Insurance Fraud · No. 07
Insurance Fraud Investigations in New York City
Surveillance and documentation of fraudulent claims for insurers, defense counsel, and self insured corporate clients.
Surveillance and documentation of fraudulent claims for insurers, defense counsel, and self insured corporate clients.
Insurance fraud investigations document the behavior of claimants whose physical condition, employment status, or stated circumstances appear inconsistent with their claim. Our typical insurance fraud client is an insurer, a TPA, a self insured corporation, or defense counsel building toward an Independent Medical Examination or a deposition.
The most common insurance fraud work we do is workers' compensation surveillance. Documenting claimants who report total disability while engaging in physical activity inconsistent with that claim. Video surveillance of claimants performing physical labor, sports activities, or household tasks that contradict their stated limitations is what we deliver.
PI surveillance for personal injury and long term disability claims follows similar methods but with different evidentiary requirements. Our reports are written for the specific legal use the carrier or counsel needs. IME exhibit, deposition exhibit, or trial evidence.
Some carriers use us for underwriting investigations on high face value life policies and large commercial coverages, verifying applicant claims and identifying material misrepresentation before policy issuance.
Most of our insurance fraud work comes through insurer Special Investigation Units, defense counsel, or independent adjusters. We're set up for high volume case intake, fast turnaround on routine cases, and the documentation standards SIU investigators need.
Insurance fraud work is surveillance, so it is billed hourly. Per investigator, with a minimum block, and documented to the standard your carrier or counsel requires.
The main things that move the fee:
A typical claimant surveillance day runs in the high hundreds to low thousands of dollars depending on hours and team. Every case is quoted individually. The initial consultation with David is free and confidential, and you’ll get a written estimate before any work begins, with no obligation.
Straight answers to what clients ask most. If yours isn't here, call David directly for a free, confidential consultation.
It is lawful surveillance and investigation used to verify whether a claim is legitimate. Typically documenting a claimant's actual physical activity in disability, workers' compensation, personal injury, and liability claims to compare it against what they have reported.
Insurance carriers, self insured employers, defense attorneys, and claims adjusters who suspect a claim is exaggerated or fabricated. We deliver documented, court ready evidence they can use to evaluate and contest a claim.
Yes, when conducted properly. We observe and record activity that takes place in public or in plain view. We do not trespass, harass, or intercept private communications. Done within those lines, the footage is admissible and persuasive.
Time- and date stamped video and photographs of the claimant's activity, paired with a clear written report describing what was observed. It is prepared to evidentiary standards so it can be used in a claim review, deposition, or trial.
Often within a few days. We schedule surveillance around the dates and activities most likely to be productive. Medical appointments, known routines, or specific events. To make the most of each surveillance day.
Insurance fraud surveillance is billed hourly per investigator with a minimum block. A typical claimant surveillance day runs in the high hundreds to low thousands of dollars depending on hours and team size. We quote each assignment after reviewing the claim, at no charge.
New to working with an investigator? See how we work, our confidentiality standards, or why a licensed PI matters.
From the field: How surveillance exposes injury-claim fraud · Surveillance evidence in civil court.
New York Intelligence Agency works across all five boroughs and the surrounding metro. Understanding the population we serve. Its scale, density, and makeup. Informs how we plan surveillance, locate people, and build cases in the city.
Source: U.S. Census Bureau, American Community Survey (New York City).