Love Love Love this vendor!
We have a viable subro claim against multiple co-defendants. Direct Insight completed the scene investigation – their expert knowledge and experience in these types of claim dynamics is vital to the recovery outcome. The scene investigation preserved the evidence that demonstrates liability on the part of the multiple co-defendants. This vendor specializes in difficult coverage issues and complex liability issues – I trust only this vendor to handle these types of assignments. Direct Insight is versed in all types of claims, not just work comp, and that is also very important to our investigations. They “get it” when it comes to what we need and what we are looking for with every assignment. I have never had a poor result with this vendor.
Surveillance video helped settle for much less!
We had PTD exposure for multiple reasons on a young male injured worker. Surveillance video contradicted his claims, and we were able to settle this file for much less than paying permanent-total benefits for the rest of his life.
We sent Direct Insight out on a fatality investigation. They got on the scene fast, which was instrumental in confirming that the injury was compensable while also complying with Texas DOI fatality reporting requirements. They ruled out a sudden medical emergency, interviewed state police, and also ruled out any subro potential.
Great to work with!
Gunnar and Jenn always respond timely to assignments and get the information we need.
Gunnar is persistent and thorough!
I do not feel I would have gotten the information from our insured over the phone that the investigator did in person. Insured was not forthcoming with everything I asked, yet when the investigator was there, he spoke freely – even admitting to drug use. Claim denied due to positive drug/alcohol screen.
Direct Insight provides the whole package
This was not only a scene investigation but also a coverage/class code investigation involving a fatality of the claimant. It takes more than just a person taking video of someone’s actions. We have many complex coverage cases, so having an experienced insurance claims investigator to carry out the difficult assignments we refer to Direct Insight is imperative. Unlike some of the other vendors who specialize more in surveillance than investigations, Direct Insight provides the whole package.
Major class code issue
This was a Michigan policy with Wisconsin exposure, and the claimant resided in Texas. The insured’s policy was for a painting and wallpapering business. The scene investigation revealed that they sandblasted and painted water towers in multiple states. Direct Insight traveled to all three states to investigate the insured, the accident site, and the claimant. Exposure was well over $300K – claim was denied based on findings during scene investigation.
Claimant had previous injuries
Direct Insight was able to find out that the claimant was on medication for pain issues prior to this accident. This allowed us to identify previous medical care and force settlement of $5,000 versus a 14-day hospital stay, lost wages, and permanency.
Premium fraud found during scene investigation
Direct Insight determined that our insured has three other businesses all listed at the same address as our policy, with no separate comp insurance. Also determined that the address of our policy is an office building when in fact we insure a hotel. This resulted in ability to go after additional premium.
Scene investigation completed concerning the location of the accident and the capacity in which the claimant was working. Following Direct Insight’s investigation and in-depth legal analysis, this claim was denied. Approximate savings = $179,000.