Insurance Claims Investigation

Insurance claims investigations are used to combat the prevalence of false or inflated claims. An illegitimate claim is unjustifiable or inaccurate, and by identifying it early you avoid paying potentially significant costs to a fraudster.

Insurance claims investigations rely on evidence, interviews and records to conclude whether a claim is legitimate or illegitimate.

Fraudulent workers’ compensation claims can be hazardous to the financial wellbeing of your business. To determine the legitimacy of a claim, an examiner will conduct a workers’ compensation claim investigation.

The investigation seeks to determine two things:

• Is the employee as injured as they claim to be?
• Was the injury acquired while the person was working?

For example, an employee who is injured outside of work Tuesday night but comes in the next day and files a claim indicating that the injury happened at work would be filing a fraudulent workers’ comp claim. Ideally, an investigation would uncover that lie.

Fraudulent personal injury claims can be equally as hazardous as fraudulent workers' compensation claims.

Personal injury claims can be filed against either a business or against another person. The claim becomes fraudulent when the victim actually fell on their own icy steps but staged the incident to look like it occurred in front of a company's storefront.

These claims are investigated by private insurers and public ones, such as Medicare and Medicaid. Both the practitioner and the patient can participate in fake or inflated healthcare claims, sometimes together, to line their own pockets.

According to the Legal Information Institute, statistics now show that 10 cents of every doller spent on healthcare goes toward paying for fraudulent healthcare claims.

 conducts thorough investigations of fraudulent or suspicious insurance claims to verify their authenticity. With our own pan-India network, we are positioned to provide prompt investigation for questionable travel, death or other insurance claims. We handle all lines of insurance including property, 

services include:

• Verification of suspicious claims of death
• Locating and interviewing witnesses
• Verification of previous employment
• Surveillance of claimant
• Medical history
• Background investigation of claimant

• Real Time allocation of cases based on user configured rules
• Easy monitoring of investigator & forensic investigation agencies performance
• Integration with core claims management systems
• Mobile Apps with GPS tracker
• Split cases scenario allocation

Our team of caregivers are highly trained and experienced in providing compassionate care to our clients. We prioritize the physical, emotional, and mental well-being of our clients.

At CAREGIVERSINDIA, we understand that each client has unique needs and preferences. That's why we create personalized care plans that are tailored to meet the specific needs of each client.

We are available 24/7 to provide support and care to our clients. Whether it's a medical emergency or just a friendly chat, our caregivers are always just a phone call away.

We are committed to providing professional and reliable home health care services. Our team of caregivers are licenced, insured, and undergo regular training to ensure the highest quality of care.

We believe that everyone should have access to high-quality home health care services. That's why we offer affordable care options that are designed to meet the needs and budgets of our clients.

We are proud to have received numerous positive reviews and testimonials from our clients and their families. We strive to provide the best possible care and support to our clients, and their feedback is a testament to our commitment.