Insurance Investigations

Advocate provides a full line of services geared toward the insurance industry.

 

Fraudulent Disability Claims

If an individual is receiving benefits, resulting from a reported injury, and it is suspected that the claimant may be exaggerating or feigning the extent of the injury, a period of select, discreet surveillance can often reveal a claimant's true maneuverability. These observations may also reveal if the claimant, while collecting disability benefits, is involved in any other employment that is generating undisclosed income. Video taped evidence obtained, following the guidelines of the Ontario Workplace and Safety Board, accompanies our detailed written reports.

 

Activity Checks

Announced or un-announced visits made by a member of our staff to a benefit recipient can not only update a claimant's current general status, but will allow the investigator an opportunity to discreetly observe the claimant's maneuverability in the home environment. These visits can also include a visit to one or two of the claimant's neighbours, where other information relating to a claimant's ability to perform outdoor household maintenance can be determined.

 

Death Claim Investigations

Following the death of an insured, the insurance carrier may wish some follow-up investigation to interview the deceased's physician to obtain information relevant to any treatment the insured may have been receiving. In cases of suspected suicide, an investigation can determine a possible motive and may confirm if the facts support the claim.