A Person Drawing On Paper.

The Self Administered Interview

Investigators face a serious challenge when an incident occurs: eyewitness memory recollection. There could be numerous eyewitnesses, any of which may hold potentially vital information about the perpetrators and incident itself. To address this issue, the Self-Administered Interview (SAI) was developed.

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A Large Magnifying Glass Next To A Small Red Flag.

Red Flags of Fraud

By definition, fraud is “a false representation of a matter of fact – whether by words or by conduct, by false or misleading allegations, or by concealment of what should have been disclosed – that deceives and is intended to deceive another so that the individual will act upon it to her or his alleged injury for benefit.” With insurance fraud costing companies billions of dollars each year, it’s necessary to have professional investigators reviewing each case for potential fraud. Claimants that abuse the system will need to be prosecuted with solid evidence collected by an investigative team.

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Fall Activity

Fall is here and claimant / subject activity is on the increase!  Football, fall festivals & school activities will quickly lead us into the holidays. This is a wonderful time to document activity as it increases through this time of year.  Please…

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What is Fraud?

First, let us look at how fraud is defined:

  1. Fraud is both a crime and a civil law violation. In criminal law; fraud is the offense of deliberately deceiving another in order to damage them. To obtain property or services unjustly. Fraud can be accomplished through the aid of forged objects. It may be called “theft by deception”, “larceny by trick,” “larceny by fraud and deception” or something similar.
  2. A deception practiced in order to secure unfair or unlawful gain. Any act, expression, omission, or concealment that deceives another to his or her disadvantage; specifically, it is:
    – A misrepresentation, omission or concealment of some fact material to a transaction.
    – It is made with knowledge (or the reasonable expectation that the perpetrator should know) that it is false or is made in reckless disregard of its truth or falsity.
  3. It is made with the intent to deceive another.
  4. It is reasonably relied on by the other who is thereby injured.
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CEU Training Program

Brumell Group offers in-person or Webex state-certified educational training courses.  Adjusters and Nurse Case Managers can receive CEU credits. Our "Investigating Fraud" presentation fulfills state mandated fraud training requirements for all SIU Department employees for compliance purposes.   This course and others can be offered via…

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Social Media and Claims Management

Social Media has significantly impacted claims management. We recommend reviewing your claimants social network accounts (i.e. Facebook®, Instagram® and Twitter®). Monitoring these accounts is a great way to see if they are posting about upcoming parties, pictures of themselves vacationing or…

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2013 Conferences

Brumell Investigations, Inc. exhibited at several of the industry conferences again this year. Atlanta Claims Association FIFEC - SAWCA FASI - WCI We were able to showcase our programs and services while also supporting the various organizations that have helped…

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