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what does an insurance investigator do

Every insurance company has one - or at least every legit one does. An insurance fraud investigator is an individual who works for an insurance company in order to determine if a claim is made under false pretenses. They review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.. A typical day for an Insurance Adjuster, Examiner and Investigator … This is especially true of disability claims, where individuals may say their movement or quality of life is limited because of chronic pain. It's the Special Investigations Unit. They will want to determine the cause of the fire and whether or not it is covered under your policy. Insurance investigators are required to have a high school diploma, and they may be required to be licensed or certified. Insurance Claims Investigator Job Description, Key Duties and Responsibilities This post provides complete information about the job description of an insurance claims investigator, to help you learn about what they do. Essentially, these individuals work to prevent fraudulent claims from being paid out by their employer. As an insurance claims investigator, you gather information from the insurance adjuster, law enforcement, witnesses, and the claimant. Over the last thirty years, Investigation Hotline has interacted with thousands of clients who have differing perspectives and ideas as to what private investigators are able to do within their trade. A private investigator may conduct research into an insurance claim. Yes. If you have been injured and are contacted by an insurance claims investigator, make sure to speak with an attorney before … A fraud insurance investigation by a professional investigator can uncover schemes and save you the hassle and costs of a court case. An insurance investigator will go through your past claims to look for any red flags. In the end, insurance claims investigators are vital members of an insurance company. Insurance … Insurance Claims Investigators ensure a client’s claim on an accident situation is without fraud. It can also help keep your insurance costs down. If you have been accused of insurance fraud, a qualified insurance investigator can help clear your name by gathering evidence … An insurance company, for example, does not want to pay out on a fraudulent claim, and in the event a claim is false, it wants evidence it can use in court to sue the claimant for damages. You also make investigative inquiries to determine if … Special Investigators (our "official title") are basically private detectives employed by the insurance company. Insurance investigators will also look for patterns to see whether or not specific people have more probability than others to commit fraud. This may involve reviewing any photographs of the injury or accident, reviewing receipts for property purchases, reviewing repair bills, cross-referencing police report statements with other statements and reviewing other documentation related to the case. People are often misguided by movies and television shows they watch depicting private detectives as mysterious, gun toting spies that … On a daily basis, Insurance Adjusters and Investigators examine claims forms and other records to determine insurance coverage. Most states require the insurance company to have an SIU by law. If there is a claim for a car fire, the insurance company will investigate it just like any other claim. A: An insurance investigator works for an insurance company looking into insurance claims, usually when the claim may be fraudulent. They will take a look at how often you file claims and the nature of the claims. Frequently Asked Questions: Car Insurance Claims Investigation Do insurance companies investigate car fires? In this role, you may examine the damaged property, coordinate with law enforcement, interview the claimant, and gather information about any casualty that's occurred. The fraud investigator comes in whenever red flags suggest that there may be more to a situation than meets the eye. A: As an insurance fraud investigator, your job is to investigate an insurance claim on behalf of your firm to determine whether or not fraud has occurred in any given case. Do insurance companies investigate car fires at what does an insurance investigator do every legit one does you have been of! Your insurance costs down Investigators ( our `` official title '' ) are basically private detectives employed the! Company has one - or at least every legit one does company will investigate it just like any other.. 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2020-12-29T02:41:49+00:00December 29th, 2020|