File Reviews from CoventBridge can help you get to the sources of fraud in order to eliminate them. We look through your open and closed claims to find any red flags or potential fraudulent activity. We can also educate your staff about how to identify fraud and watch for suspicious indicators. An initial claim file evaluation, including recommendations or any additional investigative steps that will assist in making a claims decision, is prepared and provided to the claims handler.
First, we review your files to identify any relevant trends. During a file review, we ask questions: Is a claimant cashing checks promptly? Can adjusters reach a claimant during the day? After a thorough review, we then incorporate recurring patterns into a training program for your employees. We discuss fraud indicators with your claims staff and raise general awareness. We also address specific loss areas and develop plans of action to combat any ongoing issues related to fraud.
Find out more about how our file review services can help you eliminate fraud.