Professional Insurance Claim Investigation Services

Claims Advantage is a member of the International Association of Special Investigations Units (IASIU). Our team consists of accomplished professionals with a unique blend of private investigation, claims adjusting, and law enforcement experience. Each member of our team has undergone robust training in conducting thorough investigations to prevent and identify insurance fraud.

With over 60 years of combined experience and a unique field investigation process, our team guarantees a successful case resolution

SIU (Special Investigation Unit)

Automobile thefts, vandalism, give-ups and arson claims

A valued member of our team, Captain Glenn Bathgate, is a member of the International Association of Arson Investigators with over 30 years of experience as a firefighter, assistant deputy, and fire marshal.
Insureds who are desperate for money may arrange to have their vehicle stolen and burned to constitute a total loss or otherwise strip the vehicle and sell the parts for extra cash.

General liability fraud investigations

We are well versed in commercial general liability claims involving fraudulent slip and fall claims in supermarkets, restaurants, convenience stores, and other commercial establishments.

Staged automobile fraud investigations

Organized groups that need fast cash will often stage an accident involving fake injuries. Similarly, unscrupulous personal injury attorneys, doctors, and body shops employ runners or fraud ring participants to claim soft tissue injuries. We are highly skilled at detecting and eradicating these fraudulent automobile injury claims.

Worker’s compensation

Disgruntled employees may stage an incident with no witnesses and file a fraudulent workers’ compensation claim.
Our fraud investigators contribute a unique blend of law enforcement, claims adjusting, and private investigation backgrounds. This combined experience empowers us to identify fraud using detailed statements, scene investigations, and determinations of whether the claim is compensable. We also apply our practical knowledge to successfully investigate premium fraud.

Missing jewelry and homeowner’s fraud investigations

In economically challenging times, we see an increase in reports of expensive jewelry lost or stolen. An insured will pursue a lost jewelry claim on their homeowner’s policy while hiding the jewelry in question.

Our fraud investigators are trained to detect deception through detailed interviews, using practical techniques to accurately read body language.

Clinic inspections

Our investigators perform on-site clinic visits to verify and document that the required equipment is being used to perform physical therapy, and that all personnel is licensed. We also conduct surveillance to document patient transport vehicles, ensuring patients are legitimately receiving treatment.

Our employment of both SIU investigators and surveillance specialists gives us a competitive edge.

Background & pre-employment screening

Credit reports

Using the extensive TransUnion credit report platform, we offer the most powerful, customizable, easy-to-use technology in the background screening industry. Pre-employment background checks can be ordered, accessed, and delivered by secure email in a convenient and user-friendly digital format. All credit reports require a release in accordance with the FCRA.

Criminal background checks

Claims Advantage has access to key databases to obtain criminal history reports for insurance claims or employment purposes. The report will help assess the credibility and character of a potential employee or claimant pursuing an insurance claim.

Driving records

We have specialists on staff to research automobile claims, including prior accidents, the claimant’s driving history, and any past violations.

Social media searches

We perform in-depth social media investigations to find photographs and videos showing the claimant in activities contrary to claimed injuries. Our firm has access to superior social media search engines (TLO Social Media Comprehensive Report and Skopenow) that deep dive into Facebook, Twitter, LinkedIn, and several other social media sites.

Surveillance & activity check
Surveillance and worker’s compensation, automobile, and general liability claims

Our experienced team of private insurance investigators is highly trained in the latest surveillance techniques and practices in a wide range of scenarios, including detailed activity checks in workers’ compensation claims, automobile claims litigation, and general liability claims and litigation. We utilize state-of-the-art technology to discreetly document a claimant’s activities and physical capabilities and provide real-time surveillance updates.

Corporate espionage investigations

Corporate espionage investigations

Claims Advantage has extensive experience in detecting and documenting corporate espionage and employee wrongdoing, including the improper disclosure of trade secrets in violation of nondisclosure agreements.

Trade secret protection

We have the skills and technology to create protection strategies for all types of trade ideas and information.

Background and surveillance investigations

Our team comprises seasoned investigators backed by law enforcement experience, licensed insurance certification, and surveillance training.

Employee theft and dishonesty claims

We employ an experienced staff of investigators and forensic accountants with expertise in handling embezzlement claims.