the siu group appreciates the opportunity to serve you !

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THE SIU GROUP appreciates the opportunity to serve you! We provide SIU Investigative Services and Surveillance Operations http://www.thesiugroup.com / http://www.flinvestigator.com / http://www.truebackgroundcheck.org / We provide SIU investigative services and surveillance operations in: Our associates are trained and experienced Insurance Company SIU Investigators and Claims Adjusters that provide investigation services to Insurance Company Claims Departments .

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THE SIU GROUP appreciates the opportunity to serve you ! We provide SIU Investigative Services and Surveillance Operations http://www.thesiugroup.com / http://www.flinvestigator.com / http://www.truebackgroundcheck.org / - PowerPoint PPT Presentation

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Page 1: THE  SIU GROUP appreciates the opportunity to serve you !

THE SIU GROUP appreciates the opportunity to serve you!We provide SIU Investigative Services and Surveillance Operations

http://www.thesiugroup.com/http://www.flinvestigator.com/

http://www.truebackgroundcheck.org/

We provide SIU investigative services and surveillance operations in:

Our associates are trained and experienced Insurance Company SIU Investigators and Claims Adjusters that provide investigation services to Insurance Company

Claims Departments.

 

Page 2: THE  SIU GROUP appreciates the opportunity to serve you !

Joseph J. CallahanOperations ManagerState license: C1100547 A 1200016 [email protected]

(904) 463-5632

    SIU Special Investigator (Progressive, Nationwide) - 5 years        Private Investigation (Pinkerton’s) - 6 years           State Compliance/Regulation Investigator - 18 years – Health Care Licenses & Workers Compensation (DFS, DBPR, DOH) (13 years Medical Malpractice Investigator – Board of Medicine)*******************************************************Former President - North Florida Chapter, IASIU - International Association of Special Investigation UnitsFormer Committee Member - FIFEC, Florida Insurance Fraud Education CommitteeB.S. – Criminology, Florida State University  

Page 3: THE  SIU GROUP appreciates the opportunity to serve you !

SIU SERVICES State license: A1200016 

  All staff investigators are Class C licensed Private Investigators with SIU and claims experience or 0520 Claims Adjuster Licensed.

There has been an increase in the industry for Private Investigators to be contracted to perform investigative work in claims as a SIU (Special Investigation Unit) function. Many do a good job, but there are many who do not have the experience working inside a Claims Department, either as an adjuster or SIU Investigator.

The SIU Group are investigators with claims adjusting and SIU experience. They know what you are looking for in regards to claims handling, SIU contributions to the file, timeliness, and professional content of reports.

Page 4: THE  SIU GROUP appreciates the opportunity to serve you !

SIU SERVICES  Submit a case to us by clicking here - http://www.thesiugroup.com/REFERRAL.htmlOr by submitting an email to [email protected]                    The SIU Group provides Private Investigative Services by Investigators with experience as SIU Special Investigators and/or licensed Claims Adjusters.Our staff are trained and skilled at reviewing a claim file, identifying issues that warrant a Referral to SIU, setting Action Plans, and conducting investigations that support and defend claims decisions. They will provide an Action Plan for investigative tasks, can give guidance and direction to the claims associate, conduct SIU Field Investigation, conducting EUOs, and participating in a Claim File Conference with the adjuster, Claims Manager, and legal Counsel. Our staff also serve as the SIU designate for your company, file the referral to the State of Florida DFS - Division of Insurance Fraud and NICB (for member companies)They will also file the Fraud plan with DIF, and conduct Fraud Awareness Training for all claims staff.We also have other investigators with years of experience and skills at conducting Surveillance.

Page 5: THE  SIU GROUP appreciates the opportunity to serve you !

THE SIU GROUP(904) 463-5632, THESIUGROUP.COM

[email protected]

OUR STAFF ARE TRAINED AND SKILLED AT REVIEWING A CLAIM FILE, IDENTIFYING ISSUES THAT WARRANT A REFERRAL TO SIU, SETTING ACTION PLANS, AND CONDUCTING INVESTIGATIONS THAT SUPPORT AND DEFEND CLAIMS DECISIONS.

THEY WILL SET AN ACTION PLAN FOR INVESTIGATIVE TASKS, GUIDANCE AND DIRECTION TO THE CLAIMS ASSOCIATE, SIU FIELD INVESTIGATION, CONDUCTING EUOS, AND PARTICIPATING IN A CLAIM FILE CONFERENCE WITH THE ADJUSTER, CLAIMS MANAGER, AND LEGAL COUNSEL.

Examinations Under Oath • PIP(Personal Injury Protection)

Investigations & 2013 PIP Compliance • PIP Verification of Inoperability

& Verification of Alternate PIP Sources • Recorded Statements • Clinic Inspections &

Investigations • Surveillance • Skip Traces (Witness Locate)

and Background Checks • Criminal and Civil Record

Checks • Loss Scene Investigations • Evidence Collection,

Preservation and CC&C Management

Litigation Support • Major Case Investigation and

Management • Alive & Wellness Checks • Expert Witnesses • Referrals to DFS Division of

Insurance Fraud (state compliance) • Referrals to NICB if the carrier is

a member company • Fraud Awareness Training for

Claims Staff • Claim File Review and

Identification of Fraud Issues • SIU Action Plans, Direction and

Guidance to Claims Associates • Additional SIU Services Tailored

to Your Specific Needs

Page 6: THE  SIU GROUP appreciates the opportunity to serve you !

