CLAIMANT FRAUD
Reputation & experience matters
Multi-line fraud convictions since 1995
Efficient and cost-effective fraud investigations
Comprehensive, strategic & integrated SIU Program
Experience matters and is what separates us from our competition. While others tout a hundred or so claimant arrests for their clients, their SIU program is relatively young and so are their investigators. Because provider fraud can be tied to some claimant fraud cases, ArgusFirst integrates these activities across our fraud programs. Since no other investigative company has our comprehensive provider fraud program, they simply cannot cross reference simultaneous investigative efforts.
ArgusFirst’s claimant fraud program is managed and investigated by fraud experts with over two decades of fraud experience each, beginning in 1995. Reputation puts our fraud cases at the top with District Attorney offices across the state. Having worked the largest momentous provider fraud cases in California history, massive premium fraud cases and hundreds of claimant fraud cases over a considerable time-period, it has created long lasting relationships with law enforcement. We have worked cases with local, state and federal agencies in our fight against fraud.
Claimant fraud experience, such as ours, translates to a cost-effective SIU. Our investigators can quickly review, understand and analyze which cases have potential or currently presents a fraud prosecution probability without large up-front costs. Our POA (Plan of Action) will identify and provide viable recommendations to help “manage” the claim file rather than “process” the claim file. Strategies produced by our investigators can lead to quicker claim file closures, stopping malingering claims and identifying the “fork in the road” quicker. Our techniques create an absolute answer to which way the claimant is going to pursue their claim. Either the claimant is going to truthful and be prepared to return to work sooner including quicker claim resolutions, or they are going to lie and drive the claim towards a fraud referral to law enforcement.
Once the decision is made to prepare a fraud prosecution package, the experience of a fraud investigator compiles a comprehensive prosecution package in a manner consistent with law enforcement standards. Reputation and relationships our investigators have create a higher priority review by law enforcement across the state over other investigative companies. This equates to less time our clients are paying benefits to suspect claimants and a higher success rate of prosecution.
