ELS Risk and Security Consulting, LLC a professional Investigation Firm
International Services (888) 770-5007 | (205)-910-6128

Member of:               
- Association of Certified Fraud Examiners
- ASIS International  
- Institute of Internal Auditors
- Institute of Internal Controls
- Council of International
Investigators
- International Association for Counterterrorism & Security Professionals
- National Association of Investigative Specialist
-Alabama Private Investigators Association
- American Legion
- Fraternal Order of Police
- CID Agents Association
- Military Police Regimental Association
- Army Historical Foundation
- Vestavia Hills Chamber of Commerce 
                        
Emergency or Urgent requests - call:  

 800.317.0378                                                                                                                              

   

We are not a CPA Firm

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Insurance | Risk Management Unit - Protecting your company's financial assets and policyholders
                                                                                                                                                                                                                               
                                                                                                                                                                                                                               

Claims Investigations | Fire Investigations | Insurance Fraud Investigations


Insurance is one of the most omnipresent industries in the global markets and most individuals, businesses and government entities will come in contact with it directly or indirectly at some point. The very nature of the industry results in several million claims a year; many of which account for a significant portion of the estimated 90 billion dollars of questionable and/or fraudulent claims in the United States. 

One of five U.S. adults – about 45 million people – says it’s acceptable to defraud insurance companies under certain circumstances (Four Faces of Insurance Fraud, Coalition Against Insurance Fraud, 2008)


In economically more challenging times, the risk of insurance fraud increases, depleting company reserves and driving premiums up which can negatively impact the competitiveness of the insurer.

Policyholders absorb much of the cost through increased premiums; however, insurers must cover the immediate cash-outlay for these fraudulent claims, weakening their financial position, drawing down cash reserves and threatening their on-going financial stability. 

Insurers also face internal fraud risks when an insurance agent collects premiums for a promised coverage, but fails to initiate a policy; or a claim representative steals claim checks, creates false supplemental claims, or creates fictitious claimants.

Another form of insurer fraud occurs when agents and brokers falsely hold themselves out as agents of legitimate companies, selling sham policies.


When a reported event occurs and it is determined to be a covered peril, a value must be established to properly make the insured or claimant(s) whole.  Further, once a claim is reported and is being investigated the true risk may not be fully known until thoroughly investigated and financial and personal data is examined.  Our investigators and auditors can help you protect your company assets and your valued policyholders from the impact of fraud with anti-fraud expertise - and by: 

- Investigating allegations of fraud
- Recommending anti-fraud controls
- Conducting professional interviews focused on complex issues such as financial data
- Collecting and preserving evidence to include digital evidence
- Evaluating and opining on:
·         Monetary amount regarding the value of a lost, stolen or destroyed item(s) of personal property,
       or business asset(s)
·       Loss of use (property)
·       Loss of Income (injury)
·       Business interruption (event preventing normal business activity)
 - Providing expert testimony on financial and investigative matters

Our Investigators and Auditors, combined with our specialized expertise bring your claims staff, Special Investigators and attorneys, an objective and systematic methodology for evaluating and investigating the reported claim. Our staff can provide advice and services during the claim investigation, legal proceedings, courtroom preparation and testimony. 

Let ELS help you:

- Identify and reduce opportunities for fraud
- Implement effective anti-fraud controls
- Educate employees on how to deter fraud
- Resolve allegations of suspicions of fraud
- Assist in the recovery of fraud losses and 
subrogation

                                                                                                                                                                        
                                                                                                                                                                        

Our Clients:

Attorneys

Claims Departments

Special Investigation Units

Corporate Internal Security Departments

Corporate Internal Auduit Departments

E-mail us today to learn more about ours services and how we can help your organization. 

See our "contact us" page