insurance & Fraud investigation
Investigating the possible cases of insurance fraud, assemble evidence to build a case, and then recommend further action to the appropriate enforcement and compliance officers.
- Interviewing key witnesses to gather initial information regarding suspicions of fraudulent claims, inconsistent behaviour, and other supporting evidence.
- Identifying appropriate investigative steps, which may include conducting field investigations, surveillance, and interviews.
- Gathering evidence and information; determines whether initial evidence is sufficient to establish a claim and build a case.
- Collaborating with civil authorities, contacts at insurance information bureaus, and other investigators as needed to build and support developing cases.
- Developing and assisting with fraud detection training and educational programs.
