During a routine check of long-term disability cases, a health insurance company discovers that a painter has been receiving six-digit benefits for many years because of his alleged incapacity for work. Again and again, he presents medical reports confirming that his hand was injured in a motorcycle accident and that he is therefore insufficiently robust. He collects damages, compensation and enjoys the entire free care program which includes rehabilitation exercises and massages.
The health insurance suspects that the patient has long ago recovered and has been even working alongside, but can not prove it.
KDM is commissioned to conduct investigations. The painter is observed and followed, which quickly reveals that every day he goes to a private house where he paints the façade. These activities are documented by video. This produces clear evidence which proves the insurance fraud.
Do you know where and how you are being damaged?
KDM will help you in the resolution of criminal offences such as fraud, theft, bribery, embezzlement, misappropriation of company funds, fraudulent bankruptcy as well as in damage control.
- Advice in case-by-case analysis
- Illegal know-how transfer
- Reports in the form of documentation to be used in court