So, what does it mean when a claim has been transferred to the SIU? Home insurance discounts designed for AARP members. Insurance fraud is not a victimless crime. However, it is important to know your rights. The Florida Administrative Code requires that insurance companies follow guidelines for the proper and fair handling of claims. Rob Seaton is a Level IV Collision Reconstructionist and has been providing expert testimony for the legal and insurance industry since 1991. From a cost benefit analysis perspective, the cost of utilizing an engineer is 2 to 3 times that of IRG’s service as their hourly rate is a minimum of $350. If you are unsure why your claim has been transferred to the SIU or you feel you are being treated unfairly, consulting with an attorney may help ensure that your claim is being handled in accordance with the law. Many Insurance Companies Reward Adjusters Who Pay Less on Claims. To enhance our client centered services to the insurance industry, the Investigative Research Group (IRG) has developed the Special Investigation Unit (SIU) which is comprised of highly skilled insurance and former senior law enforcement experts. What does this mean for you, the consumer? We have extensive and long-standing working relationships with the insurance industry. Auto theft and vandalism claims are also a major liability for the insurance industry. Our investigative services can be provided in multi languages by both female and male investigators. Investigative Experts utilizing worldwide investigative capabilities through the use of internal resources and an extended vendor network. During his career, Mr. Seaton has investigated approximately 2000 fatal motor vehicle collisions and over 7000 injury collisions. He is also a past member of the Provincial Special Investigations Unit. To learn more about ISN, visit the ISN webpage. Our SIU – Insurance Services section specializes in insurance investigations related to staged accidents, auto theft, fraudulent rehabilitation clinics, organized crime, death claims and vandalism, to name a few. According to the National Insurance Crime Bureau (NICB), insurance fraud is ranked as the second most expensive white-collar crime in the United States, costing the nation upwards of $80 billion per year. Bill 168 Workplace Violence / Harassment Investigations and Risk Assessments, Conflict of Interest / Corruption Investigations, Corporate, Financial and Fraud Investigations, SPECIAL INVESTIGATIONS UNIT - INSURANCE SERVICES. Contact/consult with the insurance adjuster; Obtain and review the police file/report; Interview the police officer(s) involved; Attend scene – sketches, photographs and measurements; Interview tow truck drivers (where possible); Obtain photos/tapes from Collision Reporting Centres (CRC); Examine and photograph the vehicles (if possible); Expert analysis of evidence collected; and. Rules of the Road: Simplifying the Process for Plaintiff’s Property Attorneys to Ensure Effective Advocacy. Mr. Seaton has over 20 years police experience in the OPP and Toronto Police Service and his extensive background in Collision Reconstruction is nationally recognized. The integrity, skill and professionalism of our Special Investigation Unit (SIU) are unique in the field of private investigations. Submit claims, check status of disability or leave, and see payments. IRG’s SIU – Insurance Services provides expert investigation to aid the industry in the detection of fraudulent claims, including: polygraph examinations; statement analysis; post incident expert lock and vehicle systems evaluations; and Vehicle Identification Number (VIN) examination. How Do You Define “Surface Water” And Is It Covered Under My Policy? Such investigation may require that the insured participate in an Examination Under Oath, or EUO, much like non-elevated claims. With access to sophisticated technologies and skilled investigators, The Hartford is continuously working to identify, prevent, and deter suspect claims. Special Investigations Unit. Our Special Investigations Unit takes a comprehensive approach in identifying emerging fraud trends, uncovering suspect claims, and conducting thorough investigations in an effort to minimize this multi-billion dollar problem. We want to hear from you! The Special Investigative Unit (SIU) Compliance Office inspects insurance companies to ensure compliance with the California law and the California Code of regulations governing the maintenance and operations of the SIUs. Included are forensic business intelligence approaches used to identify emerging trends in the industry as a measure to build out deterrence before any industry issues impact the business and our customers. Understanding Your Colorado Insurance Policy – Legal Action Against Us Clause, Why is Your Insurance Claim Underpaid? If you notice an unexplained discrepancy, or if you hear of or suspect an act of insurance fraud, there are actions you can take: Contact Canal’s Special Investigation Unit at 1-800-340-2650 to make a complaint of alleged fraud or email us at What does this mean for you, the consumer? Provide recommendations for further investigation such as examinations under oath (EUO’s) and accident reconstruction. Special Investigations Unit Department Overview. Established in 1985, Merlin Law Group is a leading insurance litigation law firm committed to assisting policyholders receive fair and just outcomes from their insurance companies. Manage my personal policy, bills and claims. Insurance fraud is not a victimless crime. Depending on the amount of the tort, engineering fees for accident reconstruction analysis have been known to exceed $30,000. According to the National Insurance Crime Bureau (NICB), insurance fraud is ranked as the second most expensive white-collar crime in the United States, costing the nation upwards of $80 billion per year. Rob completed his police career as the Officer in Charge of the Collision Reconstruction Training and Traffic Programs at the Ontario Provincial Police Academy. These provisions require insurance companies licensed to conduct business in California to have viable SIUs operating within regulatory parameters. Mr. For the past 20 years, he has been declared an expert witness in every level of court including: coroner’s inquests; civil hearings; arbitration hearings; and labour relations adjudications. Copyright © 2009 - 2020 Investigative Research Group. For example, Mr. Seaton’s reconstruction testimony was an essential component of the first guilty pleas in Canada under the recent organized crime legislation for “Project Recycle” which was an organized crime staged accident investigation in Ontario during which Mr. Seaton conducted in excess of 18 reconstructions. Policyholders may be informed by the claims adjuster that their claim has been transferred to the SIU, leaving the insured confused and perhaps apprehensive. Our company has national and international contacts to address any situation that may arise.