{"id":10903,"date":"2021-04-05T09:58:44","date_gmt":"2021-04-05T09:58:44","guid":{"rendered":"https:\/\/portal.crigroup.com\/crigroup_new\/?page_id=10903"},"modified":"2023-07-17T07:19:34","modified_gmt":"2023-07-17T07:19:34","slug":"insurance-fraud-investigations","status":"publish","type":"page","link":"https:\/\/crigroup.com\/ar\/insurance-fraud-investigations\/","title":{"rendered":"<div class=\"text-1\" style=\"font-weight:bold\">\u0639\u0645\u0644\u064a\u0627\u062a \u0627\u0644\u062a\u062d\u0642\u064a\u0642 \u0641\u064a \u0627\u0644\u0627\u062d\u062a\u064a\u0627\u0644 \u0641\u064a \u0645\u062c\u0627\u0644 \u0627\u0644\u062a\u0623\u0645\u064a\u0646<\/div>"},"content":{"rendered":"<section id=\"gm2369ba3\" class=\"wp-block-gutentor-m3 section-gm2369ba3 gutentor-module gutentor-container-cover\">\r\n<div class=\"grid-container\">\r\n<section id=\"gm5e0edca\" class=\"wp-block-gutentor-m3 section-gm5e0edca gutentor-module gutentor-container-cover\">\r\n<div class=\"grid-container\">\r\n<h3 class=\"wp-block-heading\">Insurance Fraud Investigations: Unravel Insurance Fraud<\/h3>\r\n\r\n\r\n<p>Insurance fraud investigations by CRI\u2122 cover the full range of cases, from healthcare fraud to disability and even fake death claims. Our experts are trained to look for the tell-tale signs of fraud: they can view claims, and medical and hospital records, conduct interviews, examine statements and documents, as well as perform on-site inspections. Insurance fraud is something that no company can afford.<\/p>\r\n\r\n\r\n<p>We will work with you and all appropriate insurance personnel or an insurance fraud investigator to achieve the results you need in a timely, discreet manner through private investigation services. CRI\u2122 agents bring their investigative training to careful use in every engagement, protecting your confidentiality while uncovering the facts of the case.<\/p>\r\n\r\n\r\n<div class=\"wp-block-spacer\" style=\"height: 30px;\" aria-hidden=\"true\">\u00a0<\/div>\r\n<\/div>\r\n<\/section>\r\n\r\n\r\n<section id=\"gm826314c\" class=\"wp-block-gutentor-m3 section-gm826314c gutentor-module gutentor-container-cover\">\r\n<div class=\"grid-container\">\r\n<section id=\"gm72820af\" class=\"wp-block-gutentor-m4 section-gm72820af gutentor-module gutentor-advanced-columns\">\r\n<div class=\"grid-container\">\r\n<div class=\"grid-row\">\r\n<div id=\"col-gm25f8be\" class=\"wp-block-gutentor-m4-col col-gm25f8be gutentor-single-column  grid-lg-8 grid-md-12 grid-12\">\r\n<div id=\"section-gm25f8be\" class=\"section-gm25f8be gutentor-col-wrap\">\r\n<section id=\"b06d08\" class=\"section-b06d08 gutentor-module gutentor-module-accordion\">\r\n<div class=\"grid-container\">\r\n<div id=\"ce5b33\" class=\"wp-block-gutentor-m6-item section-ce5b33 gutentor-module gutentor-module-accordion-item\">\r\n<div class=\"gutentor-module-accordion-panel g-a-panel-b06d08\">\r\n<div class=\"gm-ah-b06d08 gutentor-module-accordion-item-heading gutentor-module-icon-position-right\"><span class=\"gutentor-module-accordion-panel-handler\" role=\"button\"><span class=\"gutentor-module-accordion-panel-handler-label\"><strong>SCOPE OF WORK<\/strong><\/span><i class=\"gm-aio-b06d08 gutentor-module-accordion-icon-open fas fa-plus\"><\/i><i class=\"gm-aic-b06d08 gutentor-module-accordion-icon-close fas fa-minus\"><\/i><\/span><\/div>\r\n<div class=\"gm-ab-b06d08 gutentor-module-accordion-body\">\r\n<section id=\"gm40a38da\" class=\"wp-block-gutentor-m3 section-gm40a38da gutentor-module gutentor-container-cover\">\r\n<div class=\"grid-container\">\r\n<p>CRI\u2122 handles several forms of investigations, including, but not limited to:<\/p>\r\n<ul>\r\n\t<li>Factual