Insurance Fraud/Special Investigations

LGWM’s Insurance Fraud/SIU Practice Group works closely with insurance carrier’s Special Investigative Units (SIU) to conduct thorough and complete investigations of first-party property claims including arson and theft. When an investigation raises questions about the validity of a claim, we conduct Examinations Under Oath (EUO) to uncover discrepancies in statements and reveal potential fraud. After completion of the claims investigation, we provide our clients with a detailed analysis of the investigation and a recommendation on whether the claims should be denied or is acceptable for coverage under the terms of the policy.

Our team has the experience to understand that SIU claims investigations and Examinations Under Oath (EUO) are very different from litigated cases. We are committed to treating insureds with respect and our recommendations to accept or deny claims are made fairly and impartially based on the evidence presented. Our comprehensive understanding of insurance policies and legal precedent help us protect our clients from claims of bad faith.

  • Represented Lloyd's Market in investigation of residential fire loss claim, including EUO to address misrepresentations in the underwriting and claims process.
  • Represented insurance carrier in SIU investigation of incendiary fire loss.
  • Represented insurance carrier in SIU investigation of a reported burglary that involved the theft of unique collectables.
  • Represented insurance carrier in SIU investigation involving reported theft of a vehicle.
  • Represented insurance carrier during SIU investigation regarding insurable interest considerations following a fire loss in which the insured did not have a deed to the home that was destroyed in the fire.
  • Represented insurance carrier in SIU investigation involving misrepresentation during procurement of homeowner’s policy.
  • Represented insurance carrier in SIU investigation in which incendiary fire destroyed property three weeks after a smoke loss claim.
  • Represented insurance carrier during SIU investigation of water intrusion and mold claim.
  • Represented insurance carrier during SIU investigation of automobile fire.
  • Represented insurance carrier during SIU investigation that involved insured’s failure to cooperate with investigation.
CONTACT

If our Group can assist you in any manner, please contact:

James C. Gray III

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