Insurance

Every type of insurance is vulnerable to insurance fraud. Insurance fraud cases are often committed by opportunists – such as claim fraud, where perpetrators invent or exaggerate a claim; or application fraud, where they deliberately or recklessly provide false information when applying for insurance. There are well-known cases of highly organised criminal gangs with money-making enterprises based on insurance fraud.

Insurance fraud cases cover a wide range of schemes and crimes, intended to enrich the fraudsters at the expense of insurance providers and other innocent victims. With the enormous liability presented by insurance fraud, every organisation should address the risk in their due diligence and fraud prevention programs. The experts at CRI Group are positioned to help any organisation, including captive insurance companies, domestic, alien, Lloyds of London, mutual and stock companies implement this as part of a risk management plan.

When fraud is detected, CRI Group’s investigations cover the full range of insurance fraud cases, from healthcare fraud to disability and even fake death claims. CRI Group’s experts are thoroughly trained, for example, to look for the tell-tale signs of fraud through carefully reviewing claims, medical and hospital records, conducting interviews, examining statements and documents and performing on-site inspections. Our agents leave no stone unturned when investigating suspected insurance fraud.

Learn more about how insurance fraud investigation services can help your business.

TOP PICKS FOR YOU

The Unseen Enemy: Insurance Fraud Costs Billions Every Year: Part I

Part One: What is Insurance Fraud? Insurance fraud costs an estimated $40 to $80 billion per year in the U.S. alone. It’s been called an epidemic, and is a scourge of insurance providers, private companies and consumers alike. But what is it, how do companies detect it, and how does an insurance fraud investigator unravel it? […]

The Unseen Enemy: Insurance Fraud Costs Billions Every Year: Part II

Part Two: How Do Companies Detect Insurance Fraud? The insurance fraud epidemic is of serious concern to businesses, insurance providers and consumers worldwide. In Part One of this three-part series, we examined the scope of the problem, and discussed a few cases that illustrate the magnitude of insurance fraud. The question is: How can companies […]

The Unseen Enemy: Insurance Fraud Costs Billions Every Year: Part III

Part Three: Anatomy of an Insurance Fraud Investigation The insurance fraud epidemic is of serious concern to businesses, insurance providers and consumers worldwide. In Part One of this three-part series, we examined the scope of the problem, and discussed a few cases that illustrate the magnitude of insurance fraud. In Part Two, we looked at […]