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Insurance Defense

Insurance Defense Services

Stryker provides insurance defense services to insurance carriers, third party administrators, law firms, municipalities and employers from the private sector. Every investigation is unique, and there is no one-size-fits-all approach regarding insurance defense services. We work directly with the examiners, attorneys and management to conduct the services around specific client requests and service instructions, or significant claim activity. Each investigation is tailored towards the unique needs of a particular client and designed on a case-by-case basis to uncover the nature and extent of the deception and expose fraudulent and/or abusive claims.

  • Surveillance and Activity Checks
    Atlanta Private Investigator Stryker Investigation Services Workers' Compensation (Workers' Comp) insurance defense program focused on suspicious claims

  • Social Security Number Validation  E-Verify
  • AOE/COE Interviews and Investigations
  • Subrogation & Scene Investigations
  • Workers’ Compensation, Liability, Auto, Property Loss
  • Return to Work Investigations
  • Disability Management
  • Alive and Wellness Checks
  • Litigation Support
  • Skip Trace and Locates
  • Background/Internet/Social Networking Investigation
  • Medical Canvass/Pharmaceutical Canvass

Defending a lawsuit is vastly different from managing the litigation for an insurance company, or even managing the many cases for which an individual claims professional is responsible. The investigation agency and investigators are fighting an individual battle in each case; the claims professional is fighting a war consisting of many individual battles. The relationship between claims professionals and their outside investigation agency is a key part of providing a successful defense for policyholders. But that relationship will always fall short of the ideal when half the people do not fully understand what motivates the other half.Lastly, there is no place for opinions and judgments in a claim file.

Furthermore, the claim file must document everything which has been uncovered in the investigation of the claim and all of the steps taken in the investigation. One of the greatest danger comes from what is not done, rather than what is done. When an insured alleges a violation of the unfair claims practices act, the most common allegation is a failure to properly investigate the claim. The claim file must demonstrate a comprehensive and objective investigation of the claim in order to refute such allegations. Everything recorded in the claim file should be recorded in such a way that it will prove a proper investigation was conducted. It should be assumed the claim file will be read by a judge at trial. For this reason, the claim administrators, investigators, SIU and attorneys must take care to make sure there is nothing in the file which could raise questions about the objectivity of the investigation.

Doctor Office – Hospital – Medical Clinic – Urgent Care Canvass Program

Stryker’s canvass program is effective tool investigators use to determining whether there has been any previously undisclosed medical treatment(s) obtained by the subject, which may reveal a pre-existing injury or treatment prior to the alleged date of loss. You can use this information to dispute extent of injury issues and questionable dates of injury. Every investigation report has the same basic objective… even the canvass reports. Their objectives are to collect, assemble, and preserve evidence. Find facts known to be true and and those that may be presumed from all the evidence. Gather the best available evidence with the least possible delay and make determinations and recommendations for administrative disposition. Stryker’s canvass reports include a detailed chart depicting the search findings and a map of the area canvassed. Also included are standard database search results with the subject’s social security number, date of birth, possible aliases and address history, when available. This can be useful in locating previous addresses where the subject may have prior medical treatment records.