establish whether the situation has changed.
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Fraudulent Injury Claims: Spotting The Signs
Table of Contents What Is A Fraudulent Injury Claim? Why Would Someone Submit Fraudulent Injury Claims? What Should I Do If Someone Makes A Personal
