Special Investigations Unit (SIU)
Access a suite of SIU services customized to fit your claim defense needs
VRC can plug in and support a variety of program configurations and claim management strategies. Our suite of comprehensive SIU services includes:
Insurance Defense Investigations
Disability Management Interview – Customized recorded statement meets speciﬁc objectives and provides answers to relevant questions into subject’s level of activity, disability, employment status, medical history and more.
Medical Provider Evidence Presentation – Investigator presents evidence to medical provider and discusses speciﬁc objectives to be addressed in supplemental medical report.
Deposition Strategy – SIU review of investigative evidence and/or prior medical records with creation of speciﬁc questions to be asked during deposition to leverage evidence and identify any unwarranted beneﬁts or potential fraud.
Evidence analysis, case strategy, law enforcement coordination, documented referral, presentation to prosecutors or fraud bureaus, restitution calculation and court testimony.
Complex SIU Investigations
Our experts conduct investigations into suspicious claims including provider fraud, premium fraud, clinic inspections and other complex matters.
State Fraud Referrals
Suspected Fraud Referral completed and ﬁled with appropriate law enforcement agencies per state regulations.
Law Enforcement Coordination
Expert communication and coordination with law enforcement that achieves both superior results and provides a compliant program.