Stryker Investigation Services Inc. One solution for all your investigative services since 2000
Search for Unknown Bank, Saving, Brokerage & Offshore Accounts
Enforce a Civil Judgment for Collections, Levies, Liens, or Garnish
Surveillance of an Individual, Business or Workers’ Comp
Due Diligence, Skip Trace, Interviews, Litigation Support & Statements
Our area of focus is Workers’ Compensation (Workers’ Comp) Insurance Investigations AOE/COE statements interviews, subrogation, alive and well checks, DWC record requests, background checks and investigations, records research, skip-trace, alive and well, social media searches, investigations, hospital and pharmacy checks, evidence gathering, accident scene canvass.
Stryker conducts insurance investigations on behalf of insurance carriers, third party administrators, law firms, municipalities and employers from the private sector. We concentrate our knowledge, skills and expertise on a specific type of products and investigative services that encompasses all aspects of Workers’ Compensation Investigations – Insurance Defense, fraud, deceptive practices, pre and post-litigation support. Consequently, our focused performance will bring our clients exceptional work product and unparalleled service results in all of our insurance investigations and related services.
We recognize fraud occurs in simple and complex schemes of intentional misrepresentation or concealment. Unlike errors or mistakes, fraud is intentional and may be intentionally hidden. For this reason, we use creative strategies to determine the presence of deception which is intended to achieve financial or personal gain at the expense of a victim. Every investigation is unique, and there is no one-size-fits-all approach. We work directly with the examiners, attorneys and management to conduct the services around key or significant claim activity. Each insurance 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.
Everyone should have immediate access to expert investigative resources to help with their insurance defense and mitigate claims and other suspect insurance transactions. Stryker provides on-demand investigative expertise and consultations. Our areas of focus for the insurance investigation program are Workers’ Compensation (Workers’ Comp) Liability AOE/COE, Surveillance, Subrogation investigations and (SIU) anti-fraud program. We have a clear understanding of what it takes to provide actionable information to expose exaggerated and patently false claims. Our sophisticated insurance investigations are a battle-tested defense designed to identify potentially fraudulent and/or abusive claims. Should surveillance be necessary or requested Stryker will work directly with the examiners and management to conduct the services around key or significant claim activity?
Types of Insurance Fraud Investigations
Auto Insurance Fraud:
Staged car accidents are typically carefully planned and practiced. Some criminals stage accidents in which they purposely collide with another car, then accuse the other driver of fault in order to file claims. Others attempt vehicle theft fraud, trying to get money for a car that is not stolen. Use our private investigators to search for and collect evidence . Stryker’s private investigators and insurance investigators will make sure the claimant is indeed injured by keeping an eye on their activities, speaking to their friends and relatives or digging up criminal records. Today it’s easier with the widespread use of social media. A Facebook search could be all it takes to build a case.
Health Insurance Fraud:
Excessive or redundant medical services, medical coding errors, improper billing, as well as outright fraud, continue to be a significant challenge for health insurers. Healthcare fraud, waste, and abuse analytics identify questionable provider practices and prioritize work for investigators, then measures the impact of the actions taken to further reduce the losses and promote best practices among providers. People who submit fake claims often don’t think they will get caught. If they look calm after submitting a complicated claim or hand over receipts for damage repairs written by hand, the agent might dig a little further.
Workers Compensation Insurance Fraud:
Workers compensation fraud occurs when a claimant, employer, or health care provider knowingly lies in order to gain an advantage, savings, money, or other benefit. For employers-private and government alike-workers’ compensation fraud increases the cost of providing insurance benefits to employees and, in turn, increases the overall cost of doing business. For many Americans, the increased expense resulting from fraud could mean the difference between making health insurance a reality or not.
Medical Provider Insurance Fraud:
The majority of health care fraud is committed by a very small minority of dishonest health care providers. Sadly, the actions of these deceitful few ultimately serve to sully the reputation of perhaps the most trusted and respected members. Claims analytics provides many other benefits beyond identifying potential fraud, waste, and abuse. It can pinpoint subrogation opportunities and the likelihood of claim litigation. With increased focus on healthcare costs, investigators are pursuing and prosecuting fraudulent activity much more aggressively. Individual providers, hospitals, clinical laboratories, durable medical equipment suppliers, hospices and home health agencies have all been the subject of fraud investigations.
Stryker has developed a simple but very specific interview technique, as such our questions are structured around specific categories that include:
- Character Evidence – California Code Evidence Code Chapter 1. Evidence Of Character, Habit, Or Custom.
- Pre-existing Evidence – HIPPA compliant medical release.
- Testimonial Evidence – Evid. Code § 701, 752, 754; Fed. Rules Evid. 604.
- Relevant Evidence – California Code Evidence.
- Real Evidence – Tangible objects, tools, equipment etc.
- Factual Evidence – Facts that can be entered as evidence.
- Demonstrative Evidence – Evidence that represents or illustrates the real thing such as photos, videos, diagrams, maps, charts.
All video evidence is obtained on HD video camcorders and streamed on Stryker’s secure servers and is available 24-7 on demand for our clientele
Workers’ compensation laws protect people who are injured on the job (injured worker). They are designed to ensure that employees who are injured or disabled on the job are provided with fixed monetary awards, eliminating the need for litigation. These laws also provide benefits for dependents of those workers who are killed because of work-related accidents or illnesses. Some laws also protect employers and fellow workers by limiting the amount an injured employee can recover from an employer and by eliminating the liability of co-workers in most accidents. State statutes establish this framework for most employment.