Investigation + fraud
Taking care of clients’ financial and reputational stability.
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 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 special investigation unit offers smart, integrated solutions that combine specific claim techniques and formalized investigation designed to support fraud mitigation.
- Assessment services
- Counter-fraud services
- Field services
- Litigation support
Why choose Sedgwick?
- Diverse expertise across accounting, insurance and law enforcement
- Investigation experience in hospitality, real estate, retail, healthcare, manufacturing, banking and construction industry fraud
- Red-flag analytics identify possible fraud early
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.
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NEWS AND INSIGHTS
Evolving attitudes toward insurance fraud
Insurance plays a critical role in our society and economy by providing protection against risk and ...
The pandemic may have ended, but unemployment fraud isn’t going...
A recent report from the U.S. Government Accountability Office (GAO) highlights the scope of unemp...
How AI is transforming the pharmaceutical industry
Artificial intelligence (AI) has been utilized for some time now in the pharmacy setting, but it has...
Sedgwick’s enhanced global fraud strategy saves clients over £...
LONDON, 6 March 2023 – Sedgwick, a leading global provider of technology-enabled risk, b...
Tackling fraud in insurance claims: global observations
By Steve Crystal, Head of claims fraud – international, Cert CILA APCIP The UK and US insuranc...
Imagine 23: highlighting industry trends for the year ahead
By Kathy Tazic, managing director client services Sedgwick’s industry experts and thought leaders ...
The rise of e-scooters and electric vehicles: What does it mean f...
By Laura Horrocks, head of fraud data and insight and Chris Frechette, vice president, liability ...
Sedgwick bolsters UK public sector offering with appointment of A...
LONDON, 9 August 2022 – Sedgwick, a leading global provider of technology-enabled risk, benefits ...
BBC 4 Radio You and Yours – Topic Insurance Fraud
Ian Carmen, director – head of investigation services, was interviewed about insurance fraud by BB...
Counterfeiting is on the rise: here’s what you need to know
By Olivier LANCIAU, Expert FINE ART certifié E.A.A. Spécialité Vol chez Sedgwick France As the vo...
Roofing fraud: Don’t get nailed
By Jason Keen, AIC, MBA, executive general adjuster Let’s face it – a commercial roof can be exp...
Rising costs in the UK drive increase in oil theft
By Graham Hawkins, director, UK environmental adjusting and Laura Horrocks, director, head of fraud ...
Fraud detection: machine versus human?
By Ian Carman, director, UK investigation services Artificial intelligence (AI) and machine learning...
Sedgwick names Laura Horrocks head of fraud technology and intell...
LONDON, 8 March 2022 – Sedgwick, a leading global provider of technology-enabled risk, benefits a...
New technology in claims and productivity management: automation ...
By Stephen Elliott, MBA, JD, CISSP, CSM, SVP, IT innovation and decision optimization In today’s m...
Unemployment fraud hits home – Be aware of fake claims
Imagine getting a letter in the mail telling you about your unemployment benefits when you still hav...
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