Insurance Fraud Investigations

Submitting an investigation assignment is simple. Just click on the New Assignment button on the right to access our secure online Investigation Assignment Request form. An AWIG representative will be in touch with you upon receipt of the assignment to conduct an initial case review.

Alliance Worldwide Investigative Group provides cost-effective, results-based solutions for mitigating potential fraud.

Alliance Worldwide Investigative Group specializes in all forms of insurance claims investigations globally. The sectors served include workers’ compensation, auto, disability, medical malpractice, and all forms of personal injury/liability claims. This division provides investigative services for employers, carriers, Third Party Administrators and industry attorneys who defend against fraudulent insurance claims.

Flat Rate Packages

All surveillance services are available on a flat rate basis including a variety of all-inclusive hourly packages. Flat rate surveillance packages include 4-hour blocks, varied days, client updates throughout the investigation and investigators strategically placed within service areas. For more information about our flat rate packages, click here.

Be sure to call our office and inquire about our special flat rate, 30-day Claimant Monitoring Program.

Claimant Monitoring

DOWNLOAD OUR FLYER

Click here for a complete list of our Investigative Division services.

When it comes to potential fraud, don’t be reactive… be proactive.

Alliance Worldwide Investigative Group can assist in criminal prosecutions, gathering the evidence necessary to prove that fraud exists. We have an in-house staff that researches each claim before it is investigated to determine the validity of the information provided and to establish a basis from which to start surveillance. In addition, the efforts of our highly trained and experienced team of licensed, private investigators have helped to achieve many successful fraud determinations on behalf of our clients.

While not every claim will be fraudulent, you’ll have the peace of mind knowing that every questionable claim was scrutinized by a qualified licensed, bonded and insured investigative firm with a reputation for quality work, honesty and integrity.

Our comprehensive investigation/surveillance services are also available for corporate investigations anywhere.

Experts in Regional and International Investigation

Our Approach

Each investigation is supervised by one of our highly trained Case Managers who oversees the entire investigation from the onset. This provides our clients with a specific point of contact throughout the process, as well as through the post investigation period. The Case Manager works diligently to gather all preliminary information by researching every available source including social networking for the latest information on a subject. He or she works closely with our investigative team to maximize surveillance dates and times for the best possible outcome. Our approach for each

case is unique and our Director of Field Investigations works closely with the team to ensure that they are trained in the latest industry techniques and requirements for successful investigations.

Our average investigator travels no more than 60 miles from their region or territory. We have structured this in order to meet the needs of our clients and to offer regional and local resources in our coverage areas. Our distinctive approach maximizes your investigation budget and increases the likelihood of successful results.

 

Regional

Alliance Worldwide Investigative Group is licensed in New York, New Jersey, Connecticut, Florida, Pennsylvania and has licenses pending in multiple states including Massachusetts.  We are expanding to additional regions regularly so check back often for the most updated information. We pride ourselves in offering results-oriented investigations with a regional approach.

Do you have a claim in one of our non-licensed states but would like us to assist? Ask about our

vendor management program today! We have the ability to provide unmatched service at reasonable rates anywhere in the United States through our pre-qualified investigator network. You can be confident in our exceptional vendor management program. Contact us today to learn more!

International

Through our strategic relationships with qualified and screened investigative partners, Alliance offers insurance fraud/SIU investigative services throughout the US and overseas. We have experience conducting international claims investigations in many countries including Ireland, Israel, Italy, Mexico, Slovakia and more. Contact Alliance Worldwide Investigative Group if you need assistance with successful international claims investigations.

State-of-the-Art-Technology

Alliance utilizes state-of-the art-technology during information gathering and documentation including the latest covert video surveillance systems available. Our technology platform allows clients to log in to view the latest surveillance/investigation reports and associated video. It also allows them to monitor the investigation throughout the process. We want to keep you informed!

It is important that you partner with a firm that is cognizant of the laws and regulations that govern the industry yet is aggressive in its investigative practices to ensure the best possible results. Call our offices today at 1-800-579-2911. Speak to an investigative professional to learn more about the services available.

Insurance Fraud Investigation Services

  • Surveillance – Hourly
  • Surveillance – Inclusive of all Expenses- Flat Rate Hourly Packages
  • Source of Income and Employment Research
  • Social Media Monitoring
  • Special Investigations; Labor Law and More
  • Statements – Written/Recorded
  • SIU Investigations/Photography – All Types
  • Training – Insurance Fraud Detection
  • Trial Monitoring
  • Trial Preparation/Investigation
  • Undercover Investigations
  • Up-to-the-Minute Intelligence Service
  • White Collar Crime Investigations
  • Witness Location/Interviews
  • Workers Compensation including AOE/COE Investigations
  • Workplace Violence Mitigation Assessments
  • Disability Checks – Covert/Direct
  • Executive Profiling
  • Field Interviews
  • Forensic Accounting
  • Fraud – All Forms
  • Global Positioning System Tracking (GPS)
  • Large Loss Investigations
  • Loss Control
  • Medical Liability Investigations
  • Neighborhood Canvass
  • Patent/Trademark Infringement
  • Preliminary Inquiries to Determine Validity of Potential Claim
  • Pre-Surveillance Analysis
  • Subrogation/Third Party

The most common types of health care fraud include filing false or exaggerated medical disability claims, staging auto accidents and fake slip and fall accidents.

– NYS Dept. of Financial Services

In fact, the National Floor Safety Institute reports that 3% of slip and fall injuries are fraudulent.

Financial losses due to health care fraud are estimated in the tens of billions of dollars annually!

– National Health Care Anti-Fraud Association (NHCAA)