MRA offers comprehensive SIU
services customized to accommodate your needs. We consult,
train claims personnel and assist in regulatory compliance,
while also identifying and investigating bogus claims and
submitting prosecutable cases to law enforcement.
/ INVESTIGATION / REFERRAL
If a suspicious claim is
identified by you or identified by us during an investigation,
our SIU team will examine the fraud potential and confer with
you in determining if all fraud elements have been committed.
Our SIU team tenaciously reviews all suspicious claims. We
continually review, document and report information while
at the same time keeping you informed.
We will prepare and refer
a comprehensive prosecutorial package to the Department of
Insurance and/or district attorney of jurisdiction, and track
the case to its natural conclusion, including our SIU investigator
testifying on your behalf.
Our highly skilled and experienced
staff will ensure you remain in compliance with state fraud
regulation requirements and authorities.
We offer training to educate
your claims staff and, as needed, your customers in recognizing
fraud potential as well as developing proactive strategies
to detect fraud and prevent future fraudulent payments.
We consult on fraud
prevention, including the reviewing of your investigative
policies and procedures. We assist our clients in ensuring
they make accurate and informed decisions when determining
the appropriate action on their claims.