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Our Special Investigations Unit (SIU) services support insurance carriers through coordinated investigative activity designed to clarify claim circumstances, verify representations, and identify indicators relevant to claim evaluation. Assignments are approached as structured investigations rather than isolated tasks, with investigative techniques applied strategically as information develops and investigative direction evolves.
SIU work may involve a combination of field activity, interviews, research, verification efforts, and contextual intelligence development, all conducted in alignment with carrier objectives and industry standards. The specific investigative components available to support these efforts are outlined below.
Structured SIU reporting remains an integral part of this process. Findings are documented throughout investigative progression and synthesized into clear, organized reports reflecting observations, analysis, and supporting information. This integrated reporting approach ensures carriers receive coherent, defensible documentation that supports informed claim decision-making.

Accurate claimant, witness, and involved-party statements are often central to claim evaluation and investigative clarity. When accounts differ, timelines are unclear, or credibility questions arise, professionally obtained statements can provide critical context for informed claim decisions.
We conduct structured, recorded statements using disciplined interview methodology designed to elicit detailed, reliable information while maintaining neutrality and professionalism. Carriers and Special Investigations Units typically engage this service when discrepancies are identified, additional clarification is required, or documentation of claimant representations is necessary for investigative review.
Well-documented statements support objective analysis, strengthen investigative findings, and provide clear evidentiary reference when claims are evaluated, challenged, or litigated.

Objective documentation of claimant activity is often essential when reported limitations, employment status, or lifestyle representations require independent verification. When questions arise regarding functional capacity, daily activity patterns, or claim consistency, structured surveillance can provide critical observational insight.
We conduct discreet, legally compliant surveillance designed to document observable activity in a professional and methodical manner. Carriers and Special Investigations Units typically engage this service when claim discrepancies are identified, activity level clarification is needed, or independent documentation is necessary to support investigative findings.
Clear, factual observation assists claim evaluation, supports credibility assessment, and contributes to defensible investigative outcomes when claims are reviewed, challenged, or litigated.

Timely scene investigation can be critical following reported motor vehicle accidents, particularly when liability, sequence of events, or environmental factors remain unclear. Early fact development helps preserve perishable evidence and identify independent sources of information that may not be captured within initial reports.
We conduct structured accident scene investigations including location documentation, environmental observation, witness canvassing, and camera source identification to support carrier investigative efforts. Special Investigations Units often engage this service when accident narratives conflict, liability questions persist, or independent scene-level intelligence may assist claim evaluation.
Prompt scene documentation, witness identification, and video source development strengthen investigative clarity and provide carriers with objective information relevant to claim assessment and potential subrogation considerations.

Law enforcement documentation and officer observations often provide important context during claim investigation, particularly in matters involving accidents, reported incidents, or potential criminal activity. Obtaining complete reports and clarifying investigative details can assist carriers in developing accurate understanding of event circumstances.
We facilitate police report retrieval and conduct professional interviews with responding officers or investigators when appropriate, providing carriers with organized documentation and supplemental context relevant to claim review. Special Investigations Units typically engage this service when reports are pending or incomplete, additional clarification is needed, or investigative findings may benefit from independent communication with law enforcement personnel.
Comprehensive documentation and informed context support accurate claim evaluation and contribute to well-developed investigative outcomes.

Understanding the broader context surrounding a claim can be critical when evaluating credibility, identifying patterns, or clarifying prior activity. Background research and claim history review provide carriers with structured insight into relevant public records, prior claims involvement, and contextual indicators that may inform investigative direction.
We conduct comprehensive background research through public record analysis, claim history review, and related information gathering designed to support SIU investigative efforts. Carriers typically engage this service when discrepancies emerge, complex claim narratives require contextual understanding, or historical patterns may influence claim evaluation.
Organized background intelligence enhances investigative clarity, supports credibility assessment, and contributes to well-informed claim decisions grounded in verified information.

Verification of claimant or beneficiary status and residency can be essential when benefits remain active but recent contact or documentation is limited. Alive & Well checks - also referred to as Beneficiary Reviews - provide carriers with objective confirmation of presence, general well-being, and observable residency indicators relevant to claim administration and program oversight.
We conduct professional verification through discreet in-person visits as well as virtual contact methods when appropriate, allowing flexible confirmation while maintaining respect and professionalism. Carriers and Special Investigations Units typically engage this service when routine contact attempts are unsuccessful, benefit continuation requires confirmation, or program integrity protocols call for independent verification.
Documented verification supports accurate claim administration, reinforces program integrity, and provides carriers with reliable confirmation when ongoing eligibility must be validated.

Open-source and social media research can provide valuable context when evaluating claims, identifying inconsistencies, or clarifying activity patterns relevant to investigative review. Publicly available digital information may reveal lifestyle indicators, employment activity, travel patterns, or other observable factors that assist carriers in understanding claim narratives.
We conduct structured Social Media and Open-Source Intelligence (OSINT) analysis through lawful review of publicly accessible digital platforms, online content, and related open-source information. Carriers and Special Investigations Units typically engage this service when claim representations require contextual verification, activity indicators emerge online, or investigative findings benefit from independent digital intelligence development.
Organized open-source intelligence enhances investigative perspective, supports credibility assessment, and contributes to well-informed, defensible claim evaluation.

Verification of medical treatment sources and provider legitimacy can be critical when evaluating claims involving reported care, services, or billing activity. Medical canvass and provider verification assist carriers in confirming facility presence, treatment indicators, and provider-related information relevant to investigative review and potential fraud concerns.
We conduct structured medical canvass and provider verification through field inquiry, facility confirmation, and information gathering designed to establish whether reported treatment locations and providers are operational and consistent with claim representations. This service may also include verification of medical facilities to help identify potential insurance or funding fraud involving nonexistent, inactive, or misrepresented treatment sources. Carriers and Special Investigations Units typically engage this service when treatment documentation raises questions, facility legitimacy requires confirmation, or investigative findings benefit from independent verification.
Documented verification supports accurate claim evaluation, strengthens fraud detection efforts, and provides carriers with reliable information when assessing medical-related claim elements.

Verification of claimant activity and contextual indicators within real-world settings can provide valuable perspective during claim investigation. Field Activity Checks allow carriers to obtain objective observations related to employment indicators, residence patterns, treatment attendance, or other activity relevant to investigative review.
We conduct structured Field Activity Checks through discreet field presence and observational documentation designed to confirm contextual information while maintaining professionalism and compliance with applicable standards. Carriers and Special Investigations Units typically engage this service when claims involve unanswered questions regarding daily activity, location-based indicators, or circumstances requiring independent field verification beyond traditional surveillance.
Documented field observations support investigative clarity, enhance contextual understanding, and contribute to well-informed claim evaluation.
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NM PI-2026-0310
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