Chris Cavallo, Managing Partner, CSI-Secure Solutions, Talks About Insurance Fraud, Surveillance Techniques, and More
“In The Boardroom” on SecuritySolutionsWatch.com
SecuritySolutionsWatch.com: One will read on your site, “With the on-going growth of insurance fraud claims in the US, the demand for experienced, qualified, and licensed Insurance Fraud Investigators is at an all-time high. Our clients are Anti-Fraud Investigation Units (AFIU), Special Investigation Units (SIU), Claims Adjusters, Risk Managers and Attorneys. CSI Secure Solutions has a team of highly experienced insurance fraud investigators who have helped resolve many cases where people or organizations try to benefit from deceitful claims.” (https://www.csi-securesolutions.com/service/insurance-fraud/ Care to elaborate?
SecuritySolutionsWatch.com: The statistics regarding Workers Compensation claims are staggering.
There are 4.9 million workers compensation claims made each year by both private and government employees
The typical workers comp claim is around
The average cost of a workers compensation claim for sprains is
Falls/Slips claims costs averaged
Workers' compensation costs to employers total
Workers' comp claims pay out more than
What are some of the techniques you use in resolving insurance fraud investigations?
SecuritySolutionsWatch.com: The headlines would have you believe that “employees”, and not “employers” are typically engaged in workers’ compensation fraud. This was quite interesting on your site, “in essence, workers’ compensation fraud can be committed by both workers and employers.” (https://www.csi-securesolutions.com/worker-compensations/) Please tell us more about this.
1. THE EMPLOYER CAN EITHER FOREGO CARRYING WORKERS COMP COVERAGE OR PURCHASE A POLICY WITH MINIMAL COVERAGE AND MAY LEAVE THE EMPLOYEE AT RISK AND UNABLE TO PAY FOR MEDICAL BILLS
2. FALSIFY RECORDS OF THE EMPLOYEE TO THE INSURANCE CARRIER WHEN A CLAIM IS FILED
3. GET KICKBACKS FROM MEDICAL PROVIDERS SUCH AS CHIROPRACTORS-ORTHOPEDIC DOCTORS TO EITHER MAKE THE INJURY WORSE THAN IT IS AND KICK BACK TO THE EMPLOYER
SecuritySolutionsWatch.com: We understand that your investigation services are available throughout the
SecuritySolutionsWatch.com: These testimonials (https://www.csi-securesolutions.com/customer-reviews/) about your services speak volumes about the respect and confidence that your clients have for you Chris and your firm. Care to mention any of your success stories?
Farmer
MAPRE
NW Mutual
AIG
SecuritySolutionsWatch.com: Beyond the Insurance Fraud and Workers Compensation space, we see that your firm provide investigation services (https://www.csi-securesolutions.com/services/) in other areas as well. Please fill us in, Chris.
Hidden Asset Investigations:
This has become one of the most requested services that we offer whether it be here in
Employee-Violation of Non Compete:
In 2022 we had nine occasions where an employer or business owner retained our services to prove some type of violation of the non-compete agreement that was executed between an employer and employee and/or two partners. Usually there is a geographical formula in most non-compete agreements for example: Let’s say an individual must be able to work even if in the same industry as long as it's outside a certain geographic area. Not every non-compete agreement is written fairly and usually is even more restrictive than legally allowed. What the courts are looking for is financial damages either because the employee is stealing client lists or is making direct contact with clients under contract. I am by no means an attorney and I have a whole webpage dedicated to this subject (https://www.csi-securesolutions.com/service/non-compete-agreement/) , so always consult your attorney on these matters. I also have written articles that pertain to this subject as well.
Surveillance Services:
Surveillance services are the most requested service that we perform whether for domestic, corporate, insurance fraud, employers, consumer etc. This is a very broad subject matter which I have written multiple articles (https://www.csi-securesolutions.com/service/non-compete-agreement/) on.
Most clients are not aware but 90% of our business is outside of
SecuritySolutionsWatch.com: We see that you are a member of the
Big Three: TALI (
GAPPI (
ALDONYS (
ACFE (
Better Business Bureau South Florida
SecuritySolutionsWatch.com: If I can change the subject for a moment Chris, we watched this very moving video: Introduction to
SecuritySolutionsWatch.com: Thank you again for joining us today, Chris, and we look forward to more updates from you during 2023.
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For the complete "In The Boardroom" discussion with
CSI-Secure Solutions, please click here: https://www.securitysolutionswatch.com/Interviews/in_Boardroom_CSI-Secure_Solutions_Chris_Cavallo.html
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