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FRAUD INVESTIGATIONS: COMMON STUMBLES
- Watch content of letters and phone calls to claimant, insured or beneficiary

- Communications should be only as needed
- Failure to keep records of telephone calls
- Voicemail, e-mail and other computer records are retrievable
- Failure to complete a thorough investigation
- Failure to adhere to Statutory timing requirements for processing
- Failure to have all file review opinions in writing
- Delayed or lack of contact with Law Enforcement agencies
- Delayed claim decisions
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