Suspicious claims deserve documented scrutiny, not assumptions.
The file does not add up but SIU has not yet assigned field work. We review the claim file, identify inconsistencies, and recommend scoped field investigation.
What we do
- Review claim file, statements, and submitted documentation
- Cross-check stated facts against public records and databases
- Deliver a written assessment with recommended next steps
What we cannot do, by law
- Deny or approve coverage
- Access medical records without proper authorization
What you receive
Written claim review memorandum with findings and investigation recommendations.