INSURANCE SOLUTIONS

INSURANCE INVESTIGATION SOLUTIONS

Insurance fraud is one of the biggest challenges facing the industry today.  From exaggerated claims to complex, organised scams, fraudulent activity costs insurers billions of dollars each year.

THE CHALLENGE FOR INSURERS

The most common form of insurance fraud is the exaggeration of personal claims - known as opportunistic fraud. Planned frauds are also widespread and are often carried out by serial claimants, professional fraudsters, or organised criminal groups.

Fraud can take many forms, including:

• Intentional misrepresentation of facts.

• Exaggeration of otherwise legitimate claims.

• Complex, organised schemes designed to exploit the claims process.

Regardless of scale, the impact is the same: financial losses, higher premiums, and added pressure on claims teams.  With limited time and resources, insurers cannot always investigate every claim thoroughly - leading to fraudulent claims being paid.

HOW WE SUPPORT INSURERS

At QNA Investigations, we provide tailored solutions to assist insurers with:

• Claim validation - determining the true circumstances of a claimed loss.

• Fraud detection - identifying fraudulent claims and separating them from legitimate ones.

• Coverage and liability issues - establishing facts to support fair and defensible outcomes.

Every investigation is conducted with the highest standards of ethics, professionalism, and discretion - ensuring your claims process is fair, accurate, and resistant to fraud.

OUR COMMITMENT

Whether it’s a one-off suspicious claim or a complex pattern of fraud, we deliver clear, actionable intelligence to protect your business and your policyholders.

CONTACT US

If you would like to know more, contact us for a confidential consultation by phone on +61 2 9212 5000, via email at mail@qnainvestigations.com.au, or arrange a confidential consultation online.