As an insurance claims investigator, you gather information from the insurance adjuster, law enforcement, witnesses, and the claimant. If there is a claim for a car fire, the insurance company will investigate it just like any other claim. It's the Special Investigations Unit. Yes. An insurance investigator will go through your past claims to look for any red flags. An insurance fraud investigator is an individual who works for an insurance company in order to determine if a claim is made under false pretenses. A private investigator may conduct research into an insurance claim. If you have been accused of insurance fraud, a qualified insurance investigator can help clear your name by gathering evidence ⦠Insurance Claims Investigator Job Description, Key Duties and Responsibilities This post provides complete information about the job description of an insurance claims investigator, to help you learn about what they do. Special Investigators (our "official title") are basically private detectives employed by the insurance company. Over the last thirty years, Investigation Hotline has interacted with thousands of clients who have differing perspectives and ideas as to what private investigators are able to do within their trade. It can also help keep your insurance costs down. This may involve reviewing any photographs of the injury or accident, reviewing receipts for property purchases, reviewing repair bills, cross-referencing police report statements with other statements and reviewing other documentation related to the case. Frequently Asked Questions: Car Insurance Claims Investigation Do insurance companies investigate car fires? They will take a look at how often you file claims and the nature of the claims. You also make investigative inquiries to determine if ⦠An insurance company, for example, does not want to pay out on a fraudulent claim, and in the event a claim is false, it wants evidence it can use in court to sue the claimant for damages. In the end, insurance claims investigators are vital members of an insurance company. Insurance ⦠People are often misguided by movies and television shows they watch depicting private detectives as mysterious, gun toting spies that ⦠They will want to determine the cause of the fire and whether or not it is covered under your policy. Essentially, these individuals work to prevent fraudulent claims from being paid out by their employer. Every insurance company has one - or at least every legit one does. Insurance Claims Investigators ensure a clientâs claim on an accident situation is without fraud. A: As an insurance fraud investigator, your job is to investigate an insurance claim on behalf of your firm to determine whether or not fraud has occurred in any given case. If you have been injured and are contacted by an insurance claims investigator, make sure to speak with an attorney before ⦠On a daily basis, Insurance Adjusters and Investigators examine claims forms and other records to determine insurance coverage. Insurance investigators will also look for patterns to see whether or not specific people have more probability than others to commit fraud. This is especially true of disability claims, where individuals may say their movement or quality of life is limited because of chronic pain. Insurance investigators are required to have a high school diploma, and they may be required to be licensed or certified. They review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.. 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