A paper trail is essential if fraud is suspected. For Insured Solutions’ clients, a tool called a “Red Flag” kit guides them through the process of documentation. The kit is a checklist of what to look for, what to ask, what to document, and how to do it.
When all the information is collected, the client sends the documentation to the carrier adjuster requessting the alleged claim be denied. If the employee has been caught in a documented lie, a strong paper trail goes a long way to validate a denial and if strong enough, to support grounds for pursuing fraud allegations. If the claim is appealed, strategic surveillance may be used if appropriate.back