Insurance investigations

It is only a few years back that a legal basis has been established for social insurance companies to avail of private detectives in order to check whether the benefits provided by them are being legitimately received by the insured parties.
Today, social insurance firms are therefore allowed to hire private detectives to monitor those insured parties who are strongly suspected of wrongly receiving benefits, in order to prevent abuses committed by them from harming both the insurance companies themselves and the community as a whole.

Abuses and fraud generate considerable costs every year for the social insurance sector in particular and for the whole community at large that supports this treasury.

But how can these abuses happen in the first place?

Abuse occurs when the insured party, despite the fact that the conditions justifying payment of the benefit by social insurance no longer apply or have changed, fails to report it and continues to benefit from it. This is the case when the insured party is working illegally while continuing to receive unemployment, accident or sickness benefits.

Private investigators can intervene with secret observations to ascertain whether abuses are being committed, thus preventing the insured parties from continuing to receive benefits they are no longer entitled to.

Specifically, the above-mentioned checks are considered lawful provided very specific limits are respected: these checks must be considered exceptional, limited only to cases in which there are clear and tangible indications of unlawfulness, and on the condition that another type of check or method would not in fact be useful or possible.

In the events described above, investigation companies such as CONFIDENTIAL therefore play a role of public utility by ascertaining fraud and abuse perpetrated to the detriment of social insurance, providing evidence to social insurance companies of undue perceptions, and thus helping the community to ascertain and counter such misconduct.

CONTACTS

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