Insurance
BUSINESS INSURANCES FRAUD
Fire, theft in shops are the most common complaints, this type of
frauds only emerges from the Perfect Criminal Minds.
Said frauds is a perfect criminal conspiracy, where the police also
hood winked by such fraud and happen to close the case terming as fire
accident or etc.
OUR CASES
2007-2008:3
2008-2009: 2
2009-2010: NIL
2010-2011:6
2011-2012 (JULY):1
OUR INVESTIGATION EXPERIENCE
It was the case of police certifying it as a FIRE ACCIDENT and closing
the same.
Our client’s insurance company approached our bureau for
investigations.
Prime facie itself we learned that said party has shifted almost all
the stocks week before to an un-known destination.
Our bureau made all the efforts and able to trace the Lorry number and
name of the transporter shifting the stocks and same furnished to our
client.
Later our client instructed us not to proceed ahead in investigations
as the said claimant party has withdrawn claims.
Other experiences in our cases found that claims were genuine and same
was reported with appropriate evidence.
ADVISORY
Client is always called upon to conduct the parallel private
investigations with police for best results.
Decision to entrust the investigation should be taken in priority
otherwise the said case will hamper investigations.
REQUIREMENTS OF INVESTIGATIONS
- Letter of entrustment
- All the minute details of case
TIME FRAME WORK
Depends upon the clues provided and progress of case minimum days range from 15 to 30 days.
HEALTH INSURANCE
Insurance frauds have become and order of the day, as some agents and
even the public has devised new strategies to dupe the insurance
agencies.
For detecting insurance frauds person should be highly active brain
with study of criminal physiology and moreover one shall have good team
work and proper intelligence network.
MEDICAL INSURANCE
Fraud claims in medical insurance are always pre-planned , any such person intend to fraudulently claim the insurance make all his plans in connivance with his agent or by himself.
OUR CASE ANALYSIS
We had been investigating such false claims and found that modus
operandhi of such claimants is full proof.
The cases which our bureau experienced and detected in subsequent years
as mentioned below:-
2007-2008: 3
2008-2009:31
2009-2010:22
2010-2011:36
2011-2012(July):14
OUR INVESTIGATION EXPERIENCE
It was noted that claimant has requested cash less claim in the
hospital for a tune of Rs 3 Lakhs for accident , the said policy was
medical policy 8 months old when the highly alert and conscious
insurance company suspected the foul play and immediately engaged our
bureau , this was a land mark investigation for our bureau as the said
fraud was detected with in 48 Hrs of investigations.
Our investigation revealed that accident taken place was genuine and
after discreet perusal of records in hospital and other enquires we
found that patient was suffering from Heart Disease since 2 Years and
trying to convince the doctors avoid writing anything of their previous
medical history on case sheet.
We immediate took cognizance of this situation and collected the
evidence discreetly from the hospital about the false information of
previous aliment of party and furnished the same to our clients.
The insurance company declined to pay the amount learning about the
false information provided by the party at the time of application as
per their company policy.
The party accepted their mistake and never pursued the claim legally
with our clients company.
ADVISORY
The clients are advised to undertake such investigations immediate without delay
REQUIREMENTS OF INVESTIGATIONS
- Letter of entrustment
- All the minute details of case
TIME FRAME WORK
Depends upon the clues provided and progress of case minimum days range from 15 to 30 days.
LIFE INSURANCE FRAUD
Insurance frauds have become and order of the day, as some agents and even the public has devised new strategies to dupe the insurance agencies. For detecting insurance frauds person should be highly active brain with study of criminal physiology and moreover one shall have good team work and proper intelligence network
LIFE INSURANCE FRAUDS
Our bureau has not undertaken such cases pertaining to LIFE INSURANCE
FRAUDS, but we are open to investigate such cases if given by our
client.
Wholly assure appropriate and professional services.
ADVISORY
The clients are advised to undertake such investigations immediate without delay
REQUIREMENTS OF INVESTIGATIONS
- Letter of entrustment
- All the minute details of case
TIME FRAME WORK
Depends upon the clues provided and progress of case minimum days range from 15 to 30 days.
MOTOR VEHICLE CLAMIS
Insurance frauds have become and order of the day, as some agents and
even the public has devised new strategies to dupe the insurance
agencies.
For detecting insurance frauds person should be highly active brain
with study of criminal physiology and moreover one shall have good team
work and proper intelligence network.
OUR INVESTIGATION EXPERIENCE
MOTOR VEHICLE CLAIM
An insurance company approached our bureau for investigation of motor
vehicle accident claim.
Our investigation revealed as follows.
The claimant was drunk on the day of accident and his vehicle fell into
4 feet gorge, there were 3 occupants, all escaped with minor injuries
and managed to take their vehicle on same day with the help of locals.
During the insurance claim the claimant changed the whole story of
accident with change of place, time and day and even filed a Police
report of accident.
Our investigation disputed the claim as our staff were able to detect
the place and day of actual accident with revelations from locals.
The said claim stands disputed and claimant is fighting this case with
Honorable Consumer Court.
ADVISORY
The clients are advised to undertake such investigations immediate without delay
REQUIREMENTS OF INVESTIGATIONS
- Letter of entrustment
- All the minute details of case
TIME FRAME WORK
Depends upon the clues provided and progress of case minimum days range from 15 to 30 days.
