COMBAT CLAIMS FRAUD WITH SOCIAL MEDIA INVESTIGATIONS
Unabated insurance fraud is a multibillion-dollar issue that negatively affects American consumers. The Coalition Against Insurance Fraud estimates it robs us of at least $308.6 billion every year! To mitigate this financial devastation, proactive measures like social media investigations are essential for verifying claims and uncovering fraudulent activity in worker’s comp cases and property/casualty adjusting work – essentially stopping criminals from jacking up our premiums or deductibles. By leveraging the power of social media and tapping into its vast data stores, we can use it as an effective tool to combat fraud in all industries. This preventative measure promises to protect businesses from financial losses while also curbing a growing threat that affects us all.
RECENT FRAUD CASE
The Coalition Against Insurance Fraud published its annual Hall of Shame, including some of the most notorious fraud cases. Making the top ten list for 2022 was the disability case of a North Carolina man who defrauded the U.S. Department of Veterans Affairs. The veteran claimed he suffered an eye injury while on duty in 1984 and that his condition made it impossible for him to work. He was discharged and eventually declared legally blind. For 30 years, he collected disability benefits at a rate of $3,990 per month from 1987 to 2017. He also received home remodeling assistance for a total of $1 million in illegal payments. Through social media investigation and other surveillance sources, it was proven that his alleged disability was dishonest.
THE DISCOVERY
The North Carolina man who had long been claiming federal disability benefits was recently found guilty of defrauding the U.S. Department of Veterans Affairs and ordered to pay back all financial support he’d received for being completely blind. Contrary to his claims, his activities told a different story including passing several drivers’ license eye exams, owning cars, teaching archery classes, instructing Boy Scouts on BB gunmanship, using maps, and being able to navigate with a compass. Unfortunately, it is common for fraudsters to receive payments for disabilities that do not exist. That is until careful scrutiny of social media accounts and other surveillance strategies actively uncover wrongdoing.
CONCLUSION
Social media is an essential tool that has revolutionized the way in which knowledgeable investigators are able to combat false disability, injury, and property damage claims. By combining traditional investigative methods with social media data analysis capabilities, Alliance Risk Group’s industry-leading experts have become masters of delivering results expeditiously while maintaining unrivaled accuracy. Their multi-faceted approach includes medical canvass procedures and Open-Source Intelligence Gathering processes – all contributing significantly to their efficacy as a trusted resource for these types of systematic investigations.
Contact Alliance Risk Group to learn more about how we achieve a high Actionable Intelligence rate of 88.1% to mitigate the risk of fraud! https://allianceriskgroup.com/contact/