Anonymized examples of how forensic analysis reduced leakage, exposed fraud, and improved claim accuracy.
Carrier flagged a high-value commercial claim for unusual damage patterns.
Full-vehicle forensic inspection with panel-level documentation.
Majority of damage was mechanical and pre-existing — inconsistent with reported storm date.
Claim revised, recovery of $31K in potential leakage.
CAT team experiencing high supplement volume on PDR estimates.
Audited 120 estimates across three vendors.
Scope-of-loss inconsistencies and missed panels at initial inspection.
Process and training updates lowered supplements by 22%.
Variability between field adjusters affected claim accuracy.
On-site QA, calibration sessions, and re-inspections.
Inconsistent severity scoring and PDR vs R&I decisions.
Standardized scoring framework rolled out across CAT teams.
Repeated complaints of post-repair imperfections on completed claims.
Independent post-repair inspection program.
Tool mark evidence and improper access methods identified.
Vendor remediation and revised invoice approvals.
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