INSURANCE INVESTIGATION

INSURANCE INVESTIGATION

INSURANCE INVESTIGATION

INSURANCE INVESTIGATION

Death Claim Investigation
Our experience as a Private Investigation Company has taught us that the incidents of Death Claim frauds are on the rise. As a result, Insurance Companies get defrauded.
More concerning is the fact that some insurance policyholders fake their deaths to unfairly receive reimbursements. As a Private Investigation Company, we will leave no stone unturned. Our agents will find the dead person and establish why and how they died.
We investigate each death thoroughly and acquire critical information to assist Insurance Companies make accurate decisions. To help the insurer make an informed decision, we cover the following elements of Death Claim Investigation:
1. Suicide/Accident/Homicide Verification
2. Investigation of what caused the death and under what circumstances the death occurred
3. Death certificate/medical records/Autopsy report/coroner of the deceased
4. Family background of the deceased
5. Employment background of the deceased
6. Photographs of scene and witness statements/reports/interviews
7. Past medical/health records of the deceased
8. Acquire information about the burial/cremation/gravesite
9. Other possible evidences
Life Insurance Claim Investigation
Life insurance is a form of promise between the policy owner and the insurance company, where the insurance company/insurer commits to reimburse the occurrence of the insured individual’s death or other event such critical illness or terminal illness.
Despite countless distinctions and restrictions, frauds in the forms of false claims are occurring. Such unlawful activities to acquire the financial benefits lose insurance companies a lot of money. We are here to protect insurance companies from false Life Insurance Claims.
Some fraudulent Life Insurance Claims are difficult for insurance companies to investigate. We will investigate and ensure all Life Insurance Claims are genuine and not doctored. This will save your insurance company millions.
The following facts are collected and analyzed:
1. Original or certified company of the insured death certificate
2. Proof of identity as the beneficiary
3. Certified proof of death
4. Date, time, and place of death
5. Detailed circumstances of death
6. Copies of medical records in the event that death occurred as a result of any ailment
7. List of the names and addresses of all treating physicians and hospitals
8. Other details to detect the fraud
Theft Claim Investigation
As fraud investigators, we encounter cases of falsified Theft Claims. We conduct Theft Claim Investigations to establish the chain of events that led to the theft of the property. There are over half a dozen ways a fake theft claim can be done. For example, the insured party can lie about the size of the loss to trick the insurer into reimbursing more than what was lost. In brief, we identify and analyze the following factors related Theft Claim Investigations.
1. Type of property stolen
2. Size of the loss
3. Circumstances of the loss
4. Timing of the loss
5. Insured’s statement
6. Statements of witnesses
7. Statement of the insured
8. Scene evaluation and analysis
9. Police reports
10. Loss history/background of the case
11. Other possible resources of Theft Claim Investigation.
Third-Party Claim Investigation
Any Insurance Company can encounter false Third Party Claims. Yes, Insurance Companies have strict methods of authenticating and compensating the relatives. However, in Third Party Claim Insurance, some frauds pretend to be relatives and come forward as claimants. This malpractice loses Insurance Companies a lot of money. The good news is that our Claim Investigations Services will protect you from such fraud. Frauds in Third Party Claims are real and we are here to make sure your company is not victimized.
Travel Insurance Claim Investigation
People who use travel insurance as a vehicle to defraud Insurance Companies are everywhere. They file false reasons to acquire monetary gains. Travel Insurance Claim incidents are unfortunately on the rise, and sometimes insurers don’t know what to do about it. False hospitalizations and false claims about property theft during travels are what fraudsters use mostly to trick insurers into compensating them. AFRIKEM GROUP will use all its resources to protect insurance companies from forged Travel Insurance Claims.
METHODOLOGY FOR ACCIDENT INVESTIGATION
A. Factual Photographs
1. Scene/site Visit
2. Evidence Photography
3. Accidental Vehicle Photography
B. SCENE MAPPING
1. Sequence of the Accident
2. Diagrams of Collided Vehicles
3. Witness testimony or witness statement or witness report
C. INCIDENT SUMMARY

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