What a Fraud Investigation Actually Produces

Hands reviewing photographs and documents at a desk.

A flagged claim is a question, not an answer.

Red flags tell you a case deserves a closer look. They don't tell you what happened, who is telling the truth, or what a claim is actually worth. Closing that gap is the work. Here is what a well-conducted investigation produces.

Documented activity

Surveillance is not a hunch with a camera. Done properly, it produces dated, time-stamped video and still images documenting a claimant's observed activities. These findings can help insurance adjusters, Special Investigations Unit (SIU) professionals, and defense counsel evaluate the facts and prepare for mediation, litigation, or trial.

What someone does on an ordinary Tuesday can sometimes answer questions no database can.

Accounts on the record

People's accounts can change as a claim develops. A recorded statement preserves what a claimant or witness said, in their own words, early in the claims process, before positions harden and memories have time to change.

Taken carefully, a statement establishes an account and timeline that can later be compared against documents, other statements, and testimony.

Verified facts

An address in a database is a lead, not proof.

Locate and background investigations help turn leads into verified facts: where someone actually lives, what their history shows, and whether the person in the case is the person you think they are.

Small confirmations early can prevent expensive surprises later.

A report built to be used

The most important deliverable is not any single piece of evidence. It is the report that brings everything together.

Our investigative reports are detailed and well-documented, organizing observations, findings, and supporting evidence so counsel can use them in case preparation and claims professionals have a documented factual basis for their decisions.

How the process works

Every case starts with a turnaround estimate at intake. Clients receive weekly status updates, so they are never left wondering where things stand.

Investigative services are billed hourly. Our team works in both English and Spanish, supporting communication with English- and Spanish-speaking individuals during the investigative process.

Based in Florida, CLM Investigations coordinates field investigations nationwide.

When is an investigation worth ordering?

Not every flagged claim needs an investigation. The ones that do tend to share a profile: meaningful exposure, a dispute about the facts, and an upcoming decision that needs to be supported by documented findings, whether that involves a coverage decision, settlement strategy, or trial.

If you have a case that fits that profile, we welcome the conversation.

CLM Investigations, LLC

Phone: (904) 779-3691

Email: info@clm-i.com

Hablamos Español.

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