GCS Ukraine provides insurance fraud investigation Ukraine of the following types:
- Death case investigations in Ukraine
- Healthcare case investigations in Ukraine
- Liability case investigations in Ukraine
- Property damage or loss case investigation in Ukraine
Two most popular cases of insurance fraud in Ukraine are life insurance fraud and healthcare insurance fraud.
Property insurance fraud and liability insurance fraud also practiced but on a more rare occasions.
Life insurance fraud investigation Ukraine
The scheme of life insurance fraud in Ukraine is usually related to taking expensive insurance policy and coming to Ukraine to falsify death. Complicated procedures with a lot of gaps and workarounds along with corruption makes Ukraine convenient location to get falsified death certificate, burial records and even make up medical records like medical treatment case history or autopsy report.
What we do to protect from risk of life insurance fraud Ukraine:
- Obtain local intelligence related to insurance claim in Ukraine
- Search and interview witnesses of insurance incident in Ukraine
- Visit places related to the incident (incident scenes, hospitals, ambulance, cemeteries, civil registry offices, police)
- Interview representatives of authorities (doctors, coroners, police officers)
- Verify local documents (death certificate, autopsy report, medical records) for their authenticity
- Obtain additional case documents
Healthcare insurance fraud investigation Ukraine
Healthcare insurance fraud in Ukraine is usually not planned in advance. However, relatively inexpensive medical treatment along with corruption tempt people to arrange billing for higher level of service or for services that were not provided with doctors/hospitals. In many cases such fraud stays unnoticed by European or US insurance companies since even unusually high amounts for Ukraine seem relevant for US and Europe.
What we do to protect from risk of healthcare insurance fraud Ukraine:
- Search and interview doctors to ensure incident is not falsified
- Verify billing documents for their authenticity
- Verify billing and check if it aligns with normal doctor’s/hospital’s billing
- Whether possible, obtain medical treatment case history and verify adequacy of treatment with independent experts
- Whether required, arrange independent medical examination of insured person by doctor of medicine
Liability insurance fraud investigation Ukraine
The scheme of civil liability insurance fraud in Ukraine is usually related to taking liability insurance policy and coming to Ukraine to agree deal with future victim and set up incident. Relative remoteness of Ukraine tempts beneficiaries to claim some moderate amounts of compensations in the hope it will be left without much investigation and paid smoothly.
What we do to protect from risk of liability insurance fraud Ukraine:
- Obtain local intelligence related to insurance claim in Ukraine
- Search and interview witnesses of insurance incident in Ukraine
- Interview beneficiary of insurance payment
- Visit places related to the incident (incident scenes, police, other authorities)
- Verify local documents if any
- Verify adequacy of damage with independent experts
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