INVESTIGATION SERVICES

Open Source Intelligence, investigation support, training services AND PERFORMANCE AUDITS

INSURANCE CLAIMS

Insurance fraud occurs in many ways. These ways may include building up injuries or claiming false injuries. As such, medical fraud is something insurance companies never take lightly. Insurance companies have a right to mistrust many insurance claims. An insurance claims investigator can help uncover the facts about a medical claimant’s injury. These facts can help insurance companies and adjusters determine the validity of a claim and expose potentially fraudulent medical claims. At Artefaktum, our insurance claims investigators will seek to “reconstruct” the loss with fixed procedures accepted and approved by courts, and use a variety of tools to help insurance companies properly evaluate claims.

VALIDATE

There are times when you need hard, physical evidence about a claimant’s injury to help you validate your case. To do this, an insurance claims investigator may need to provide a surveillance investigation. During surveillance, we use the most current technology on the market. We have covert surveillance experience to help you achieve maximum results.

HISTORY

Another important tool is a medical background investigation. Uur insurance claim investigators will verify important medical history and information about the claimant. This may mean canvassing multiple local healthcare facilities in the region to determine if prior medical treatment occurred. 

SOCINT

Social media accounts are often an invaluable tool when evaluating a claim. An examination of a claimant’s social media accounts can yield surprising evidence that can prove useful in a courtroom. Our team of insurance claims investigators can perform strategic social media investigations to determine whether claims are valid or fraudulent. 

INDIVIDUAL ACTIONS

Every investigation is unique, and there is no one-size-fits-all approach.  We work directly with the examiners, attorneys, and management to conduct the services around a key or significant claim activity.

FACT FINDING

We recognise fraud occurs in schemes of intentional misrepresentation or even concealment. We use creative strategies to determine the presence of deception which is intended to achieve financial or personal gain at the expense of a victim.

BE ON THE SAFE SIDE OF THE LAW

We are experts in how firms can better work with Private Investigators, we know the dos and don’ts and why you shouldn’t turn a blind eye to illegal activity by doing some stuff by your own.

GET HELP

TALK TO ARTEFAKTUM

Europe: +41 58 788 0001 | International: +1 617 861 9250 | mail/at/artefaktum.net

HOW IT WORKS

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