Compensation Claim - Insurance Fraud Surveillance
A Suspicious Claim
Apex Construction contacted our firm with concerns regarding a workers' compensation claim filed by one of their employees, Chris. Chris had allegedly injured his back while lifting heavy materials on the job site. His doctor's reports stated he was unable to perform even light physical duties and was restricted from activities such as lifting, bending, and prolonged standing. Based on these reports, Chris was receiving substantial weekly benefits. However, Apex Construction's management had received anonymous tips suggesting that Chris was exaggerating his injuries and engaging in activities that contradicted his claimed limitations. They suspected insurance fraud and hired our firm to investigate.
Discreet Observation and Evidence Gathering
Our investigation began with a thorough review of Chris's claim file, including medical reports, witness statements, and any other relevant documentation. We also spoke with several of Chris's colleagues, who corroborated the suspicions that his claimed injuries were not genuine. Based on this preliminary information, we determined that surveillance was the most effective method to ascertain the true extent of Chris's physical capabilities. We implemented a discreet and comprehensive surveillance plan. Our team utilized a combination of static and mobile surveillance techniques, strategically positioning ourselves near Chris's home, local gym, and other locations he was known to frequent. We employed unmarked vehicles and covert observation methods to minimize the risk of detection. Our primary objective was to document Chris's activities and gather video evidence of any actions that contradicted his claimed limitations. After several days of surveillance, our efforts yielded compelling results. We captured video footage of Chris engaging in strenuous physical activities, including lifting heavy weights at the gym, playing basketball with friends, and even working on a home renovation project that involved significant bending and lifting. The video evidence clearly contradicted the restrictions outlined in his medical reports and demonstrated that he was capable of performing activities far beyond what he had claimed to his doctor and the insurance company.
Exposing the Fraud
With irrefutable video evidence of Chris's physical activities, we compiled a comprehensive report and presented our findings to Apex Construction and their insurance carrier. The evidence we gathered clearly demonstrated that Chris had misrepresented the extent of his injuries for the purpose of receiving fraudulent workers' compensation benefits. Armed with this information, Apex Construction and their insurance company were able to successfully challenge Chris's claim. His benefits were terminated, and he was potentially subject to further legal action for insurance fraud. This case underscores the importance of professional surveillance in uncovering fraudulent workers' compensation claims. At Terrance Private Investigator & Associates, we are dedicated to helping businesses protect themselves from such fraudulent activity. We understand the financial impact of these claims and conduct our investigations with discretion, professionalism, and a commitment to uncovering the truth. Our goal is to provide our clients with the evidence they need to protect their interests and ensure a fair and just outcome.
Contact Terrance
If you suspect insurance fraud and require discreet and reliable evidence, contact Terrance Private Investigator & Associates today . We provide discreet and confidential investigative services to help you uncover the truth and make informed decisions. 832-404-3400 | getanswers@terrancepi.com | Terrancepi.com