You Shouldn’t Post That Here

By now we have all been schooled on what we shouldn’t post publicly in social media and why. In fact, you can read all over the internet why it is not a good idea to post your COVID vaccination card. It is also not a good idea to post about vacation plans.

When it comes to insurance fraud, a claimant’s social media posts plays an important role in any investigation. When someone is trying to claim an injury when there isn’t one, they need to lock down. You would think that the fraudster would be careful when they post publicly in social media. This is not always the case. In fact, recently we performed a deep web scan on a person suspected of insurance fraud. This was a workman’s comp case. A friend of the person actually cautioned him about a post he had recently added. She came right out and told him to be careful what he was posting. He answered her post by saying, “I not. I know how this works.” The original post was deleted, so we never knew what he posted to make her say that. It was suspicious however, that he left this exchange up on his profile page. In other words, he knew he might be watched in social media.

“Checking social media accounts has become one of the first things an insurance company or adjuster will do when you file a claim,” says Frank Darras an attorney from California who specializes in law suits against insurance companies.

Source:Auto Insurance Quote

What to Look For in Social Media

When we conduct a deep web scan, we start with the data points that we know to be true on an individual. Name, address, date of birth, employer, address and email addresses. They are all critical pieces of information because each one may hold an attachment to something online about our person of interest. It is also important in authentication. We need to be certain we have the right person.

Some tips we have learned along the way that may be of help to you include the following:

  • Check for multiple profiles. You just found your person of interest’s Facebook profile and you think you are done there. Not always so. Many people have secondary profiles. They may have set them up, forgot about them or they use each one for different things. Believe it or not, you may discover them by looking through their friends list. This is especially true in Facebook.
  • Tell a Story: Across all social media platforms, it is important to check the dates of posts. When you put them altogether, they can tell a story of a person’s activity. Just by combing through this information, you may find an inconsistency in their story or claim. Perhaps they are claiming to have taken a fall at work. Yet, a social media post may show them complaining about back pain days prior. Connecting the dots doesn’t mean they are automatically guilty, but can mean that a deeper investigation is needed, just to be sure.
  • Proof of legally attained social media posts: That is where meta data comes into play. If you find something in a person’s social media profile, you are going to want to extract that post and gather the intelligence behind it. Remember, screenshots can easily be altered.

Video is the Golden Child

Instagram, TikTok, YouTube are all examples of social media known for their videos. People post videos of all kinds of things there. Searching these platforms can be very lucrative because of it. Just remember, if you do find something important there, you will want to not only obtain the meta data, but extract the actual video to keep as evidence that is admissible in court.

Keep in mind that we can extract videos and photos as well as capture the meta data from the post. Timing is everything however, and what is here today can be gone tomorrow.

Crime Never Sleeps- COVID-19 Online Schemes & Insurance Fraud

Sadly, in times of crisis, some people use it as an opportunity to make money. COVID-19 is not an exception to that rule, and the FBI is already seeing a rise of Coronavirus fraud schemes. The FBI is warning Americans to be especially careful during this pandemic hitting our country. Always check your sources when receiving an unusual email. Do not click any links that appear suspicious.

Insurance Fraud

As business owners and employees are starting to learn what is covered under insurance and what is not covered, panic is setting in. Couple the fact that many people are out of work for an infinite amount of time, desperation can set in. People begin to do things for money that they never would have under normal conditions. We found this to be true in the beginning of the Great Recession.

Insurance Fraud

According to to the FBI, “The total cost of insurance fraud (non-health insurance) is estimated to be more than $40 billion per year. That means Insurance Fraud costs the average U.S. family between $400 and $700 per year in the form of increased premiums.” This is something that affects all of us one way or another.

If past behaviors are an indicator, we know that we are most likely going to see a surge in insurance fraud. SIU Investigators are going to be overworked in the months ahead. A surge in slip and fall cases for example will occur. The claims are bound to pile up.

