Insurance Investigations

Effective surveillance reduces the paid costs on claims. Criminal prosecution differs from the WCB Hearing arena, in that we must establish proof beyond a reasonable doubt rather than a preponderance of evidence (which may suffice at the Hearing level).

The challenge to insurers is that both liability and damages should be investigated concurrently. Often one or both are either overlooked or incomplete, having an adverse impact on outcomes.

Responsible Insurance Professionals understand the important need to objectively review each claim based on consistent parameters.

Even before an incident occurs, you can do a great deal to prepare by having a dedicated procedure for a work place injury in place. Is there a reporting procedure.

Assets checks are conducted primarily for third party actions but also performed in some cases of fraud.

Alethinos Field Investigators conduct the bulk of claims investigations. They personally contact the policyholder, and often conduct on-site investigations of the accident scene when appropriate.

Product liability is the result of personal injury caused by a defective product. The designer, manufacturer, distributor and / or retailer can be held liable. The product must have been used in the manner intended in most cases.

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