Insurance Fraud
It is estimated that 5 to 12 percent of all claims are fraudulent in some fashion or another. The incidence of insurance fraud is growing at an alarming rate. Workers compensation claims alone account for roughly $5,000 to $65,000 in benefits and related expenses. Whether it is from loss of time, re-hiring, training, or other such variables, the indirect cost to the employer is at times overwhelming.
Coale Investigations (CI) recognizes that workers compensation and associated expenses can grow at an exponential rate. CI also realizes that the longer a claim exists, the likelihood of having to pay out significantly more for an extended period of time, if not for life, increases. CI prides itself on its investigators’ ability to expedite fraud investigations with superior results.
Surveillance
The CI team of seasoned investigators has been trained to fix their eyes on the ultimate goal - RESULTS. Each investigator understands that he/she is directly responsible for the outcome of every case file entrusted to CI. As a result, CI investigators display the dedication to their craft and profession in each and every case they work. And perhaps the area in which CI investigators shine the most is surveillance.
Coale Investigations understands that for insurance investigations, videotaped documentation of a claimant’s abilities is undoubtedly the best way to dispute a claimant’s alleged disability. Utilizing the most advanced state-of-the art technology, CI operatives can covertly document a claimant’s daily activities. The expert video documentation CI provides may provide just the proof your organization needs to verify the claimant’s abilities or limitations.
Activities Check
Our investigators are trained to conduct face-to-face interviews under pretext to obtain valuable information on claimants’ activities. The activities check may supply your company with a detailed profile of a claimant’s address, any associated vehicles, his/her employment status, as well as the findings of a neighborhood canvass. Activities checks often prove to be a valuable tool for insurance companies, as the information obtained from these investigations can complete a claimant case file and help mitigate losses on outstanding claims. Oftentimes, activities checks also provide opportunities for investigators to obtain video documentation of a claimant for identification purposes or to dispute exaggerated claims.
Background Investigations
Unlike most investigative providers which farm out their services and pass the additional expense on to the client, Coale Investigations has our own in-house, full-service background investigation company. We utilize a real-time database which provides the most current, up-to-date results for background investigations.