Compliance and Investigations

COMPLIANCE AND INVESTIGATIONS

Comprehensive Insurance Claim Solutions

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Allied Universal® Compliance and Investigations has been focused on insurance risk and fraud for more than 30 years. We recognize the need for comprehensive insurance claim solutions that provide necessary information to quickly fast-track claims resulting in faster closure and further investigating suspicious claims for lost dollar control. Our clients rely on our best-in-class investigations for immediate access to critical data across all major lines of coverage — property, casualty, workers' compensation, and auto/general liability, and more.

Stats
1.2M+

Cases Worked

32

Years in Business

7,000+

Global Expert Resources

17

Years Average Experience

How We Can Help

How We Can Help
Worker's Compensation
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Quick research and fast response on workers' compensation claims has proven to have a positive impact on claim length and ultimately, claim payout. We understand the added pressures being placed on today's adjusters and in response have created a wide-array of solutions to alleviate those burdens. Utilizing a highly-trained investigative force and a wide-array of services, we can reveal a claimant's activities and provide valuable information allowing you to make confident claim decisions.


  • Surveillance
  • AOE / COE Investigations
  • Medical Checks
  • Social Media Investigations
  • Subrogation Validation
  • Wellness Checks
  • Medication Representation
  • Suspect Claim Investigations (SIU)
Casaulty
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Whether you need fact-finding investigations or interviews, document retrieval or scene inspections, we can be relied upon to get the job done, using the right people, across the world. When inconsistencies or suspicions arise our special investigations, unit can be engaged immediately.


  • Fact Finding Investigations
  • Interviews / Statements
  • Scene Investigations
  • Document Retrieval
  • Proof of Loss Verification
  • Subrogation
Property
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Allied Universal performs comprehensive, accurate property appraisals for commercial and residential losses of all types and uses the latest technology to arrive at accurate loss estimates. Throughout the life of a claim Allied universal is committed to managing indemnity and expense costs.


  • Daily Adjusting
  • CAT Adjusting
  • Heavy Equipment Adjusting
  • Underwriting Investigations
  • Desk Audit
  • Salvage
  • Suspicious Loss Investigations
Anti-Fraud Compliance
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Allied Universal handles anti-fraud regulatory compliance for more than 200 insurance carriers and TPA's and many others throughout the United States. We maintain relationships with all DOI's while placing an emphasis on heavily regulated states such as California and New York through our dedicated compliance team. This team actively monitors industry trends, legislation and litigation to ensure compliance with all anti-fraud statutes and regulations. This ensures we can protect you and your stakeholders from the negative effects of insurance fraud through diligent best practices and procedures.


  • SIU Program Administration
  • Regulatory Reporting
  • State Fraud Filing
  • Suspicious Claim Investigations
  • Premium Fraud
  • Provider Fraud Investigations
  • Anti-Fraud Audits
  • Anti-Fraud Training
Disability
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Allied Universal understands resolving disability claims requires more than making payments, capturing data and reporting information accurately and efficiently. Our disability programs focus on disability claims which strike a delicate balance between the need to control costs and aggressively, but fairly investigate claims. This requires expert resources and unique strategies to account for the myriad of challenges faced when handling claims of this nature.


  • Surveillance
  • Claimant Interview
  • Social Media Investigations
  • Medical Canvass
  • Provider Investigations
Auto
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Transportation exposures require immediate response and Allied Universal’s dedicated auto liability experts are uniquely trained in the investigation and handling of tractor-trailer, cargo, auto and inland marine losses, and average 17 years of experience. We work with the policyholder to ensure the damage is identified and the extent of loss is correctly established to minimize further losses. From a detailed scene investigation to an examination under oath, we provide turn key services for the entire claim.


  • Injury Validation
  • Interview / Statements
  • Medical Checks
  • Scene Investigation
  • Social Media Investigations
  • State Drivers History Record
  • Subrogation
  • Surveillance
  • Suspect Claim Investigations
  • Provider Fraud Investigations (PIP)
  • Examination Under Oath
Travel
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It is estimated billions of dollars are lost each year due to fraudulent travel claims and despite the number of fraudulent claims being made, fewer than 10% of all travel claims are turned down. We give you clarity, confidence and strategic insight to help you improve the quality and speed of claim decisions while reducing costs and producing results. Our advanced desktop capabilities and experience are critical in providing you with the information needed to make informed claims decisions anywhere in the world.


  • Social Media Investigations
  • Background Investigations
  • Document Retrieval
  • Business Search
  • Phone Interview
  • Residency Confirmation
  • Asset Check
  • Surveillance
  • Interview / Statement
  • Emergency Medical Evacuation
  • Medical Case Management listed
US Longshore and Harbor Act
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Allied Universal has worked thousands of DBA claims in more than 100 countries around the world, giving us a unique understanding of the Defense Base Act and how it can impact claims. Our expertise allows local experts to support DBA claim investigations and medical support services worldwide.


Investigations
  • Claim Investigations
  • Death Claim Investigations
  • Employment Records Investigations
  • Incident Investigations
  • Injury Disability Investigations
  • Labor Market Surveys
  • Surveillance
  • Translation
  • War Hazard Investigations
Medical Support Services
  • Medical Case Management
  • Medical Evacuation
  • Medical File Review
  • Medical Visit & Physical Therapy Attendance
  • Function Capacity Evaluation Function Capacity Evaluation
  • Independent Medical Evaluation
  • MMI Rating / Permanency Exams
  • Medical Record Procurement & Review
  • Transportation
  • Employer Contact & Documentation
  • Confirm Citizenship
  • Obtain Birth / Death Certificates
  • Verify Beneficiary Identity
  • Secure Bank Information
  • Delivery & Execution of Stipulation Letters
PartnerLink
PartnerLink

Integrated Technology

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Allied Universal’s PartnerLink technology suite enables you to assemble, analyze and act on data and insights to improve business outcomes. You gain value from the wealth of information assembled in one integrated platform from case information to real-time dashboards to business intelligence and benchmarking to quantifiable outcome reporting. We are continuously innovating to stay abreast of technology advancements.

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Outcome Reporting

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Demonstrate the financial impact on investigations by measuring cost avoidance of assignments.

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Digital Dashboard

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Interactive, custom tailored reporting measures SLA adherence and other performance metrics.

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Data Transfer

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Seamless and effortless claims data exchange methods for increased operational efficiencies and accuracy.

PartnerLink Add-On for GuideWire ClaimsCenter

PartnerLink add-on for GuideWire™ ClaimsCenter creates a streamlined investigative referral process. Auto-populate claim information, access vital claim information and generate referrals without toggling between multiple applications. Referral data is quickly, accurately, and securely transferred from Guidewire™️ to the Allied Universal case management system without manual key strokes.

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Interested in a career opportunities at Allied Universal Compliance and Investigations?

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Licenses
Allied Universal Compliance and Investigations Licenses:
AR: 1745, AZ: 1003569, CA: PI-19994, DC: PDB3220, FL: A9100044, GA: PDC001083, HI: PDA 621, IL: 117.00092, IN: PI20700059, MI: 3701206444, MO: 2010019310, MT: 4815, NCPPSB: 1137, NV: 1546, NY DOS: 11000030490, OH: 200921001467, TX: A08713, UT: P111521, VA: 11-1274, WI: 15798-62