The Truth Lies Within
Special Message to Insurance Companies
"36% of all people surveyed say it's acceptable to pad insurance claims and 40% believe it is ok to overstate claims to avoid paying deductibles; insurance fraud costs firms $30 billion per year." Insurance Research Countil, WSJ 2-12-98
Insurance companies have a unique set of problems when it comes to investigating fraud. First, they must often assess all claims at face value rather then having incidents of fraud identified through other sources. Second, the claims that they must examine are submitted by their own clients. Third, as evidenced by the above statistics, clients often feel justified in submitting padded or overstated claims. This can make it much more difficult to assess a person’s credibility using conventional methods of interviewing.
These facts demand that all aspects of the claim review be conducted with the utmost sensitivity. They require powerful, effective methods of investigation combined with demonstrated intent to support the client.
The Tactical Interviewing Program® explains the psychological issues confronting the client as well as the investigator. More importantly, it is the most efficient and non-intrusive method of determining whether information is accurate or misrepresented.
is unique in that it teaches how to look for truthfulness, to support the client’s claim. This technique readily and easily identifies truthful claims. Investigators are reassured that they are not needlessly spending time and resources on cases that are not warranted.
3. Claims Representatives and Investigators feel more confident in conducting their assessments. They quickly ascertain which areas of the claim need further investigation.
Key factors contributing to the success of insurers in detecting fraud were identified as training
, SIU investigations, centralized claims index databases, and the support of claims management –
in that order of importance.
The Tactical Interviewing Program
insures no li(e)ability.