Claims Investigations<\/li>\r\n\t<li>Witness Statements<\/li>\r\n\t<li>Workers Compensation<\/li>\r\n\t<li><div class=\"text-1\" style=\"font-weight:bold\">\u0639\u0645\u0644\u064a\u0627\u062a \u0627\u0644\u062a\u062d\u0642\u064a\u0642 \u0641\u064a \u0627\u0644\u062e\u0644\u0641\u064a\u0627\u062a:<\/div><\/li>\r\n\t<li>Disability Claims<\/li>\r\n\t<li>Asset Searches<\/li>\r\n\t<li>Motor Vehicle<\/li>\r\n\t<li>Injury Claims<\/li>\r\n\t<li>Liability Claims<\/li>\r\n\t<li>Medical Audits and Clinic Investigations<\/li>\r\n\t<li>Medical Fraud Investigations<\/li>\r\n\t<li>Property Claims<\/li>\r\n\t<li>Death Verifications<\/li>\r\n\t<li>Travel Claims<\/li>\r\n\t<li>SIU Services<\/li>\r\n\t<li>Fraud Investigations Activity Checks<\/li>\r\n<\/ul>\r\n<\/div>\r\n<\/section>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n\r\n\r\n<div id=\"b97332\" class=\"wp-block-gutentor-m6-item section-b97332 gutentor-module gutentor-module-accordion-item\">\r\n<div class=\"gutentor-module-accordion-panel g-a-panel-b06d08\">\r\n<div class=\"gm-ah-b06d08 gutentor-module-accordion-item-heading gutentor-module-icon-position-right\"><span class=\"gutentor-module-accordion-panel-handler\" role=\"button\"><span class=\"gutentor-module-accordion-panel-handler-label\"><strong>HOW DO WE CONDUCT AN INSURANCE FRAUD INVESTIGATIONS?<\/strong><\/span><i class=\"gm-aio-b06d08 gutentor-module-accordion-icon-open fas fa-plus\"><\/i><i class=\"gm-aic-b06d08 gutentor-module-accordion-icon-close fas fa-minus\"><\/i><\/span><\/div>\r\n<div class=\"gm-ab-b06d08 gutentor-module-accordion-body\">\r\n<section id=\"gm974e144\" class=\"wp-block-gutentor-m3 section-gm974e144 gutentor-module gutentor-container-cover\">\r\n<div class=\"grid-container\">\r\n<p>CRI Group\u2122\u2019s insurance fraud investigations are based on a thorough approach that includes site visits and leaving no stone unturned. This is how the process will typically proceed:<\/p>\r\n<ul>\r\n\t<li>Assign the appropriate investigators with the right expertise in that area to investigate the claim.<\/li>\r\n\t<li>Contact the parties involved to gather all relevant details about the incident.<\/li>\r\n\t<li>Use all resources available, including police reports, court filings, database records and other means to establish the truth in insurance fraud cases.<\/li>\r\n\t<li>Make site visits, speak to witnesses, take photos and establish timelines as needed to create a full, truthful story of the incident.<\/li>\r\n\t<li>Uncover useful evidence, carefully documenting and preserving it in a way that is admissible in court.<\/li>\r\n\t<li>Present investigation findings to the client, with recommendations on how to proceed.<\/li>\r\n\t<li>Sometimes, legal action is warranted.<\/li>\r\n<\/ul>\r\n<\/div>\r\n<\/section>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n\r\n\r\n<div id=\"1c59f3\" class=\"wp-block-gutentor-m6-item section-1c59f3 gutentor-module gutentor-module-accordion-item\">\r\n<div class=\"gutentor-module-accordion-panel g-a-panel-b06d08\">\r\n<div class=\"gm-ah-b06d08 gutentor-module-accordion-item-heading gutentor-module-icon-position-right\"><span class=\"gutentor-module-accordion-panel-handler\" role=\"button\"><span class=\"gutentor-module-accordion-panel-handler-label\"><strong>WHY PARTNER WITH US?<\/strong><\/span><i class=\"gm-aio-b06d08 gutentor-module-accordion-icon-open fas fa-plus\"><\/i><i class=\"gm-aic-b06d08 gutentor-module-accordion-icon-close fas fa-minus\"><\/i><\/span><\/div>\r\n<div class=\"gm-ab-b06d08 gutentor-module-accordion-body\">\r\n<section id=\"gm20b3e60\" class=\"wp-block-gutentor-m3 section-gm20b3e60 gutentor-module gutentor-container-cover\">\r\n<div class=\"grid-container\">\r\n<ul>\r\n\t<li>Working with an insurance fraud investigation company like CRI\u2122 provides the advantage of having an independent, impartial and unbiased third-party collecting the facts you need regarding any case that might involve potential fraud.