Insurance Fraud
WORKER’S COMPENSATION
In the Old West, they used to shoot cheaters.
TODAY, WE’RE A BIT MORE CIVILIZED
Nearly one in ten Property & Casualty Claims is fraudulent resulting in an estimated annual loss of $30 Billion across the industry. At PPI, our highly trained Investigators have the experience and ability to quickly and accurately identify the various ways in which individuals may defraud an Insurance Company.
WHY PPI.
PPI offers customized services to combat fraud including surveillance, claims investigations, and Special Investigations Unit Services. Our experience and flexibility allow us to drive powerful results and improve outcomes for our property and casualty clients.
Surveillance
Seeing is Believing.
Experience has shown us that some injured workers will prolong their return to work by malingering or their disabilities. Surveillance investigations should be initiated when you have good reason to believe the worker is misrepresenting their disability, and when visual evidence can be utilized in closing or managing the claim. In those instances, conducting covert surveillance and gathering video evidence of the injured workers disability and activity level is necessary to manage the claim effectively and avoid paying undeserved benefits.
Surveillance video may also be beneficial or necessary in some cases for establishing evidence that supports a fraud investigation and resulting in criminal prosecution. The goal in the fraud investigation is to determine whether fraudulent activity has occurred and to identify the course of action that should be pursued. That may lead to a recovery method that would include collection of monies owed, or civil / criminal prosecution.
There are three main categories of fraud investigations: worker, employer, and provider. You may recognize the indicators when dealing with the injured worker, but there are other red flags that may alert you to the need for further investigation or other types of possible fraud.
Effective surveillance reduces the paid costs on claims!
Case Assignment
We’ll Take It From Here.
NOTE: This page consists of a form that gets emailed to someone@ppisecurity.com (actual email is to be determined). Some of the form elements (to be determined) are required to be filled in before the form can be submitted. The Category Headers are descriptors of the form elements below them.