How Exero Group Supports the Insurance Industry

Our investigative services offer unparalleled support in every phase of the insurance lifecycle. Whether you’re underwriting policies, managing claims, or addressing disputes, we bring expertise, precision, and integrity to your operations.

Insurance Carriers

Insurance carriers face significant challenges when it comes to validating claims, mitigating fraud, and assessing risk. Exero Group provides comprehensive investigative support to ensure insurers protect their financial interests and maintain their reputations.

Fraud Prevention and Detection: Investigate claims and identify potential fraudsters through surveillance, digital footprint analysis, and background checks.
Claims Verification: Validate the legitimacy of claims, from vehicle accidents to health and workers’ compensation claims.
Subrogation Support: Conduct investigations to uncover third-party liability, recover costs, and reduce losses for insurance carriers.
Expert Testimony and Court Support: Provide court-admissible evidence and expert witnesses for cases involving fraudulent claims or contested coverage.

Insurance Claims Administrators

Claims administrators are tasked with managing the efficiency and accuracy of claims processing. Exero Group partners with administrators to streamline workflows and detect fraud early in the claims process.

Claims Analysis and Screening: Review claims for red flags such as inconsistencies, omissions, or exaggerations.
Activity Surveillance: Utilize physical surveillance and digital tracking to verify claimant activities and injuries.
Investigative Reporting: Provide detailed investigative reports to support claims assessments and help in decision-making.
Risk Assessment: Evaluate claimant history and potential risks using advanced investigative methods to assess the likelihood of fraud.

Third Party Administrators (TPAs)

Third-party administrators (TPAs) manage claims on behalf of insurers or self-insured entities. Exero Group assists TPAs in navigating complex claims and identifying potential fraudulent activities.

Fraudulent Claim Investigation: Conduct deep dives into suspicious claims, using both traditional and digital investigative methods to identify inconsistencies.
Claims Audits: Perform thorough audits to ensure claims are accurate, legitimate, and comply with policy terms.
Witness Interviews and Statements: Locate and interview witnesses to corroborate or dispute claims, enhancing the accuracy of the claims decision-making process.
Litigation Support: Assist TPAs by providing evidence and expert testimony to support defense against fraudulent claims in court.

Insurance S.I.U. Departments (Special Investigations Units)

S.I.U. departments focus on identifying, investigating, and addressing insurance fraud. Exero Group partners with S.I.U.s to enhance their capabilities, providing specialized support for fraud detection and prevention.

Fraud Investigation and Detection: Conduct thorough investigations into suspected fraudulent activities, including staged accidents and inflated medical claims.
Digital and Social Media Analysis: Utilize OSINT to uncover fraudulent behavior, patterns of deception, and suspicious online activity.
Forensic Evidence Collection: Collect physical and digital evidence to support investigations and build cases against fraudsters.
Risk Profiling and Alerts: Monitor high-risk claimants and entities to proactively prevent fraudulent claims from being submitted.