Our Expertise
Underwriting Investigations
In order to prevent and reduce the occurrence of fraudulent claims, Ease Healthcare Solutions provides underwriting investigation services. Our consultants will design an underwriting program for our clients. Based on the agreed scope of work, our investigators will conduct a range of verifications and obtain evidence to support the underwriting process.
Claim Investigations:
Ease Healthcare Solutions provides claim investigations to insurance companies to collect all related facts and necessary evidence to accept or reject the claim. The claims are related to life insurance, health and general insurance policies.
Our investigators conduct the following activities:
- Interviews with neighborhood representatives and neighbors;
- Interviews with employers;
- Directory searches (phone directories, online directories, database);
- Focused media checks (Internet and newspapers etc.);
- Verifications with relevant institutions or organizations such as health departments, police units, hospitals, clinics, laboratories, doctors, undertakers, funeral homes and crematoria;
- Interviews with patients, family or friends of patients;
- Search for witnesses;
- Request for information, medical records;
- Taking statements (handwritten, signed statements, video recorded);
- Collection of photographic evidence;
- Surveillance & activity checks.
Audit & Fraud Investigations: Enforcing a Zero - tolerance Policy
Fraud in a company may take form as criminal deception for private gain, conflict of interest, diversion of business, theft of goods or confidential information, embezzlement, corruption, bribery, collusion, etc. Fraud might be perpetrated by external parties or by employees either with or without external collusion.
How to Conduct A Fraud Investigation?
Before launching an investigation, our investigators conduct interviews with our client to understand the events related to alleged fraud, analyze the preliminary information or allegations, and discuss the suspicions. Based on preliminary information, Ease Healthcare Solutions designs a relevant scope of investigative work.
Our investigation involves the collection of relevant evidence by conducting the following activities:
- Interviews and audits
- Search for witnesses
- Discreet approaches to employees or external parties
- Desktop searches
- Background checks
- Surveillance and monitoring on suspected individuals
Comprehensive investigation reports including relevant evidence in the form of pictures, documentation and testimonies are provided upon completion. These reports can be used for employment termination or legal purposes.