Suspected Fraud: If there are suspicions or indications that the reported injury or illness may not be legitimate, such as inconsistent medical documentation or activities inconsistent with the claimed injury, an investigation would be warranted.

Fraud Investigations: In cases where fraud is suspected, our investigators meticulously analyze evidence to uncover fraudulent activities, ensuring that dishonest claimants are held accountable and fraudulent claims are denied.

Surveillance: Conducting surveillance on the claimant to observe their activities and determine if they are engaging in behaviors inconsistent with their reported injuries. This could include physical activities, work-related activities, or other actions that may suggest the claimant is not as injured as they claim.

Witness Interviews: Interviewing witnesses who may have observed the incident leading to the injury or who may have relevant information about the claimant’s condition.

Background Checks: Conducting background checks on the claimant to verify their employment history, medical history, and any previous workers’ compensation claims.

Medical Record Review: Reviewing medical records to ensure consistency and to identify any discrepancies or red flags that may suggest fraud.

Social Media Monitoring: Monitoring the claimant’s social media accounts for any posts or photos that contradict their reported injuries or activities.

Covert Investigations: Utilizing covert methods to gather evidence, such as undercover operations or the use of hidden cameras.

Documentation Analysis: Analyzing documentation related to the claim, such as accident reports, incident statements, and medical records, to identify inconsistencies or discrepancies.

Collaboration with Law Enforcement: Collaborating with law enforcement agencies if there is evidence of criminal activity related to the claim, such as insurance fraud.