Online & Social Media Research

As a company who specializes in online research for fraud assessments, I can not emphasize enough how important it is to conduct your research as soon as possible. What is here today may be gone tomorrow . People will begin to clean up their social media posts.

social media
Facebook

If you think that Google and Facebook are all you need to check, you could run the risk of losing your client or employer a lot of money. When steaks are as high as this, a deep web search will serve you best. That is because people love to share online. They may leave crumbs that lead you to the exact place you need to be.

In conclusion, it is an excellent time to get in front of your insurance clients to let them know you are there and ready to go if and when we start seeing fraud increase over the next months.

Social Media and Insurance Crimes

Ever have a claim that’s just a little “off”? Something about it just doesn’t sit right. If you need to get to the bottom of it, you might end up hiring a private investigator to track down possible insurance fraud. One of the best places to start is in social media for insurance crimes!

Joseph Jones is one such investigator. The Californian PI and vice president of Bosco Legal Services solves cases through a mixture of extensive online searches and surveillance. The 30-year-old holds degrees in social and behavioral sciences and psychology, plus multiple certifications in open source and cyber intelligence.

“What we’re able to provide in the way of evidence, it’s so good. It started with your typical workers’ comp issue, where someone claims they have neck and back problems and they really don’t, or your car accidents. That’s like the bread and butter – those are the cases that come constantly.”

The firm gets deep into social media, spending hours trawling for information on a person, often through friends’ and acquaintances’ pages – searching for comments, pictures or videos that might incriminate the claimant.

Jones finds that social media users will post information for their friends that contradicts what they’re trying to claim from their insurers, including: vacations, physical fitness, social events, hobbies, employment, and potentially incriminating places they frequently visit.

Jones said 10-20 hours of targeted online investigations can often yield more than a week’s worth of surveillance. But when social media fails, there are always the private eye fall-backs, like tailing, watching, interviewing and doorknocking.

 

Need a clearer picture? Let’s start with a story. There was a young lady who slipped and fell in a retail store. She alleged multiple injuries, including permanently disabling back issues. Her lawsuit claimed that her life would never be the same, and she sought damages of more than $100,000 from the store.

With access to multiple media sites such as Facebook, Twitter, and Instagram, the social media investigator learned that the “horribly injured plaintiff” was a college cheerleader, softball player and highly engaged in her sorority – all current activities. Targeted surveillance was ordered which produced a comprehensive video of the individual’s activities, in full color and including a smiling, very active and very healthy plaintiff.

 

When the investigation was shared with the judge, the suit was dismissed. The case ultimately closed for $2,500 in paid medical expenses.

Sadly, there are thousands of stories like this. The Coalition Against Insurance Fraud in North America estimated $80 billion per year in insurance fraud in 2016. 2017 surveys by Insurance Research Council revealed that 24% of Americans believe it’s “ok to pad an insurance claim.”

Although insurance fraud is not going away anytime soon, today’s technology makes fraud detection and prevention a much greater reality, and social media investigations play a large role in that.

There are over 200 well-known social media websites with the top four being Facebook, YouTube, Instagram, and Twitter. 300 hours of video is uploaded to YouTube every minute of the day, with 400 million photos uploaded to Snapchat daily. Amazingly, people using these sites have no concerns about the content or what the content can reveal about their activities. And it’s all public information, there for the world to see.

When a Facebook post shows a claimant with a supposed knee injury in a bowling league, complete with pictures of scorecards, including dates and times, it’s not difficult to have an investigator at the bowling alley on league night, video camera in hand to confirm the activities. That’s the kind of material people post on social media. It’s an open book!

Social media investigations are an evolving tool in the fight against insurance fraud. Professional investigators are best equipped to handle this – they have the technology and the expertise that adjusters simply don’t have, along with the contractual obligation to defend clients in case of mistakes. This type of investigation is proving to be a valuable tool in the claim handling process.