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Insurance

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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Later our client instructed us not to proceed ahead in investigations as the said claimant party has withdrawn claims.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

  1. Letter of entrustment
  2. 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 CLAIMS

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

  1. Letter of entrustment
  2. 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

  1. Letter of entrustment
  2. 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

  1. Letter of entrustment
  2. 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.