Field Investigations
Ensure claim accuracy with onsite assessments, detailed evidence collection, and fraud prevention strategies—all handled by experienced field investigators.
Some insurance claims require more than a desk review. But without on-the-ground verification, fraudulent claims can slip through the cracks, leading to more than just financial losses. Global Guardian Optima SIU’s field investigation services provide critical, on-location assessments to verify claim details, uncover key evidence, and ensure accuracy.
Our hands-on approach ensures that every claim is thoroughly examined by experienced field investigators who specialize in insurance fraud detection. By leveraging onsite evidence collection and direct claimant interaction, we deliver clear, actionable insights that support smarter claim decisions
Our field investigators gather critical physical documentation, photographs, and video footage directly from the scene to provide clear, verifiable evidence that supports claim validity.
We conduct in-person interviews with claimants, witnesses, and other relevant parties to verify statements, identify discrepancies, and uncover potential red flags.
Through covert monitoring, we observe and document a claimant’s daily activities to determine whether they align with reported injuries or limitations.
Our team conducts thorough, on-location assessments of accident sites, damaged properties, and reported loss areas.
Ensure every claim is backed by facts, not assumptions. Get started with Global Guardian Optima SIU to learn how our specialized investigations can protect your bottom line, mitigate risks, and ensure compliance.
At Global Guardian Optima SIU, we focus solely on insurance investigations, giving us a level of expertise, authority, and access that general firms can’t match. This exclusive focus allows us to deliver thorough, compliant, and results-driven investigations that protect insurance companies from fraudulent claims.
Specialized Access & Industry Authority
Because fraud investigations are our only focus, we have deep regulatory knowledge, advanced investigative tools, and direct access to critical resources. This ensures com
End-to-End Case Handling
We manage every aspect of an investigation in-house—from desk investigations and field investigations to fraud detection and compliance reporting. Our hands-on approach ensures thorough, seamless case management without unnecessary delays.
Seamless Integration with GGS
As part of Global Guardian Services (GGS), our investigations enhance the Desk Review process, providing a comprehensive claims assessment that strengthens fraud prevention and risk mitigation.
Loss Details
When a claimant reported his Dodge Ram 1500 Big Horn had caught fire while parked at a friend’s house, the story didn’t quite add up. There was no police report, the taillights had been removed, and the alleged witness couldn’t be verified. The insurer needed quick, on-the-ground validation to determine whether the loss was legitimate or staged.
Investigation
GGS deployed field investigators to inspect the scene and coordinate a cause-and-origin report. The team documented physical inconsistencies in the burn pattern, verified the vehicle’s condition prior to the incident, and gathered detailed statements from the insured. Field evidence and data cross-checks revealed deliberate ignition and confirmed that the loss location did not align with the reported claim details.
Results
The findings led to a denial for misrepresentation and were referred to the California DOI. The subsequent state investigation resulted in multiple convictions and restitution orders against the insured. GGS’s rapid, evidence-driven fieldwork provided the foundation for both the fraud discovery and the successful legal action that followed.
How do field investigations work to complement desk reviews?
While desk reviews analyze claim details remotely, our field investigations provide on-the-ground verification to confirm or dispute findings. When necessary, we escalate claims from desk review to a full field investigation for a deeper, more accurate fraud assessment.
How does a field investigation help with compliance?
Global Guardian Optima SIU ensures that every field investigation adheres to state-mandated fraud reporting and documentation requirements. Our team also assists with fraud plans, annual state reports, and compliance tracking, helping insurers avoid costly penalties and maintain regulatory integrity.
How do you incorporate data analysis into investigations?
We leverage advanced data analysis, AI-driven research, and database searches to uncover patterns, inconsistencies, and potential fraud indicators. This data-driven approach helps us prioritize high-risk claims and gather the most relevant evidence efficiently.
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