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Insurance Claim Investigations and Questionable Claims

Insurance claim investigations are critical to combating fraudulent activities. Mulholland Investigation initiates every investigation by ensuring the legitimacy of the claim based on specific indicators. We work to verify the validity of the claim by reviewing documentation for inconsistencies. Researching and analyzing a claimant's background it vital to success and can include social media profiles, financial records, and prior claims history. Patterns of claims filing or financial stress often are indicators of fraudulent activity and can be identified through thorough investigation. Our team at Mulholland Investigation is dedicated to maintaining the integrity of the insurance process through meticulous investigation.

 

Some Common Indicators (Red Flags) of Questionable Claims:

  • The claimant has a history of filing multiple claims

  • The claimant has a criminal record related to fraud

  • The claim is vague or inconsistent in describing times and dates of  incidents or damages

  • The timing of the claim is suspicious, such as shortly after obtaining or increasing a policy

  • A lack of witnesses or corroborating evidence for a situation that typically has witnesses

  • The claimant pushes for a quick settlement without proper investigation

  • Police reports provide significantly different accounts of events

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