Understanding the Role of Claims Investigators

  • Who Are Claims Investigators?: Insurance professionals tasked with investigating claims to verify that they are legitimate and assess the full extent of the damage or injury.
  • How Investigations Are Conducted:
    • Witness Statements: Collecting information from witnesses to verify facts.
    • Physical Evidence: Examining photos of damages, police reports, medical records, and other physical evidence.
    • Surveillance: In some cases, private investigators are used to track fraudulent claims.
  • Investigator’s Role in Fraud Prevention: How investigators prevent fraudulent claims by gathering facts and verifying details before approving payment.

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