When An Insurance Investigation Is Required

You've probably heard the stories amongst loose talk with friends and family or colleagues at work

. When their refrigerator broke down, their insurance claim included a mention of a dozen fillet steaks, when really the space was occupied by cheap mince. When their suitcase was lost on holiday, the suitcase itself was really a 10 special from the local superstore, but their insurance claim suggested it was a top of the range designer model.

These are the smaller bogus insurance claims which cause us all to pay more for our insurance. It is the larger fake insurance claims that cause significant damage to the insurance industry which results in much higher premiums for everyone. It is these claims, where the insurance company suspects that either fraud or criminal activity is alleged, that the insurance company might decide to hire a private detective for insurance investigations to delve deeper into the claim to see if they can unearth information to prove or disprove the activity.

Insurance Investigators

There can at times, be very little difference between insurance investigations employed by an insurance company and a private detective who is completing a role for a private detective agency when the sole purpose is to investigate an insurance claim, especially if the size of the claim is substantial.

Insurance companies employ insurance claims adjusters and insurance claims examiners. The roles are quite close and crossover in many areas, but essentially the adjuster investigates the claim and if there is any doubt to its legality an examiner may delve deeper into the policyholders actions.

Most of the larger insurance companies will employ their own claims adjusters and claims examiners, whereas some of the smaller insurance companies employ people from outside agencies. All of these companies may decide to employ a detective agency when they believe there are more exacting skills required to formally decide if the claim is dubious or not.

Whoever carries out the investigations must be skilled to be able to know where they can find out the information they need and the many ways in which they can obtain it. Often, for example, they need to persuade other people to cooperate with their investigations even when these other people are not necessarily going to benefit, from doing so. Insurance investigations need to be capable of interpreting any data that they uncover and present the relevance of their findings to their employer.

PIs Work Unusual Working Hours

This type of work doesn't involve people who work from 9to 5, as some of the work will have to be conducted during the evenings, across the night and also weekends, especially when they are involved in covert surveillance of claimants during insurance investigations. This involves a number of challenges for the investigator with some of the work being carried out in their office space and possibly completely unpredictable work out in the field.

Hiring the right insurance investigations specialists benefits a company. Look for relevant experience and a solid industry reputation when looking at your choices.

by: 3e private investigators

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