Insurance Investigation Services by CCS

Complete Corporate Services and assisting with insurance investigations

Insurance claims are investigated in order to verify the legitimacy of the claim or the extent of the claim. Insurance investigations rely on the gathering of evidence as well as interviews and review of records to make a conclusion about the claim's veracity.

Complete Corporate Services have been engaged by many insurance companies over the years to investigate claims made by consumers and businesses. With our extensive knowledge and experience in fraud investigations and covert operations, we have been able to save insurance companies a lot of money detecting false, or overstated claims.

What is an insurance investigation?

Private investigators are hired by the insurance industry to conduct an insurance investigations. In these cases, investigators are responsible for reviewing the policyholder's records, interviewing witnesses, and gathering other evidence to determine the validity of a claim. Investigators report their findings to insurance claim managers, who use the information to determine the validity of the claim, whether the policyholder is entitled to receive benefits under the policy or produce disclosure statement and, if so, to what extent. The goal of the insurance investigation is to ensure that the policyholder is treated fairly and that the insurance company pays valid claims.

An example of an insurance investigation

An insurance investigation is a process that an insurance company uses to determine the validity of a claim. The investigation may be conducted by the insurance company's own staff or by an external party, such as a private investigator.

In this example, the insurance company has received a claim from a policyholder for damages to their home as a result of a fire. The company has reason to believe that the claim may be fraudulent, so it decides to conduct an investigation.

During the investigation, the insurance company or private investigator will review the policyholder's records, including the insurance policy and the claim form. They may also interview the policyholder and witnesses, visit the policyholder's home to assess the damages, and gather any additional evidence that may support or contradict the policyholder's claim.

Once the investigation is complete, the insurance company will review the findings and use the information gathered to determine whether the policyholder is entitled to receive benefits under the policy and, if so, to what extent.

Complete Corporate Services solutions for insurance investigations

The management at Complete Corporate Services have decades of experience investigating insurance claims for the following:

• Fraudulent claims
• Arson
• Disability
• Travel
• Motor Vehicle Theft
• Compulsory Third Party [CTP] - Motor Vehicle Accidents
• Marine Vessel Theft, damage, sinking or stranding
• Break & Enter (Commercial & Domestic)
• Personal Injury Investigations (Liability & Quantum – CTP, Workcover, Public Liability)
• Workplace claims (Harassment Grievances and Misconduct).

Workplace injuries, WorkCover matters and Industrial disputes commonly give rise to issues of credibility.

CCS undertakes injury investigations for both Plaintiff's and Defendants. When undertaking investigations on behalf of plaintiffs, CCS has also helped many individuals successfully pursue their employer to correctly support their injury or WorkCover claim, identify negligence and initiate proceedings to recover compensation.

In Common Law and Statutory claims, we are experienced in:

• General scene and traffic investigation
• Locating witnesses
• Undertaking interviews
• Taking statements
• Examining systems of work
• performing surveillance
• Undertaking covert operations

We are familiar with Court process, legal procedures and disputes, and have a history of working with law firms, and insurance claims managers, to perform investigations that assist in achieving the client's desired outcome.

Whatever your matter, CCS understands that each matter is unique and provides a tailored service to match the client's needs.

We place an emphasis on building long-term relationships with clients and have proven success in delivering desirable outcomes that meet and exceed client objectives and expectations.