What is an insurance investigation?

Insurance investigation is an organized effort of insurance company to thorough assessment of the circumstances surrounding the claim submitted for payment. The aim of the investigation is usually to ensure that all relevant relevant facts are true and complete and that there is no evidence of fraud of insurance associated with the claim. In some cases, insurance companies have their own team of investigation team, which oversees the process. However, if it is not unusual to use the services of a private investigator for insurance providers.

Usually, insurance companies do not involve in -depth insured investigations unless there are any kind of inconsistencies with receivable information or the incident that caused the application. For example, it would not be uncommon if the provider had conducted the policyholder's death if the recipient was recently changed, or if there was a question about the real cause of death. The reason is that many insurance insurance contains the conditions KTEré could affect the amount of receivables, up to and including rendering payments and invalid. As an example, if the circumstances surrounding the death indicate that there was a crime by the beneficiary, the conditions of politics would ban any type of payment to this individual.

The same applies to other types of insurance investigation proceedings. When the house is damaged by fire, the insurance company will often work closely with the police to determine the origin of the fire. If there is evidence that the fire has been intentionally determined to gather for insurance, the claim will usually be rejected, the insurance coverage, and the evidence collected will turn to a flat legal agency.

Depending on the size of the insurance company, full -time employees may be assigned as investigators working under the fraud division. When and as needed can the efforts of these investigators be expanded with contractualServices involving private full -time investigators. The company's employees and the private investigator work together to investigate the insurance, either determining that there has been no fraud or by revealing evidence that leads to a claim as an attempt to cheat the insurance company.

There is no set timeframe to endure the insurance investigation. Some are resolved within hours, while others may require years of effort before the solution. Meanwhile, the insurance company will not pay any funds for entitlement until the outcome of the investigation.