Investigations for Insurance Claims Adjusters

Reliable investigative support for insurance claims professionals. George Scheld Investigations Inc. assists adjusters, carriers, third-party administrators, and legal teams with discreet fieldwork, research, and documentation when additional facts are needed to evaluate a claim.

Complex or disputed claims require objective information, timely communication, and a scope aligned with the questions the claims team needs answered.

Investigative services for claims teams

Workers’ compensation surveillance

Lawful field observation and documentation for appropriate workers’ compensation matters, with attention to the assignment’s objective and reporting needs. Learn about workers’ compensation surveillance.

Property and casualty claims

Research and investigative support when property and casualty matters require additional fact development or field inquiries. Explore property and casualty investigations.

Life and health claims

Discreet investigative assistance for relevant life and health claim questions, within the scope of applicable law and authorization. View life and health claims support.

Healthcare-related fraud concerns

Investigative support for claims teams reviewing discrepancies or suspected fraud. A concern is not proof of misconduct; findings should be assessed objectively. Learn about healthcare fraud investigations.

A practical workflow for adjusters

1. Define the assignment. Share the claim question, relevant locations, time frame, and information available for lawful use.
2. Agree on the scope. Discuss the investigative approach, scheduling considerations, reporting needs, and authorization requirements.
3. Conduct the work. Carry out approved investigative activities and document relevant observations accurately.
4. Review the findings. Receive an organized account of the work performed and information obtained, including limitations.

Why objective reporting matters

Investigative results should help a claims professional make a better-informed decision, not assume an outcome in advance. Clear documentation and candid reporting of limitations are essential, whether findings support or challenge an initial concern.

Service area

GSI provides investigative services across Long Island and New York City, including Nassau and Suffolk Counties. Learn more about our broader insurance investigation services.

Request investigative support

Whether you have a single assignment or want to discuss an ongoing vendor relationship, contact GSI with the claim type, investigative objective, location, and anticipated timeline.

All work is subject to applicable law, client authorization, and case-specific scope. No particular outcome is guaranteed.