INSURANCE SOLUTIONS

From claim referral to resolution, we provide one convenient place for comprehensive and full-service fraud investigations.

Protecting enterprise value.

Our investigative solutions are accurate, robust and highly effective. As a trusted partner, we work diligently to protect against every type of fraudulent activity, with a level of service built upon vast amounts of experience in the field. From offices in the U.S and the U.K., our worldwide network of expert investigators provides comprehensive, case-specific fraud and loss protection. Anywhere. Our implementation of best practices is a distinct advantage we offer our partners. From claim referral to resolution, we provide one convenient place for comprehensive and full-service fraud investigations. We are the insurance industry’s premier full-service provider and we’re ready to help.

SURVEILLANCE INVESTIGATIONS

Seeing is believing.

Our world-class surveillance experts are the best in the industry. Their ability to be in the right places at the right times, anywhere in the world, allows them to deliver the best possible cost containment outcomes. Because nothing tells the whole story like video, our specialists are equipped with the latest knowledge and the most cutting-edge technology to quickly collect unbiased, court-room admissible evidence.

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Clinic Surveillance

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Corporate Surveillance

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FMLA Surveillance

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Surveillance

  • Manned Surveillance
  • Unmanned/Remote Surveillance (InView1440)

CLAIMS INVESTIGATIONS

Clear strategy. Clear picture.

Our in-house and field investigators are amongst the most skilled in the industry. Guided by purpose, we begin each case with a finely tuned and fully customized strategy. Using these specifics as a guide, we are able to paint a clear picture to produce the most reliable and accurate results possible. We are committed to providing powerful insights in order to help drive our partners business objectives.

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Activity Check

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Accidental Death Investigation

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Alive and Well Check

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AOE/COE Investigation

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Clinic Inspection

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Clinical Review

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Contestable Death Investigation

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Complex Claim Investigation

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Claim Tasks

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Database Service

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Disability Claim

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Healthcare Analytics

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Hospital-Pharmacy Canvass

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Locates

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Scene Investigation

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Social Media Investigation (MINE)

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Statement

  • In-person
  • Telephone
  • Virtual (CoventConnect)

SIU & COMPLIANCE

A trusted partner.

We provide a wide range of solutions for security and compliance within the insurance industry. Our Special Investigation Units are comprised of experts, each handpicked for their abilities, with an average of 15 years serving in law enforcement, military and insurance investigations. Our solutions are utilized by over 25 insurance groups with 200+ top-tier insurance companies. It’s no wonder we are considered best-in-class. With the industry’s largest employee investigators who are extensively trained, licensed and strategically located around the world we cannot be outperformed.

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Clinic Inspection

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Complex SIU Investigation

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SIU Task Investigation

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Compliance Support Services

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Continuing Education Services

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File Audits

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File Reviews

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Fraud Referrals

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Private Health Plans

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SIU Support Services

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State Specific Fraud Plan Development