SOLUTIONS

Investigation + fraud

Taking care of clients’ financial and reputational stability.

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What we do

Most insurance claims are genuine. But our experience shows that not all claims are honestly presented — and that addressing suspect claims quickly and efficiently is crucial. Fraud prevention, detection, investigation and mitigation are critical components to a company’s financial and reputational stability. At Sedgwick, each claim is screened by our special investigations unit for fraud concerns and flagged when it requires a second opinion; if a concern is identified during the detection process, we immediately triage the claim to determine next steps; and if investigation is required, our fraud specialists deploy a variety of compliant and proportionate methods and tools, including desktop services and visits. We also offer fraud management consultancy.

Our comprehensive program is designed with innovative strategies that lead to claim insight and cost savings — identifying and settling genuine claims quickly, serving as stewards of our clients’ risk pools and reputations and continuing to enhance our services with innovative technology and market-leading data.

Our formalized special investigation unit (SIU) offers smart, integrated solutions that combine specific claim investigation techniques designed to support fraud mitigation.

OUR OFFERINGS

Caring counts

Every day, thousands of people turn to Sedgwick when faced with a life-changing moment. They work for global brands that want to provide the best coverage for the people they value most. They are big and small business owners who need to get things back on track. And they are employees and consumers who need to know that they’re protected. We take care of them when they need it most, helping them get back on their feet, back on the road, back to business as usual — because caring counts.

Interested in our services?

THIS SERVICE IS AVAILABLE IN:

Belgium

France

Hong Kong

Ireland

Malaysia

Mauritius

Netherlands

Portugal

Singapore

South Africa

Spain

United Kingdom

United States