File Reviews

File Reviews from ICS Merrill, the investigative services division of EMSI, can help you get to the sources of fraud – and eliminate them. We look through your open and closed claims to find any red flags or possible fraudulent activity. We can also educate your staff about how to identify fraud and watch for these indicators.

First, we search your files to identify any trends. During a file review, we ask questions: Is a claimant cashing checks promptly? Can adjusters reach a claimant during the day? After a thorough review, we then incorporate recurring patterns into a training program for your employees. We discuss fraud indicators with your claims staff and raise general awareness. We also address specific loss areas and develop plans of action to combat any ongoing issues.