When it comes to insurance fraud investigations UAE authorities have their work cut out. These investigations are carried out to discover whether people are filing fraudulent insurance claims. Fraudulent insurance claims are on the increase and have been hitting the headlines in this country recently, particularly in the health and automotive industries. A probe might be performed by an expert investigator, who represents the insurance firm, or a third party consultancy. Alternatively, it might involve government legal representatives. As with other types of criminal investigations, the objective is to establish what has occurred, whether any laws were broken, and who was to blame. Sometimes, investigators require private investigator licenses.
Insurance fraud can be defined as the act of using deceptive practices to gain insurance company payouts. Industry groups believe that up to ten percent of claims might be fraudulent, which shows how widespread this practice is. Lots of suspect claims do not get conclusively identified either, which costs the insurance industry huge sums of money as it settles these claims. This impacts honest consumers directly, because insurance firms have to raise their premiums to recoup their losses from the fraudsters.
Upon being assigned a case, a fraud investigator will begin to gather some background details. The case file will feature the claimant’s previous address, along with additional personal information. The details of the complaint will be provided for the investigator to study, to gauge whether it is legitimate. For instance, with a disability claim, the individual involved might say that they seriously injured their back. Once the investigator has reviewed the initial case file, he will put the claimant under surveillance to assess whether his claims are accurate. Although this might require some specialized equipment, like a remote surveillance camera, the majority of work is carried out with conventional video and still cameras.
If the investigator discovers that the claim is fraudulent, the insurance firm will void the claim and pursue legal action against the claimant in many cases. People who are being investigated for alleged insurance fraud investigations UAE ought to hire an attorney, regardless of whether they committed a crime. They ought to learn about the rules governing this type of fraud, so they will know what options are available to them. For instance, in some cases, it might be possible to get a smaller fine or reduced prison sentence, in return for providing information about other fraudsters who were involved.
