Purpose of Insurance Investigations In Queens And Jackson Heights, NY

 Filing an insurance claim is the norm in the aftermath of a natural disaster or auto accident, or to escape from the financial burden of liability claims. Unfortunately, insurance companies often receive fraudulent claims for reasons that are less than satisfactory, and it may also be an offense. It is essential to hire a competent individual who is well-versed in conducting insurance investigations in Queens and Jackson Heights, NY, thereby finding out the truth. The insurance company may review the facts, take legal action against such individuals, or deny their claim.

The investigator may be appointed by any of the following organizations/entities:

The Insurance Company—Most insurance companies have an in-house team of investigators who undertake the responsibility of reviewing the claim and verifying it or refusing to pay the coverage as claimed. The investigator(s) will visit the home or site of concern and interview everyone concerned to uncover the truth. They will submit a detailed report of their findings to the concerned person for further action.

Law Enforcement Authorities—Law enforcement agencies may investigate when they suspect criminal or civil fraud. They cannot decide whether to honor the claim or refuse it. Additionally, law enforcement officers are free to advise the insurance company by sharing information as needed.

Third Party—A few individuals specialize in insurance investigations. The insurance company may hire their services for a specific period to handle surplus work, especially in the aftermath of a natural disaster that affects an entire state or district.

The role of such investigators is limited to finding the facts related to the accident, damage, or destruction of life, automobiles, or property, depending on the type of claim filed by the insured party. The investigator conducts the process by completing the following tasks on behalf of their employer:

Review of Documents—The insurance investigators will ask to examine the insurance and all relevant documents. They will analyze the information and form an opinion based on the police records, medical records, and claim forms submitted to the insurance company.

Interviewing the Claimant and witnesses—All concerned individuals and entities are questioned closely and asked to share information pertaining to the claim. Thus, the investigators understand and note the reason and circumstances of filing the claim.

Surveillance- The investigators may conduct surveillance when suspecting fraudulent activities by the claimant. This enables the investigators to find proof of injuries and damage by covered perils and other reasons.

Collection of Evidence—The investigator also attempts to collect all related evidence supporting the claim provided by the claimant. This may include verbal proof, physical evidence, photographs, and video footage.

Collaboration with Experts- Admittedly, a single investigator is not expected to know everything. Most of them collaborate with the right experts, such as medical professionals, engineers, financial experts, and lawyers, to assess the validity of the claim.

Insurance claims related to businesses are examined by an experienced commercial claims adjuster in Long Island and Manhattan, NY, before being approved by the insurance carrier.