Insurance fraud management (IFM)

Identifying and proving fraud

Our team of experts consists of loss adjusters focused on insurance fraud, experienced investigators and lawyers specialising in insurance and criminal law.

Your contact

Bruno Sommer
Head of IFM

+41 31 389 60 56
bruno.sommer@xpertcenter.ch

Services

IFM consulting and support in the implementation of associated processes
We help you to position insurance fraud management in your organisation in a sustainable manner.
  • Analysis of potential
  • IFM procedures and interfaces
  • IFM instruments (digital tools, checklists, etc.)
We support you in the implementation of IFM procedures
IFM training and raising of awareness
We raise your staff’s awareness with regard to insurance fraud and explain how the combating of fraud can reduce the amount of loss payments.
We train and empower your staff to individually identify potential fraud cases.
Special topics are included in our training programme upon request.
We work with examples from the practise.
Entire management in cases with suspicion of insurance fraud
  • We carry out spot checks of pending claims, looking for indications of fraud.
  • We check new claims for indications of fraud (IMF short check).
  • Based on our suggestions, you decide on the further procedure in potential fraud cases.
  • You are able to identify potential cases of fraud.
  • You assign us the task of providing complete evidence.

We take the necessary measures on your behalf for providing evidence in Switzerland and abroad, for example:

  • We analyse and assess the case background.
  • We take adequate investigative steps (obtainment of information, personal questioning and surveillance, visits to customers, etc.).
  • We assess the results of the investigation from a legal and tactical perspective.
  • We inform you of the results and draw up options with you regarding the further procedure and case settlement.
  • We take the measures agreed with you, provide advice and assist you in any civil or penal litigation.
  • We support you by phone in the identification process.
  • We coach you during ongoing IFM case processing.
  • We assist you over the phone with all the services we provide.

We ensure compliance with the legal provisions regarding data storage, data processing and data evaluation by means of our benefit and case controlling.

  • Benefit controlling aligned with your requirements
  • Detailed cost and benefit reporting

Selected references

La Mobilière
www.mobiliere.ch

CONCORDIA
www.concordia.ch

innova Versicherungen
www.innova.ch

IV-Stelle Basel-Stadt
www.ivbs.ch

Assurance Prévoyance Pax
www.pax.ch

SVA Basel-Landschaft
www.sva-bl.ch

Swiss Life AG
www.swisslife.com