Usually, the help of the insurance claims investigator is solicited when a company suspects irregularities in the claims, for example, dishonest filing of an injury claim. Suspicion may occur during the first few examinations of a claim, which may be conducted by insurance examiners or insurance adjusters. The investigator will review the case, going over all information provided by the company and claimants.
He or she also may investigate the claimants to a certain degree to find out if they have information in their past that might suggest fraudulent behavior in the present. Searches for criminal records might be conducted, the investigator could look for collusion between claimants and witnesses, and he might also re-interview anyone involved in the claim. If the investigator proves that the filed claim is an anomalous one, the claimant will not be granted of the claim he or she have filed. If it proves otherwise, then, the claim will be awarded to her or him.