False Benefit Claims are Coming to Employers and Insurance Companies
March 31, 2020Fraud Investigation Services For Corporations and Insurance Companies
A fraud investigation from AFIMAC can determine whether an individual or group of employees are falsely claiming insurance benefits. During times of economic uncertainty, individuals will often look for other ways to generate new income as well as methods to shed expenses. From 2008 to 2010, there was a wave of claims that impacted employers and insurance companies. False claims were seen as a lifeline, and individuals justified it to protect themselves.
The following are likely to be impacted as a result of the current pandemic:
Fraud Investigation Services For False Benefit Claims
- Workers compensation
- Sickness, accident and long-term disability
Often these benefit claims pay more than the programs being offered by the government.
You may see a rise in claims for the following reasons:
- Impending downsizing and restructuring
- Reinstating previous claims
- Workplace claims – for those working at home
Theft of High-Value Items and Cargo
- Copper, stainless steel, wiring, and cables
- Theft of cargo – medical equipment, hospital supplies, food, alcohol (any load which can be sold quickly for cash)
- Tools, construction equipment and materials – from construction sites
Ensure loads are secured in fenced yards. Do not pre-load trailers where possible. High-value shipments may require escorts to ensure they are not targeted on-route. You may need additional third-party investigative support to deal with the influx.
Business
- Small or troubled businesses may have to shed assets to stay afloat
- Business interruption insurance will not provide enough coverage
- As a result, you may see an increase in:
- Stage crashes
- Inventory thefts
- Bloated claims
- Damage claims
- Fires/flooding
Individuals
- Individuals are carrying a record level of household debt
- In good times people tend to purchase luxury items
- Boats
- Coats
- RVs
- Jewelry and electronics
Thefts, mysterious losses, and fires are the most common method of shedding assets.
What Can be Done?
- Social Media and Online Investigations
- Items for sale
- Photos – activities
- Accident
- Surveillance
- Many individuals will still go out
- Shopping
- Yard work
- Gardening
- Exercising outdoors
- Some individuals have chosen to ignore isolation orders. You may need to monitor those who are to be quarantined
- Many individuals will still go out
- Third-Party Investigations
- Statements and interviews
- Although not ideal – video and online platforms are being used where social distancing is required
- Cargo Security and Escorts
- Yards – security and monitoring
- Cargo on route – escorts
- GPS tracking
- Remember – law enforcement will be focused on other priorities
Fraud Investigation Services Available Across North America
If you wish to learn more, please email jrovers@afimaccan.com. Offerings are perfect for governments, employers, and insurance companies.
Updated January 15th, 2024: AFIMAC continues to work closely with employers and insurance companies who are suspicious of benefits or unemployment fraud. Ensure benefits reach those who need them most and develop a workplace culture that is rooted in honesty and integrity. Our private investigation services are available across North America, fill out the form below and contact us today to learn more.
