The Need for Expert Forensic Services
Insurance policies were formulated to take care of such eventualities. These are in place to take care of you in case you or your property suffer an unfortunate event. When the insured incident happens, there shall be investigations to determine the cause and thus the responsible party. In some cases, the investigation can lead to payments that the client is not happy with, and the company is not willing to budge. While the client is crying foul, the insurance company will feel justified to have given such a settlement amount. This is where a forensic services provider comes in. They shall investigate any claims that seem questionable, and provide a definite set of facts to aid in the decision making.
You will see many cases that could benefit from these services. They will be there when you find most of your clients saying you acted in bad faith. There is the expectation that the clients will have lawyers, hired to show that the claim was unfairly denied, that you were not awarded as per the signed contract provisions unfairly, or any other way to show that your treatment was unfair when compared to a similar one that was reasonable.
If you do not have the case investigated properly, that will not be hard to prove. When it appears that you have unreasonably denied or delayed a claim, or failed to take the proper steps to investigate a claim, there shall be case against your company. The same shall be the case if they can show that your interpretation of the contract was biased and so minimal as to end up being unfair to the client. Their case only gets stronger if they can prove that you did not settle with a client adequately, with no reasonable reason why.
There is no shortage of incidences where clients are trying to defraud insurance companies through wrong claims. They have led to severe losses for insurance companies on the past due to their numbers. They are the reason why you need to have such services around, to safeguard the interests of all concerned parties.
It is expected that a client will have certain rights when they approach your company. You also have certain rights that the clients or any other party should not violate. When situations are ambiguous, or the investigations are inconclusive, it becomes easy for such things to happen. There is still hope in the many cases that have been executed with good faith on both sides of the table. You thus need these services, to root out any remaining cases of fraudulent claims attempts.