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Licensed Private Investigators and Claim Adjusters. THE SIU GROUP appreciates the opportunity to serve you! SIU INVESTIGATIVE SERVICES

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Presentation on theme: "Licensed Private Investigators and Claim Adjusters. THE SIU GROUP appreciates the opportunity to serve you! SIU INVESTIGATIVE SERVICES"— Presentation transcript:

1 Licensed Private Investigators and Claim Adjusters. THE SIU GROUP appreciates the opportunity to serve you! SIU INVESTIGATIVE SERVICES

2 Joseph J. Callahan Operations Manager State license: C A (904) SIU Special Investigator (Progressive, Nationwide) - 5 years Private Investigation (Pinkerton’s) - 6 years State Compliance/Regulation Investigator - 19 years – Health Care Licenses & Workers Compensation (DFS, DBPR, DOH) (13 years Medical Malpractice Investigator – Board of Medicine) ******************************************************* Former President - North Florida Chapter, IASIU - International Association of Special Investigation Units Former Committee Member - FIFEC, Florida Insurance Fraud Education Committee B.S. – Criminology, Florida State University

3  State license: A At The SIU Group all staff investigators are Class C licensed Private Investigators with SIU and claims experience and 0520 Claims Adjuster Licensed. They know what you are looking for regarding claims handling, SIU contributions to the file, timeliness, and professional content of reports. HOURLY RATE: $ 85 PER HOUR + MILEAGE  INVESTIGATORS LOCATED IN: Miami, Ft. Lauderdale, West Palm Bch., Ft. Myers, Tampa, Orlando, Jacksonville and the Panhandle.

4 SIU SERVICES Submit a case to us by clicking here - Or by submitting an to The SIU Group provides Private Investigative Services by investigators with experience as SIU Special Investigators and licensed Claims Adjusters. Our staff are trained and skilled at reviewing a claim file, identifying issues that warrant a referral to SIU, setting action plans, and conducting investigations that support and defend claims decisions. Serving as the SIU designate for your company, our staff will file the referral to the State of Florida DFS - Division of Insurance Fraud and NICB (for member companies). They will also file the Fraud Plan with DIF and conduct Fraud Awareness Training for all claims staff.

5 THE SIU GROUP (904) , THESIUGROUP.COM OUR STAFF ARE TRAINED AND SKILLED AT REVIEWING A CLAIM FILE, IDENTIFYING ISSUES THAT WARRANT A REFERRAL TO SIU, SETTING ACTION PLANS, AND CONDUCTING INVESTIGATIONS THAT SUPPORT AND DEFEND CLAIMS DECISIONS. THEY WILL SET AN ACTION PLAN FOR INVESTIGATIVE TASKS, PROVIDE GUIDANCE AND DIRECTION TO THE CLAIMS ASSOCIATE, CONDUCT SIU FIELD INVESTIGATION AND EUOS, AND PARTICIPATE IN A CLAIM FILE CONFERENCE WITH THE ADJUSTER, CLAIMS MANAGER, AND LEGAL COUNSEL.  Examinations Under Oath  PIP(Personal Injury Protection) Investigations & 2013 PIP Compliance  PIP Verification of Inoperability & Verification of Alternate PIP Sources  Recorded Statements  Clinic Inspections & Investigations  Surveillance  Skip Traces (Witness Locate) and Background Checks  Criminal and Civil Record Checks  Loss Scene Investigations  Evidence Collection, Preservation and CC&C Management  Litigation Support  Major Case Investigation and Management  Alive & Wellness Checks  Expert Witnesses  Referrals to DFS Division of Insurance Fraud (state compliance)  Referrals to NICB if the carrier is a member company  Fraud Awareness Training for Claims Staff  Claim File Review and Identification of Fraud Issues  SIU Action Plans, Direction and Guidance to Claims Associates  Additional SIU Services Tailored to Your Specific Needs

6 Statewide in the Florida including the Panhandle. EXPANSION We are in the process of expanding our coverage area to Georgia, Alabama, and South Carolina.

7  $ 625 Flat Rate $ 85 each additional hour requested.  A verbal and report of the results will follow the operation within 24 hours.  The investigative report will be provided within 3 days of the completion of the assignment via . The hard copy report with any video documentation on CD will be provided within seven days.

8 $ 650 Flat Rate – COMPREHENSIVE (schedule, notification letter, prep, conduct, report, or no show) * This Flat Rate applies to EUO assignments that do not involve field investigation activity. Rate is for file review and preparation, EUO notification, and conducting EUO.

9  Clinic Inspections:  Flat Rate $ 550  or $ per hour  Clinic Inspections include a site visit by the Investigator with photos of the facility exterior and interior (interior when permitted).  The Investigator will compile a list of all equipment used and connected to billing procedures. The Investigator will also report on all licensed and non-licensed personnel at the facility and a licensure check of staff. Inspection will also include a database search and court records check of all identified owners or corporate officers.

10  Background Checks: $ 35 Flat Rate National Comprehensive Report + Associates: Includes Summary Report, Phones Plus, Bankruptcy, Liens/Judgments, UCC Filings, Fictitious Business Name, People at Work, Driver’s Licenses, Vehicle Investigations, Motor Vehicle Gateway, Property, Watercraft, FAA Pilots, FAA Aircraft, Professional Licenses, Florida Accidents, Voter Registration, Hunting / Fishing Permits, Concealed Weapons Permits, Federal Firearms & Explosives, DEA Controlled Substances, Criminal Records, Sexual Offenders, Associates, Relatives (3 Degrees) and Neighbors.

11 There is a difference in the service we provide! We are not Private Investigators trying to conduct SIU and claims investigations. We are claims professionals, licensed adjusters, with SIU experience, licensed as Private Investigators conducting claims and SIU investigations. Call or us. One of our staff will be happy to visit with you and answer all your questions. Thank you for your time and attention. Joseph J. Callahan – Operations Manager (904)


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