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The Fraud Chronicles 4: Where Can You Hide in the Middle of a Field?
Home :: Business :: Scams
By: Tom Reitze Email Article
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When an insurance claim contains red flag indicators of potential fraud and an assertion of total disability, it is appropriate and sensible to discreetly document the claimant's activities on film to verify or discredit the claim. This is known as surveillance. If the person isn't really disabled, chances are the investigator will catch and film them doing something that a truly disabled person would not be able to do.

DMA Claims Services (http://www.dmaclaims.com/investigations.shtml) investigates suspicious cases, conducts surveillance, and if an insurance claim is found to be fraudulent, turns the information over to the insurance company.

This is a case from the DMA Investigations archives, Part 4 of the Fraud Chronicles, and involves a case where the investigator had to be inventive to get the film without tipping off the "disabled" person doing heavy farm work.

Where Can You Hide in the Middle of a Field? Andy Schwarz, Investigations Manager Los Angeles, DMA Investigations

"A first rule of surveillance in rural areas is: When in Rome do as the Romans do. Or perhaps better stated: Look like what a Roman would expect a stranger to look like. For the last several years in many situations that has meant: look like you are interested in buying real estate.

"Our assignment involved a claimant alleging total disability, and he was located near a small (population 400) farming community in the middle of Missouri. I arrived just prior to Labor Day weekend and quickly realized this was not going to be a walk in the park.

"First, the Mapquest to the claimant's only known address led to the fifth row of a cornfield.

"Second, Labor Day was approaching rapidly and every store and public facility in town was closing. We knocked on the door of the tiny City Hall, the only known repository of records, but got no answer. It looked like it was shut down tight already. Main Street was deserted. But the experienced investigator knows where he can get information even when faced with such daunting absences - the nearest bar.

"Finding the bar was easy, but soon I was striking out once again. Asked about land I 'heard' our claimant had for sale, the bartender knew nothing. The few patrons in the place knew nothing. I stepped back into the dusty street with an uneasy feeling and not one good idea of where to go next.

"But I was rewarded for not staying in the bar to enjoy several cold ones and feel sorry for myself. A woman approached and asked if I had knocked on her door. Turns out she was City Hall staff, by herself in the office and on the phone, thus unable to answer the door. One thing led to another and pretty soon I was studying a map showing the location of every house in town.

"I soon arrived at the residence I found on the map, and confirmed it was the home of our claimant. But the test of investigator will was not over. There was no activity. I waited and still nothing, totally quiet.

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Tom Reitze is President of DMA Claims Services (http://www.dmaclaims.com), an independent claims adjusting and investigations company with 42 offices in 16 states.

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