When natural disasters happen, having all the variables in place to ensure a smooth claims process is key. There are many times when, due to the severity of the disaster, claims adjusters become overloaded and fraud runs rampant. Here are just a few examples:
Memorial Day, 4th of July, Mother’s Day, Father’s Day, school vacation, family vacations, sports activities, beach activities and yard maintenance. What do all these things have in common? Summer! A time when people are outside, enjoying the good weather and sunshine.
This also means that it’s a great opportunity to gather critical information on your claimant’s activities outside of the home. Keep in mind that this season and these unique opportunities don’t last forever and cannot be recreated. Our Investigations Division is well equipped to schedule surveillance investigations on or around these critical summer months.
According to the Bureau of Labor Statistics Census of Fatal Occupational Injuries (CFOI), of the 4,679 fatal workplace injuries that occurred in the U.S. in 2014, 403 were workplace homicides. In addition, two million American workers report having been victims…
Every corporation has a number of internal components that need extra scrutiny, and workers’ compensation fraud is one of these important components. Even as the economy seems to be on the rebound, this form of fraud continues to rise, which puts a strain on everyone involved.
Did you know that insurance companies have, in good faith, a fiduciary duty to report fraud to the state if they suspect fraud is being or has been committed? FL Statutes Ch 626, Sec 989(6) says:
“…any insurer, agent, or other person licensed under the code, or an employee thereof, having knowledge or who believes that a fraudulent insurance act or practice…is being or has been committed shall send to the Division of Insurance Fraud a report or information pertinent to such knowledge or belief…”
There are two basic ways to report this type of fraud: as “Information Only” or as “Fraud”. The evidence collected determines the most appropriate way to file the claim.
It’s that time again! Summer is ending and back-to-school days are fast approaching. Tax-free weekends/days, back-to-school clothes shopping, school supply roundup, and school open houses/orientations, are going on throughout the country. These events bring the chances of claimant activity out in public.
Recently, more companies are seeing the true value of using a Special Investigative Unit (SIU) and are recognizing the many different benefits that they provide. In fraud claim handling, they are now essential, both from a cost savings and educational…
The following is part of our ongoing Case Closed series, where we document actual cases that have been brought to trial though the efforts of the Brumell Group. We are dedicated not only to the investigation process, but also through to the prosecution of the fraudulent claimants, even testifying as expert witnesses for relevant cases.
There are many instances within a corporate entity where allegations of fraud, misconduct and other crimes must be investigated. In order to keep the investigation private, confidential and unbiased, soliciting the services of a third party is warranted.