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 SIU and Fraud Investigation

 

Claims Adjusters review and assign all 'First Reports of Injury'. Simultaneously, an investigative specialist, a subrogation manager, a loss control expert and a nurse case manager also each review the new claim. Our adjusters use the collection of these various resources to gather all necessary information to determine the validity and exposure of a claim.

Patriot has established a 24/7 fraud prevention team available for onsite investigation and interviews to reduce fraudulent claims and increase the accuracy of the reported claim.

Fraud Hotline

1-855-WE SWARM (1-855-937-9276)

 

Anti-Fraud Plans – Federal / State Compliance

  • Intermediary between the company and law enforcement
  • Formal EUO’s
  • Customized Internal Incentive Programs – Reducing Asset Shrinkage
  • Investigative/Fraud Training  (web-based)
  • Fraud Compliance Programs
  • Fraud Posters
  • Fraud Hot-line
  • Internal Theft Investigation / Analysis
  • Surveillance / Activity Check
  • Full In-field Investigative Services
  • Low Impact Analysis
  • Full team of engineering experts (vendor partnerships) available 24/7
  • Full team of legal experts (vendor partnerships) available 24/7
  • Subrogation Analysis (Multi-line Insurance)
  • CAT Team Deployment
  • Global Investigations
  • World-wide global protection (Vendor Partnerships)
  • Asset Protection
  • Cargo Investigations
  • Undercover Investigations
  • Courtroom Expert Witness Testimony
  • OFAC Compliance – Due Diligence Processing & Set Up
  • Hospital/Pharmacy/Walk-in Clinic/Imaging Center Checks
  • Criminal/Civil Checks
  • Internet Checks
  • Internal Accountability Standardization
  • Social Security Verification System
  • Story-Boarding Evidence for Mediation – Court
  • Accident Reconstruction
  • Arson/Explosion/Toxic/Asbestos Investigations
  • Net-Mapping Organized Crime Ring Activity
  • Strategic Vulnerability Net-Mapping – Data Mining Techniques (SAS)
  • Front-Line Indicator Thresholds