ABOUT
FARA Security Services analyzes and identifies fraud, particularly in workers' compensation and personal injury cases and plays an integral part of the claims process. Its integration of services creates an extremely effective approach to uncovering, reporting and seeing a fraudulent file through to prosecution.
Security Services has documented many individuals engaged in activities inconsistent with claimed limitations, doctor's restrictions, etc. We have documented claimants performing various activities such as working on vehicles, chopping wood, mowing grass, working on their house, surfing, panning for gold, playing ball and working other jobs all while receiving benefit checks or in settlement negotiations.
In many of these cases benefits were discontinued, settlements greatly reduced or the claim was dismissed. A number of these investigations have also entailed insurance fraud fillings to various state agencies that have resulted in prosecutions of claimants that were found to be committing insurance fraud. In some cases, claimants were ordered by the courts to pay restitution to our clients.
One recent example of how this unique integrated approach is successful can be found in a claim where a FARA Medical Case Manager suspected fraud. The claim was brought to the attention of the claims professional, who in turn brought the file to the attention of FARA Security Services. It was determined that potential fraud did indeed exist and prepared a report for the state's Department of Insurance Fraud Division.
The Fraud Division agreed with FARA's assessment through the evidence collected and prosecuted the claimant. The claimant was found guilty of insurance fraud and ordered to pay restitution to our client.
FARA Security Services also provides anti-fraud training to FARA's adjusting staff in the recognition of fraud indicators and emerging fraud trends. The training of our claim professionals ensures that FARA remains in compliance with all state requirements and also ensures an aggressive posture on all claim files that may present potential fraud.
