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National Comprehensive SIU Program

  • Management & Oversight
  • State Compliance
  • Fraud Prosecution
  • Fraud Training Classes
  • Vendor Management
  • Employee Awareness Program
  • Consultation

Argus West is a leading provider of national contract SIU services. We provide your company with our expertise in detecting suspected fraudulent claims, referring cases and successfully prosecuting fraud. That means you can identify red flags early on, contain the cost of fraudulent claims and reduce the risk of future loss.

Our SIU staff has a combined experience of over 60 years with expertise in claims handling, law enforcement and fraud investigation to include; claimant, premium and provider fraud. We are industry leading experts trained to detect and prevent insurance fraud with the latest investigative tools. Because of our extensive experience, reputation and rapport in the industry, we are able to work hand-in-hand with law enforcement, each District Attorney’s Office and Department of Insurance throughout the state.

We understand the need for a quick and analytical plan of action (POA) when it comes to managing a claim file with potential fraud. Our expertise does this efficiently and effectively without large up-    front costs. Our POA will identify the viability of fraud potential and recommendation to help “manage” the claim file rather than “process” the claim file. Our strategies come from experience developed while working for a large carrier as the National SIU Director. These proven strategies help minimize the overall exposure to a claim file by reducing malingering claims while assisting with the closure of suspect claims sooner.

Argus West has the ability to provide all SIU services necessary. If you seek an industry leading SIU to manage this process from state compliance, annual fraud training to fraud prosecution, Argus West can be your dedicated program. Some of our clients have the need for a vendor management component. Our experience allows us to customize a program of any size.

Vendor Management has its positives and negatives. Our vendor management program has many more positives than other investigative programs. One of the largest complaints about vendor management, is most national investigative companies will nickel and dime the vendor panel participants. They offer low reimbursed rates with overbearing client managers. Argus West has solved this problem by having a well-established relationship and understanding with very capable competitors. Most importantly, we do not nickel and dime their reimbursed rate or expenses. We do this because we are not like the national firms who need to make large profits off their vendor management program. Argus West doesn’t seek or attempt to handle the field work ourselves, but rather make sure the assignments are being handled by the best investigative companies with efficiency and professionalism. Lastly, think about the type of work product our model creates. With the national companies reduced reimbursed rates, this forces their panel companies to use lesser skilled investigators on those claims. Do you really want that? Instead, our network is paid a better rate, keeping the most qualified investigators handling your claims.

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