ExamWorks Investigation Services offers a tiered approach that combines cognitive methodology and intelligence to provide an effective triage. Validated claims can proceed to a swift settlement, with cases identified as having risk continue for further investigation. We have a proven track record in getting a result, whilst treating the customer fairly for income and business protection, personal accident, critical illness and life assurance claims.

Typical identified risk, whilst not exhaustive, include:

  • Application fraud and policy misrepresentation
  • Misrepresentation of claim particulars
  • Exaggerated/prolonged injury

As part of our service, we have created a unique solution to gain a greater understanding of the case that is not only effective but also non-intrusive.