<\/li>\r\n\t<li>CRI\u2122 has been safeguarding businesses for more than 30 years, and you will be assured of the quality, professionalism and discreet nature of all investigations conducted by our experts.<\/li>\r\n\t<li>Our global presence ensures that no matter how international your operations are, CRI Group\u2122\u2019s investigations have the network needed to provide you with all necessary support, wherever you happen to be. We take great care to ensure that our trained and licensed investigators are the best at what they do.<\/li>\r\n<\/ul>\r\n<\/div>\r\n<\/section>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n\r\n\r\n<div id=\"3c495b\" class=\"wp-block-gutentor-m6-item section-3c495b gutentor-module gutentor-module-accordion-item\">\r\n<div class=\"gutentor-module-accordion-panel g-a-panel-b06d08\">\r\n<div class=\"gm-ah-b06d08 gutentor-module-accordion-item-heading gutentor-module-icon-position-right\"><span class=\"gutentor-module-accordion-panel-handler\" role=\"button\"><span class=\"gutentor-module-accordion-panel-handler-label\"><strong>ABOUT INSURANCE FRAUD<\/strong><\/span><i class=\"gm-aio-b06d08 gutentor-module-accordion-icon-open fas fa-plus\"><\/i><i class=\"gm-aic-b06d08 gutentor-module-accordion-icon-close fas fa-minus\"><\/i><\/span><\/div>\r\n<div class=\"gm-ab-b06d08 gutentor-module-accordion-body\">\r\n<section id=\"gm3c050cb\" class=\"wp-block-gutentor-m3 section-gm3c050cb gutentor-module gutentor-container-cover\">\r\n<div class=\"grid-container\">\r\n<p>Every type of insurance is vulnerable to insurance fraud. Insurance fraud cases are often committed by opportunists \u2013 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.<\/p>\r\n<p>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.<\/p>\r\n<\/div>\r\n<\/section>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n\r\n\r\n<div id=\"21fe61\" class=\"wp-block-gutentor-m6-item section-21fe61 gutentor-module gutentor-module-accordion-item\">\r\n<div class=\"gutentor-module-accordion-panel g-a-panel-b06d08\">\r\n<div class=\"gm-ah-b06d08 gutentor-module-accordion-item-heading gutentor-module-icon-position-right\"><span class=\"gutentor-module-accordion-panel-handler\" role=\"button\"><span class=\"gutentor-module-accordion-panel-handler-label\"><strong>TYPE OF INSURANCE FRAUD<\/strong><\/span><i class=\"gm-aio-b06d08 gutentor-module-accordion-icon-open fas fa-plus\"><\/i><i class=\"gm-aic-b06d08 gutentor-module-accordion-icon-close fas fa-minus\"><\/i><\/span><\/div>\r\n<div class=\"gm-ab-b06d08 gutentor-module-accordion-body\">\r\n<section id=\"gm4d06fd7\" class=\"wp-block-gutentor-m3 section-gm4d06fd7 gutentor-module gutentor-container-cover\">\r\n<div class=\"grid-container\">\r\n<p>The 10 most common types of insurance fraud include:<\/p>\r\n<ul>\r\n\t<li>Car damage<\/li>\r\n\t<li>Staged home fires<\/li>\r\n\t<li>Health insurance billing fraud<\/li>\r\n\t<li>Storm fraud<\/li>\r\n\t<li>Faked death<\/li>\r\n\t<li>Abandoned house fire<\/li>\r\n\t<li>Car accident<\/li>\r\n\t<li>Renter\u2019s insurance<\/li>\r\n\t<li>Unnecessary medical procedures<\/li>\r\n\t<li>Stolen car<\/li>\r\n<\/ul>\r\n<\/div>\r\n<\/section>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n\r\n\r\n<div id=\"61c0ac\" class=\"wp-block-gutentor-m6-item section-61c0ac gutentor-module gutentor-module-accordion-item\">\r\n<div class=\"gutentor-module-accordion-panel g-a-panel-b06d08\">\r\n<div