Insurance Investigator, Understanding What They Do

By Pamela Powell


An insurance policy is a contract made between an insurer and the insured. It is beneficial to the insured as the company will be paying him or her in case a claim legally required by them to pay is made. Now, this article is not about all, it tackles about the role of an insurance investigator Florida.

For companies, they know that they can have themselves, their employees, and assets protected just as long as they have the right kind of insurance policies. For individuals, in case death came to a member of the family or to them, they can make sure that their income is safe and can only be given to the right people.

In the world, people are divided into two. The good and the bad ones. For bad people, it is pretty tempting to get money from insurances as they find it easy, and they can just get away with it. It has been recorded that every year, eighty billion worth of money are taken from fraud. This affects both the holder and the company.

For a company, any loss done can be too much. A great asset to hire for that would be an investigator. With the years of experience they have along with their investigative skills, they will be able to confirm whether a claim being made is fraudulent or not. This leads to company denying payment or minimizing the amount.

If you think that fraud is not common, think again. It was already mentioned above, how much of a bother they are. An example of a false claims is, a worker got himself or herself an injury. To receive a great amount of sum, he or she will then exaggerate the severity and would claim that it happened while in work.

Fraudulent behaviors are very rampant, just so you know. One example of such is, a man purposely hitting its car with another, to be paid by the insurance of the other person. That is for cars. Another is for health. A lady told falsely accuse its work that the injury she had happened while in work. There are more to that.

Most fake claims are made without straightforwardly, so that there would be no red flags detected. Insurers on the other hand would eventually pay out according to what is written on the policy. The disadvantage of such companies is they do not even know that fraudulent papers can easily be manufactured.

What is worst, you can not easily identify when someone is claiming falsely. Usually, they straightforwardly do the transaction to avoid getting caught. You see, papers and claimant can be easily manufactured. You on the other hand who had no clue would then pay the person for such claims.

For the result, when it would be found false, of course, a complaint is filed against the person. The gathered evidence can now be held against them. However, if nothing was found out, the investigator would be given credits on how good he or she is in what it does for a job.




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