Insurance Fraud Investigations

Unravel insurance fraud


Insurance fraud is something that no company can afford. CRI Group’s investigations cover the full range of insurance fraud 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, medical and hospital records, conduct interviews, examine statements and documents, as well as perform on-site inspections.

Insurance fraud is a serious crime which can result in serious consequences for fraudsters who may find their future job prospects impacted, find it harder to obtain insurance and other vital financial services, obtain a criminal conviction and even face the prospect of imprisonment (ABI, titled “Fraud”, 2018). ABI reports that the total number of fraudulent claims and applications detected in 2018, was 469,000 and every day, 1,300 insurance scams are uncovered, with the average con of 12K.

We will work with you and all appropriate insurance personnel to achieve the results you need in a timely, discreet manner. CRI Groups agents bring their investigative training to careful use in every engagement, protecting your confidentiality while uncovering the facts of the case.

CRI Group handles several forms of investigations, including, but not limited to:

  • Factual Claims Investigations
  • Witness Statements
  • Workers Compensation
  • Background Investigations
  • Disability Claims
  • Asset Searches
  • Motor Vehicle Injury Claims
  • Liability Claims
  • Medical Audits and Clinic
  • Investigations
  • Medical Fraud Investigations
  • Property Claims | Death Verifications
  • Travel Claims
  • SIU Services
  • Fraud Investigations
  • Activity Checks

Interested in learning more? Explore our other investigative solutions



How COVID-19 Radically Transformed the New-Hire Experience

The COVID-19 pandemic has been a challenging time for industries, organisations and their teams on every level. HR leaders had to quickly adapt to a new normal. Along with coping with the closing of workplaces and adjusting to working from home, many organisations had significant changes in their recruitment, vetting and onboarding activities. With two-thirds of […]

CRI Group celebrates 31 years anniversary

In May 2021, the CRI Group celebrates 31 years anniversary. We are a worldwide provider of background screening, investigative due diligence, third-party risk management, compliance, and other professional investigative research services. From the very beginning, the CRI Group has been dedicated to safeguarding organisations, helping businesses fight bribery and corruption while promoting transparent business relations. [...]

Countering Bribery & Corruption in the Public & Private Sectors

Anti-Corruption Culture, Risk Assessment, auditing & Compliance The primary aim of this study was to conduct investigative research into two recent case studies in order to demonstrate effective and adequate applications of Anti-Corruption procedures based upon specific case-level outcomes. Over the course of this exploratory research, the following core objectives have been accomplished: To compare and […]

Getting Started with ISO 31000 Risk Management?

Managing risk effectively is essential to ensure businesses succeed and thrive in an environment of constant uncertainty. ISO 31000 aims to simplify risk management into a set of clearly understandable and actionable guidelines, that should be straightforward to implement, regardless of the size, nature, or location of a business. ISO 31000 is an international standard issued […]

Insurance Fraud: the Unseen Enemy ebook

This FREE ebook examines the problem of insurance fraud, including its pervasiveness and general characteristics in the United States, the United Kingdom and the world. Insurance fraud is a widespread problem that requires real solutions and is often difficult to detect and combat. Learn more about insurance fraud investigations with this FREE ebook: Part One […]

Insurance fraud cases uncovered: lessons learned

Insurance fraud is a worldwide problem. It represents a serious crime that can result in serious consequences for fraudsters victims. Moreover, every type of insurance is vulnerable. In this FREE ebook, we examine two insurance fraud case studies, revealing how they were discovered and what went wrong. The reality is that insurance fraud cases are […]