San Diego, CA, 5/31/12 – Investigation Solutions, Inc., the special investigations subsidiary of American Claims Management, Inc., recently investigated a highly suspicious personal auto claim, which ultimately led to multiple arrests. The intense scrutiny to which the investigations company applies to all suspicious claims has resulted in eight arrests to
date in 2012, saving its clients over $245,000.
American Claims Management first received a report of a hit and run rear-end traffic accident that reportedly caused injuries to the insured driver and two passengers. The
adjuster referred the claim to the Investigation Solutions team because the loss was reported on a new policy.
A thorough investigation uncovered numerous prior claims for the claimants. The investigators also had the vehicle inspected by a biomechanical expert who verified that the minimal impact from the accident could not have been caused by another vehicle but rather a cement structure. The settlement demand was denied and the case was referred to the Fraud Division of the California Department of Insurance.
The Department of Insurance agreed with Investigation Solutions and on May 4, 2012 arrested all three claimants with two counts of felony insurance fraud.
“It’s about results. We focus our efforts on helping the claims adjuster ensure they pay only those claims where benefits are due,” said Bill Randall chief operating officer of Investigation Solutions. “This is just one of many examples of attempted fraud that our trained professional team has been able to uncover and rectify.”
Investigation Solutions, Inc. is a multi-line field adjusting and investigation company providing nationwide field investigation, surveillance, special investigation services and catastrophe handling expertise to the insurance, legal and self-insured communities and is a wholly owned subsidiary of American Claims Management.
Since 1988, American Claims Management has been an independent national third party claims administrator specializing in both commercial and personal lines. By offering professional expertise in claims administration, ACM is committed to providing superior claims services and innovative solutions. For more information, please visit www.ACMclaims.com.
COO | Investigation Solutions
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