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Claims Investigation
A deep factual review of the claim: records, history, and timeline, documented and sourced.
What claims investigation is
A factual reconstruction of the claim itself: prior-claims history, lawfully available medical and employment records, digital footprint, scene facts, and a verified timeline of events. Every finding is mapped, sourced, and cited, so counsel can see not just what we found but where it came from.
When counsel orders a claims investigation
- Matters involving suspected PIP and no-fault fraud, where treatment and filing patterns need independent review
- Disputed auto losses, where the collision account should be checked against scene facts and participant histories
- Assignment-of-benefits disputes and contested property claims
- SIU referrals that need licensed field investigation behind the desk review
- Early in any file where the record is thin and the decision is large
How we conduct it
Lawful sources only, documented methodology throughout. Records decay, footage overwrites, and witnesses move, so we run records sweeps first and targeted fieldwork second. Findings are reported as observed: corroborations and discrepancies alike, each tied to its source.
What you receive
A sourced findings memo, a verified timeline, organized exhibits, a prior-claims summary, and, where the facts warrant it, a recommendation on what further investigation could establish.
Common questions
Can you tell me whether a claim is fraudulent?
We do not label claims. We document facts: prior undisclosed claims, records that do not align with the account, timelines that do or do not hold together. Conclusions belong to counsel, the carrier, and ultimately the trier of fact. Our job is to make sure those conclusions rest on a verified record.
What records can you lawfully access?
Public records, claims and industry databases available to licensed investigators, and regulated sources used within their permissible-purpose frameworks. We do not use pretexting prohibited by law, and every finding in our reports is cited to a lawful source.
When should a claims investigation start?
At the first open question. Commercial camera systems typically overwrite within 30 to 90 days, and early records requests preserve material that later cannot be recovered.
Do you work with SIU teams?
Yes. We take SIU referrals and work as licensed field support behind internal desk review, reporting in whatever format the unit requires.
Related: Surveillance Background & Asset Searches · All services
Put the claim on a factual footing.
Describe the matter in general terms. We respond within one business day, in confidence.