Why You May Need to Hire a Fraud Investigator

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As much as we all like to hope that we have done our due diligence hiring the right staff for our business, sometimes a few bad apples fall off the tree and into your place of business! This is why you need to understand how to protect your business from insurance scams, before you end up having to hire a fraud investigator!

Here are a few common insurance scams you may end up handling with an investigator in your place of business:

  • Health Insurance Scams
  • Workers Compensation Scams

Obviously there are other types of scams such as life insurance or car accident scams, but for your business, you are most apt to be dealing with insurance fraud cases that fall into health insurance fraud or workers compensations fraud. And when these matters happen, it’s very important to know how to hire the right help to manage the case.

Insurance Fraud Cases: The Bad & The Ugly

You probably never thought you would need to report insurance fraud, much less hire an investigator to manage insurance fraud cases, but the fact is it is highly likely that in your time as a business owner or manager of a business that you will need a private investigator.

Before we delve into the ways an employee could do health insurance or workers compensation fraud, let’s go over things to consider when hiring a private investigator to manage your insurance scam case:

1. Longevity & Experience
Make sure the investigator you hire as experience and longevity handling fraud cases in your community and the surrounding towns. This is not the time to be hiring a newbie!

2. Licensed & Insured
Before you sign up with a private investigator, please make sure this individual or agency is:
– Properly insured and…
-Licensed according to your state’s individual regulations

3. Reputable & Searchable
You want to hire an investigator who comes highly referred either through Google or word of mouth, and has a website—a fully searchable agency via the Internet.

Now that we know some key things when hiring an insurance scam investigator, here are some cases in which you may find yourself needing to report insurance fraud:

  • Workers Comp: Is your employee really as injured as he or she says he is? Did he or she get hurt on the job…or somewhere else? This is what an investigator will determine
  • Health Insurance: Is your employee filing false claims with the company paid for health insurance plan? Again…look to your private investigator to manage such a case.

We never want to deal with such situations in business, but the fact is if you are prepared on how to handle or spot insurance fraud, you are already way ahead of the game. Because fraud is so complex, this is not something as a business owner or manager that you should be conducting by yourself, plain and simple. Be smart and hire a professional to do the dirty work, if you find yourself dealing with fraud.