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Insurance Fraud

According to the Coalition Against Insurance Fraud, $80 billion is paid out in fraudulent claims each year. That results in approximately $950 per household in higher premiums annually. Insurance fraud is typically a low-risk crime and the American health system is easy to exploit. Not just by individuals, but even medical providers who cleverly disguise treatment claims. Some people think that insurance fraud is a harmless, but $80 billion is not harmless.

Whether you are an insurance adjuster, attorney, business owner, or even a private individual, we can help you gather evidence of insurance fraud when applicable. In fact, if you have been falsely accused of insurance fraud, we can help clear you name by gathering evidence of injuries and/or damage. In order to determine whether a claim is true or false, we typically will use the following techniques:

  • Background check on the subject(s)
  • Surveillance
  • Medical reports and medical history search
  • Previous claims and accidents search
  • Analyze insurance coverage
  • Conduct witness interviews
  • Physician’s billing search and analysis

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FMLA

FMLA is the Family and Medical Leave Act, which provides an entitlement of up to 12 weeks of job-protected, unpaid leave during any 12-month period to eligible, covered employees for the following reasons:

  • The birth of a child and to care for the newborn child within one year of birth
  • The placement with the employee of a child for adoption or foster care and to care for the newly placed child within one year of placement
  • To care for the employee’s spouse, child, or parent who has a serious health condition
  • A serious health condition that makes the employee unable to perform the essential functions of his or her job
  • Any qualifying exigency arising out of the fact that the employee’s spouse, son, daughter, or parent is a covered military member on “covered active duty

OR Twenty-six workweeks of leave during a single 12-month period to care for a covered servicemember with a serious injury or illness if the eligible employee is the service member’s spouse, son, daughter, parent, or next of kin (military caregiver leave)

It also requires that employee’s group health benefits be maintained during the leave. Repeated use of FMLA benefits can raise concern and cause employers to take a closer look at an employee’s FMLA leave. Our private investigators can determine if your employees are using FMLA leave legitimately – or if they are taking advantage of their employer and just taking time off work. If you are suspicious of an FMLA leave request, call us to discuss your case.

Work Comp

Work comp fraud usually consists of employees who lie about or exaggerate their injuries. This crime turns into tens of billions of dollars in false claims and unpaid premiums every year.

At Rhino Surveillance, we have a lot of experience in either proving or disproving fraudulent workers’ comp claims. Some of the hallmarks of employee fraud include:

  • No witnesses to injuries
  • Delayed reporting of injuries
  • Missed medical appointments and/or delays in treatment
  • Injured while off duty
  • Personal financial stress
  • Filing multiple claims
  • Injuries reported to have happened just prior to employee termination

Rhino Surveillance can help you by gathering evidence about the employee in question. Let us partner with you and work to make sure your employees are being honest in their claims and not costing you extra money.

Activity Checks

A very effective pre-surveillance tool that Rhino Surveillance offers is our activity check investigation. Our activity check investigation starts with some internet and database research. We then send a field investigator to the subject’s neighborhood to conduct a discreet investigation in an attempt to learn as much information as possible about the subject in order to determine if a full surveillance is necessary or if there are any other areas of interest that may need further investigation. We have the latest/highest quality covert and overt cameras on the market.

Our experience with Rhino has been great. Dealing with Workers comp cases are time-consuming and expensive, but the services that Jon and his Rhino team provided saved our company both time and money. Thanks, Rhino

Chris

Smyrna, TN

Employment Checks

It is important as a business owner to be fully aware of who you are hiring. Employees can be incredibly helpful or hurtful to a business. This is why Rhino Surveillance offers employment checks so that you can be confident in your hiring decisions.

Personal Injury

Personal injury usually refers to accidents that cause physical and/or mental damage. These accidents can include situations with personal property, automobiles, work-related, or other general accidents. The costs in any of these situations can add up for both the victims and the insurance agencies. Because of the volume of fraudulent insurance claims, it’s common for insurance companies, business owners, and attorneys to hire private investigators.

Perhaps you are the one whose personal injury has come into question or requires a hearing in court. The first thing you must do is hire an attorney. The second thing you can do is hire a private investigator. At Rhino Surveillance, we are your eyes and ears in places you can’t be present. For example, we can find simple errors made in a police report. Finding those errors can be the key to a $1 million settlement instead of one for $10,000.

We can obtain incident scene photos, video surveillance, witness statements, and more, including other incident reports from industries and public safety agencies. In other words, we know all the people and places to investigate so we can get to the bottom of your personal injury case and make sure you are fairly compensated.

We have utilized Jon Holder and Rhino Surveillance on several of our difficult, highly contested cases and have been very pleased with the results. Jon is a professional who understands the needs of his clients and comprehends the evidence needed to present in a court of law. The information and evidence gather by Jon in our cases has proved invaluable to our clients and certainly impacted the outcome of their cases. I keep a stack of his cards in my drawer to provide to potential clients and do not hesitate to recommend him to anyone in need of his services. Jon goes above and beyond to ensure he provides his clients with the best service possible.

Laura Brown

Attorney, Michelle Blaylock-Howser’s Office, Murfreesboro, TN

Alive & Wellness Checks

Confirm an alive or deceased status of an individual with an Alive and Wellness Check. This type of investigative activity check includes face-to-face contact with the individual to verify overall life-style assessment including current health status, current residence maintenance, medical treatment details, physical activities, and current employment status.

Workplace Investigations

Employers are often thrown into some tough situations. You may have an employee you suspect of stealing or employees not being where they are supposed to be. We can help you track and investigate your workforce to ensure you are getting the productivity you pay for from your employees. Our team of investigators uses a wide variety of tactics, from hidden cameras to secret shoppers, to capture the information you need to make the right decision.