class=\"gm-ah-b06d08 gutentor-module-accordion-item-heading gutentor-module-icon-position-right\"><span class=\"gutentor-module-accordion-panel-handler\" role=\"button\"><span class=\"gutentor-module-accordion-panel-handler-label\"><strong>IDENTIFYING RED FLAGS<\/strong><\/span><i class=\"gm-aio-b06d08 gutentor-module-accordion-icon-open fas fa-plus\"><\/i><i class=\"gm-aic-b06d08 gutentor-module-accordion-icon-close fas fa-minus\"><\/i><\/span><\/div>\r\n<div class=\"gm-ab-b06d08 gutentor-module-accordion-body\">\r\n<section id=\"gm84fbe65\" class=\"wp-block-gutentor-m3 section-gm84fbe65 gutentor-module gutentor-container-cover\">\r\n<div class=\"grid-container\">\r\n<p>The 7 red flags of fire loss insurance claim. If your answer is yes to any of these red flags, then you may have a case of insurance fraud in your hands:<\/p>\r\n<ul>\r\n\t<li>Does the claim include expensive property, often newly purchased without documentation, allegedly destroyed along with the home?<\/li>\r\n\t<li>Is sentimental property suspiciously not listed among the missing\/destroyed property?<\/li>\r\n\t<li>The claimant cannot provide detailed descriptions of the destroyed property or where it was purchased?<\/li>\r\n\t<li>Does the documentation provided by the claimant look altered or irregular?<\/li>\r\n\t<li>What the claimant claims in property loss does not match the physical site?<\/li>\r\n\t<li>The claimant refuses to answer questions, or gives confused or inconsistent answers?<\/li>\r\n\t<li>The claimant fails to provide additional documentation when asked, even if he promises to do so?<\/li>\r\n<\/ul>\r\n<p>The 4 red flags of hospital billing insurance claims. If your answer is yes to any of these red flags, then you may have a case of insurance fraud on your hands:<\/p>\r\n<ul>\r\n\t<li>Do the bills appear irregular, or documentation is incomplete?<\/li>\r\n\t<li>There is a history of claims by the subject for different, seemingly unrelated health procedures or<br \/>\r\ntreatments?<\/li>\r\n\t<li>Dates and locations for hospital visits seem unlikely or cannot be corroborated with verified records?<\/li>\r\n\t<li>The claimant avoids answering questions about the claim or gives confusing or inconsistent answers?<\/li>\r\n<\/ul>\r\n<\/div>\r\n<\/section>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/section>\r\n\r\n\r\n<div class=\"wp-block-spacer\" style=\"height: 50px;\" aria-hidden=\"true\">\u00a0<\/div>\r\n\r\n\r\n<h3 class=\"wp-block-heading\">Brochure &amp; Publication on Insurance Fraud Investigations:<\/h3>\r\n\r\n\r\n<section id=\"section-2426ba69-e51d-49e1-a283-0f8446a5f867\" class=\"wp-block-gutentor-featured-block gutentor-section gutentor-featured-block featured-template1\">\r\n<div class=\"grid-container\">\r\n<div class=\"gutentor-grid-item-wrap\">\r\n<div class=\"gutentor-single-item\">\r\n<div class=\"grid-row\">\r\n<div class=\"grid-md-6\">\r\n<div class=\"gutentor-single-item-image-box\">\r\n<div class=\"gutentor-image-thumb\"><img decoding=\"async\" class=\"normal-image\" src=\"https:\/\/crigroup.com\/wp-content\/uploads\/2022\/10\/Investigative-Solution-Brochure.jpg\" alt=\"\" \/><\/div>\r\n<\/div>\r\n<\/div>\r\n<div class=\"grid-md-6\">\r\n<div class=\"gutentor-single-item-content\">\r\n<div class=\"gutentor-featured-content\">\r\n<h4 class=\"gutentor-single-item-title\"><strong>Brochure: Investigative Solution<\/strong><\/h4>\r\n<p class=\"gutentor-single-item-desc\">Investigations solutions covering insurance fraud cases, from healthcare fraud to disability and even fake death claims.