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SMOKE OUT YOUR OFFENDERS AND ELIMINATE THREATS.
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Fraudulent claims are a major threat to cost effective risk management operations. The National Council of Compensation Insurance (NCCI) has indicated that 25% - 33% of all reported workers' compensation claims are either fraudulent or greatly exaggerated. As a claims administrator, Insurance carriers and self-insured employers look to us not to just process claims, but to investigate and expose losses due to fraud. CCMSI's SIU/Fraud prevention program has the ability to coordinate and maintain control over all aspects of the claim investigation process, to smoke out offenders and eliminate threats from the system.
CCMSI has initiated a nationwide SIU program to provide surveillance, investigation services, and fraud management services to our Clients. The new program is called FIRE or Fraud Identification Recovery Edge. FIRE will significantly streamline surveillance activities and provide adjusters and clients with the ability to review surveillance tapes and reports on-line through iCE, CCMSI's Internet Claims Edge.
Through FIRE and iCE, CCMSI's Internet Claims Edge we have developed a state of the art web based case tracking system. This system is the most technologically advanced method of case tracking available on the market today. Our system will allow you to 1) check the status of a case that is being reviewed for potential fraud, 2) view surveillance reports and videotape on-line, 3) view the history of a case, and 4) view and print a "Client Management Report" of all cases assigned.
With a flexible, integrated approach to investigation and account management, FIRE will save you significant dollars in the detection, prevention, and withholding of payments on fraudulent insurance claims.
Specialized Services
The following is a representative list of the types of services that are provided:
- Fraud plan filing
- Mandatory reporting
- Statutory compliance and consulting
- Claims investigation
- Fraud investigations
- Activity checks
- Background investigations
- View surveillance tapes and reports on-line through iCE - CCMSI's Internet Claims Edge
CCMSI has also developed a series of 'fraud posters', that can help you notify employees of your serious commitment to fighting fraud. These posters provide employees with a 'hot-line' number to report fraud and activate the FIRE program.
To learn how you can extinguish fraud and protect your financial investment, call Carl Ayestas at 888-578-5555, today.
 CCMSI FIRE Fraud Poster
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