COVERAGE AREACoverage throughout the state including the Panhandle

EXPANSIONWe are in the process of expanding our coverage area to

Georgia, Alabama, and South Carolina.

Page 7: THE  SIU GROUP appreciates the opportunity to serve you !

SIU FIELD WORK Loss Scene Investigations, Field Investigations, and Claimant

Recorded Interviews $ 85 per hourA summary update will be provided 3 days or less and the final report, with photos and any statements within 7 days.

Our Investigators are trained and experienced in diverse situations requiring investigation, particularly relating to insurance claims, civil litigation, and criminal matters. We are available to address any of your investigative needs at our standard rate.

Page 8: THE  SIU GROUP appreciates the opportunity to serve you !

SURVEILLANCE $ 600 Flat Rate, for 8 hours on site. $ 85 each additional hour requested. A verbal and email report of the results will follow the

operation within 24 hours. The Investigative report will be provided within 3 days of

the completion of the assignment via email. The hard copy report with any video documentation on CD will be provided within seven days.

Page 9: THE  SIU GROUP appreciates the opportunity to serve you !

EXAMINATION UNDER OATH$ 600 Flat Rate

* This Flat Rate applies to EUO assignments that do not involve field investigation activity. Rate is for file review and preparation, EUO notification, and conducting EUO, and summary report.

$ 50 charge for live streaming, If you choose to use that added Service.

Page 10: THE  SIU GROUP appreciates the opportunity to serve you !

Ever wanted to have someone in person at a EUO, but travel and time constraints prevented them from being present?

The SIU Group uses a company to provide live streaming of the EUO.

You can sign in from your office and monitor the EUO as well as IM the Investigator with your input. Several people involved in the claim can sign in and view the EUO.

This is a valuable tool in conducting EUOs. It gives you control at your convenience.

Page 11: THE  SIU GROUP appreciates the opportunity to serve you !

CLINIC INSPECTIONSClinic Inspections: Flat Rate $ 500 or $ 85.00 per hourClinic Inspections include a site visit by the Investigator with photos of the facility exterior and interior (interior when permitted). The Investigator will compile a list of all equipment used and connected to billing procedures. The Investigator will also report on all licensed and non-licensed personnel at the facility and a licensure check of staff. Inspection will also include a database search and court records check of all identified owners or corporate officers.

Page 12: THE  SIU GROUP appreciates the opportunity to serve you !

BACKGROUND CHECKS

Background Checks: $ 50 Flat Rate The Background Investigation will include: Basic B/I or locate charge is $50 for data base search for current address, alternate addresses, court records search, and any other data base runs. Multiple person checks of 5+ at rate of $35 each.A summary report is provided with this service.

Page 13: THE  SIU GROUP appreciates the opportunity to serve you !

RATES Hourly Rate for Investigative Work $ 85 per hour

Travel time and mileage will be charges for work outside a primary city of coverage. The hourly rate plus (IRS Mileage rate of $ 0.56 per mile).

Surveillance Flat rate $ 600 (8 hours)

Clinic Inspections $ 500

Background data base checks $ 50

Page 14: THE  SIU GROUP appreciates the opportunity to serve you !

A LISTING OF OUR SERVICES:• Examinations Under Oath• PIP(Personal Injury Protection) Investigations & 2013 PIP Compliance• PIP Verification of Inoperability & Verification of Alternate PIP Sources• Recorded Statements • Clinic Inspections & Investigations• Surveillance• Skip Traces (Witness Locate) and Background Checks• Criminal and Civil Record Checks• Loss Scene Investigations• Accident Reconstruction & Biomechanical Evaluations• Evidence Collection, Preservation and CC&C Management• Litigation Support• Major Case Investigation and Management• Alive & Wellness Checks• Expert Witnesses• Document & Handwriting Examinations• Referrals to DFS Division of Insurance Fraud (state compliance)• Referrals to NICB if the carrier is a member company• Fraud Awareness Training for Claims Staff• Claim File Review and Identification of Fraud Issues• SIU Action Plans, Direction and Guidance to Claims Associates• Additional SIU Services Tailored to Your Specific Needs

 

Page 15: THE  SIU GROUP appreciates the opportunity to serve you !

FINAL COMMENT As for myself, a former; SIU Special Investigator for Progressive and

Nationwide, Chapter President of IASIU, Committee Member of FIFEC, and our other staff with similar backgrounds, we know what you want and expect from a Investigation vendor.

When I first entered the SIU Community in 2001 the training and mentoring from both my employers mentioned above was comprehensive, professional and the best I have seen in the industry. In return, they expected superior expert performance, as it should be. Our staff here at The SIU Group aim to deliver that level of service to you.

Call us or email and one of our staff will visit with you and answer all your questions.Thank you for your time and attention.Joseph J. Callahan – Operations Manager (904) 463-5632http://www.thesiugroup.com/ [email protected]