<\/p>\r\n<a class=\"gutentor-button gutentor-single-item-button gutentor-icon-hide\" href=\"https:\/\/crigroup.com\/ar\/brochures\/\"><i class=\"gutentor-button-icon fas fa-book\"><\/i><strong>Download Brochure<\/strong><\/a><\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/section>\r\n\r\n\r\n<div class=\"wp-block-spacer\" style=\"height: 20px;\" aria-hidden=\"true\">\u00a0<\/div>\r\n\r\n\r\n<section id=\"section-de625bfb-3aa4-4e21-b70a-ed49f752febb\" class=\"wp-block-gutentor-featured-block gutentor-section gutentor-featured-block featured-template1\">\r\n<div class=\"grid-container\">\r\n<div class=\"gutentor-grid-item-wrap\">\r\n<div class=\"gutentor-single-item\">\r\n<div class=\"grid-row\">\r\n<div class=\"grid-md-6\">\r\n<div class=\"gutentor-single-item-image-box\">\r\n<div class=\"gutentor-image-thumb\"><img decoding=\"async\" class=\"normal-image\" src=\"https:\/\/crigroup.com\/wp-content\/uploads\/2022\/10\/Insurance-fraud-cases-uncovered.jpg\" alt=\"\" \/><\/div>\r\n<\/div>\r\n<\/div>\r\n<div class=\"grid-md-6\">\r\n<div class=\"gutentor-single-item-content\">\r\n<div class=\"gutentor-featured-content\">\r\n<h4 class=\"gutentor-single-item-title\"><strong>Case Study: Insurance Fraud Cases Uncovered<\/strong><\/h4>\r\n<p class=\"gutentor-single-item-desc\">This ebook is the perfect primer for any insurance fraud professional and companies looking to avoid becoming victims of insurance fraud claims.<\/p>\r\n<a class=\"gutentor-button gutentor-single-item-button gutentor-icon-hide\" href=\"https:\/\/2506761.fs1.hubspotusercontent-na1.net\/hubfs\/2506761\/PDF%20library\/Insurance%20Fraud\/Insurance%20Fraud%20Case%20Studies%20Uncovered_%20by%20CRI.pdf\"><i class=\"gutentor-button-icon fas fa-book\"><\/i><strong>Download e-Book<\/strong><\/a><\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/section>\r\n\r\n\r\n<div class=\"wp-block-spacer\" style=\"height: 30px;\" aria-hidden=\"true\">\u00a0<\/div>\r\n<\/div>\r\n<\/div>\r\n\r\n\r\n<div id=\"col-gm49fece\" class=\"wp-block-gutentor-m4-col col-gm49fece gutentor-single-column  grid-lg-4 grid-md-12 grid-12\">\r\n<div id=\"section-gm49fece\" class=\"section-gm49fece gutentor-col-wrap\">\r\n<h3 class=\"wp-block-heading\">Request an Insurance Fraud Investigations Quote<\/h3>\r\n\r\n\r\n<p><div class=\"text-1\">\u064a\u0631\u062c\u0649 \u0645\u0644\u0621 \u0627\u0644\u0646\u0645\u0648\u0630\u062c \u0623\u062f\u0646\u0627\u0647 \u0644\u0645\u0633\u0627\u0639\u062f\u062a\u0646\u0627 \u0639\u0644\u0649 \u062a\u0642\u062f\u064a\u0645 \u0639\u0631\u0636 \u0627\u0644\u0623\u0633\u0639\u0627\u0631 \u0627\u0644\u0623\u0643\u062b\u0631 \u062f\u0642\u0629 \u0648\u062a\u062e\u0635\u064a\u0635\u064b\u0627 \u0644\u0645\u062a\u0637\u0644\u0628\u0627\u062a\u0643\u0645. \u0633\u0646\u0639\u0627\u0648\u062f \u0627\u0644\u0631\u062f \u0639\u0644\u064a\u0643\u0645 \u0641\u064a \u062e\u0644\u0627\u0644 48 \u0633\u0627\u0639\u0629 \u0639\u0645\u0644.<\/div><\/p>\r\n\r\n \n\t\t\t\t\t<script>\n\t\t\t\t\t\thbspt.enqueueForm({\n\t\t\t\t\t\t\tportalId: 2506761,\n\t\t\t\t\t\t\tformId: \"5d621c67-df6d-46d5-9721-209ede7cbcbe\",\n\t\t\t\t\t\t\ttarget: \"#hbspt-form-1766293883000-5628616694\",\n\t\t\t\t\t\t\tregion: \"\",\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t});\n\t\t\t\t\t<\/script>\n\t\t\t\t\t<div class=\"hbspt-form\" id=\"hbspt-form-1766293883000-5628616694\"><\/div> <\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/section>\r\n\r\n\r\n<div class=\"wp-block-spacer\" style=\"height: 50px;\" aria-hidden=\"true\">\u00a0<\/div>\r\n<\/div>\r\n<\/section>\r\n<\/div>\r\n<\/section>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":22454,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-10903","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v16.5 - 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