Organized Fraud is one of the industry’s biggest losses every year. This can range from a doctor seeing more patients in a day than they have hours in a day to work, to a large criminal conglomerate involving attorneys, clinic owners, body shops, runners, cappers, and more. We have even come across churches in business with clinics and attorneys to receive their “tithing” from staged accidents. We have the ability to conduct major case analytics to help you determine the extent of the organization hitting your company. This can help with your company’s decisions in how to proceed with how these claims will be resolved. YourSIU.com has the experience of working with the National Insurance Crime Bureau and multiple Law Enforcement agencies. We can assist your company in presenting this intelligence to Prosecutors, Local Law enforcement, State Insurance Fraud Agents, or Federal Agents and Prosecutors. We will prepare link charts using all claims data, EUO data, database search results, social media data, and criminal history data to show the connections between parties. We have experience in making major case presentations on as few as a group of 10 people to a major case still being worked by feds with over 1500 people and 3000 data points. Major Case Investigations are a dedication to fighting for your company and protecting your company’s assets to the best of your ability.
Major Case Analytics requires a dedication to teamwork. As such we will discuss each major case investigation with claims adjusters, claims management, and claims legal. We need to make sure all departments are on board and understand the other departments’ needs. Each Major Case Investigation will be evaluated and a custom plan and budget will be submitted for your company’s approval.