The uncertainties in life are what led to the invention of insurance companies. They are necessary when you have suffered a loss in terms of property and limb. When such an event happens, there has to be the establishment of facts surrounding the incident, to know who is responsible, and therefore if compensation is necessary, and to what extent. There have been many cases where clients and the insurance companies have disagreed on the settlement terms, due to the complexities of the claims at hand. While the client is crying foul, the insurance company will feel justified to have given such a settlement amount. This is where a forensic services provider comes in. They rely on their expertise to find out the true cause of the incident and present these facts clearly.
There is no shortage of case where their services are applicable. They will be there when you find most of your clients saying you acted in bad faith. There is the expectation that the clients will have lawyers, hired to show that the claim was unfairly denied, that you were not awarded as per the signed contract provisions unfairly, or any other way to show that your treatment was unfair when compared to a similar one that was reasonable.
A lack of proper investigation on your (art makes it easy for their lawyer to win. You will thus have legal troubles when it comes across that you denied or delayed a claim, or did not properly investigate it. The same shall be the case if they can show that your interpretation of the contract was biased and so minimal as to end up being unfair to the client. Their case only gets stronger if they can prove that you did not settle with a client adequately, with no reasonable reason why.
There is no shortage of incidences where clients are trying to defraud insurance companies through wrong claims. They have led to severe losses for insurance companies on the past due to their numbers. This is why you need to have the best forensic investigation services on board, to make sure that each claim is in good faith, and right.
There are rights that clients have when they enter such contracts. You also have certain rights that the clients or any other party should not violate. If an investigation is not done properly, it becomes easy for all rights to be violated. This does not mean that there are no good actors in the industry, as there are many cases that go off without such hitches. But there are other cases where it is necessary to seek third party intervention to ensure fairness.