SIU/FRAUD INVESTIGATION

Safeguarding the Insurance Process – Expert Support in SIU & Fraud Investigations

Fraudulent insurance claims not only disrupt the insurance system but also increase costs for everyone involved. At Hartel, DeSantis & Murray, LLP, we are dedicated to protecting insurers and policyholders by assisting in Special Investigation Unit (SIU) and fraud investigations across Maryland, Virginia, and Washington, D.C. Our team brings extensive experience, keen analytical skills, and a proactive approach to uncovering fraudulent claims, safeguarding the integrity of the claims process for our clients.

Partnering with Insurers to Detect and Prevent Fraud

Insurance fraud is a serious issue that can take many forms, from exaggerating injuries to staging accidents or misrepresenting property damage. We partner closely with insurance companies to conduct thorough investigations, gathering all necessary evidence to determine the legitimacy of claims. Our team has extensive experience in spotting red flags, handling sensitive information, and utilizing proven investigative techniques to detect fraudulent activities.

Comprehensive Fraud Investigation Services

We offer a full range of fraud investigation services tailored to the specific needs of each case. Our services include:

• Claim Verification and Analysis: We perform in-depth analyses of claims to assess inconsistencies and verify details, using industry insights and advanced methodologies to identify potential fraud.
• Surveillance and Field Investigations: Our team conducts discreet surveillance and field investigations, gathering evidence to either substantiate or disprove claims. This may include video documentation, witness interviews, and location visits.
• Document Examination and Forensic Analysis: Fraudulent claims often involve falsified documents or altered records. We examine documentation thoroughly, using forensic analysis to identify irregularities or tampering that may indicate deception.
• Collaboration with Law Enforcement: In cases of severe fraud, we collaborate with local law enforcement and government agencies to bring perpetrators to justice, leveraging our findings to support legal action where necessary.

Detecting Common Types of Insurance Fraud

Insurance fraud can take many forms, and at Hartel, DeSantis & Murray, LLP, we are skilled in recognizing and investigating a range of fraudulent activities, including:

• Exaggerated Injury or Damage Claims: Claimants may exaggerate the severity of injuries or property damage to increase payouts.
• Staged Accidents: Some individuals or groups stage accidents to file false injury claims, often involving elaborate setups and multiple actors.
• False Theft or Property Damage Claims: Fraudulent property claims, such as faked theft or staged vandalism, can be challenging to verify without an experienced investigation team.
• Premium Fraud: Individuals or businesses may misrepresent information on insurance applications to receive lower premiums, which can impact underwriting and risk assessment.

Protecting the Integrity of the Insurance Process

Our work in fraud investigation is driven by a commitment to maintaining a fair and balanced insurance system. Fraudulent claims can harm both insurers and honest policyholders, leading to increased premiums and unnecessary payouts. By assisting in the identification and prevention of fraud, we help insurers avoid costly claims while supporting a more equitable claims process.

Supporting Insurers Through Every Step of the Investigation

SIU and fraud investigations require careful handling, from initial suspicion through to case resolution. At Hartel, DeSantis & Murray, LLP, we manage every stage of the investigation, coordinating with SIUs, claims adjusters, and other insurance professionals to ensure that every piece of evidence is documented and analyzed. Our attorneys provide clear communication and regular updates, allowing insurers to stay informed and involved throughout the investigation.

Your Trusted Partner in SIU and Fraud Prevention

With our extensive knowledge and dedicated approach, Hartel, DeSantis & Murray, LLP is a trusted ally for insurance companies looking to safeguard their operations from fraudulent activity. We bring the legal expertise and investigative precision needed to support accurate claim assessments and prevent unwarranted payouts. If you require assistance with an SIU or fraud investigation, contact us today to discuss how we can help protect your organization and ensure the integrity of your claims process.