INSURANCE FRAUD INVESTIGATIONS

INSURANCE FRAUD INVESTIGATIONS

Fraud has become systematized at the corporate level. The public has unfortunately accepted insurance company fraud as the ‘new normal’.

Fraudulent Claims Investigations 
To misrepresent clear, observable facts is to lie. When those misrepresentations inform the outcome of someone’s insurance claim, it becomes a violation of the law – and is considered Insurance (Corporate) Fraud. Every insurance adjuster, whether hired by the insurance company or by a private citizen, is a fiduciary with a legal and moral obligation to do the right thing. Public Adjusters have very strict, and very highly regulated fiduciary responsibilities to their policyholder clients. Insurance company adjusters, on the other hand, are accountable and beholden to the companies they work for. Ask Yourself: what’s wrong with that model?

Elder Financial Exploitation / Elder Fraud
Probably the most indefensible and egregious form of fraud is committed against our senior citizen populations. Many seniors have been loyal to the same insurance company for decades and, although most have been fortunate to avoid having to file a claim in the past, its shameful how quickly their lifelong insurance carrier will use misdirection, sleight of hand, and demonstrably false data to support a fraudulent claim decision or claim action. 

Third-Party ‘Experts’ are Benefactors of the Fraudulent System                                                                                                        Many carriers will feign good-faith compliance by subcontracting their own lack of in-house expertise to others who have formed niche industries around the opacity of the system. You’ll hear terms like ‘Independent Insurance Adjuster’ or ‘Independent Engineer’ in an effort to legitimize the conflicted opinions. Our investigators have personally witnessed and cataloged the half-stepping effort of these so-called independent professionals as they conduct pro-forma visits to your home and leave just moments later with the very same conclusions as when they arrived. Aside from the obvious fraudulent misidentification of damage, these ‘professionals’ are direct benefactors of the carriers who call on them for their services. Why, then, would the insurance company refuse to allow a policyholder to pick their own Independent Adjuster or Independent Forensic Engineer to make a true and unbiased assessment? Why are they so reluctant to provide policyholders with copies of these third-party reports? The answer is simple: money. 

Specialized Insurance Products

Trusted Expertise for High-Stakes, High-Value Insurance Disputes.

Specialized insurance investigation, appraisal, umpire, and dispute resolution services for discerning private clients, carriers, executive leadership, and institutional organizations managing complex and high-consequence losses. Our work is defined by precision, confidentiality, and defensible valuation methodology—delivered by seasoned professionals accustomed to sensitive environments. With a unique combination of insurance, military, and intelligence community acumen, we are uniquely positioned to support matters involving restricted assets, proprietary interests, and claims requiring the highest level of discretion and integrity.

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