Mission Statement:

Our mission is to support claims & SIU teams by restoring bandwidth, clarifying inconsistencies, and delivering thorough, independent analysis guided by human judgment, integrity, and confidentiality.

Why we exist

Claim Analysis Group exists to strengthen the fight against insurance fraud. We are built on real-world experience across claims, SIU, and compliance in complex, multi-jurisdictional environments.

We’ve seen firsthand that questionable claims often slip through—not due to lack of expertise, but because adjusters and SIU teams face real constraints: limited time, bandwidth, and competing priorities.

Our role is to support that reality. We provide structured, independent SIU analysis that brings clarity to claims requiring closer review without disrupting workflows or requiring system access.

Our team is made up of experienced claim adjusters, SIU investigators, data analysts, and compliance professionals with over a decade of industry experience.

Remote Service Available Nationwide

We do not replace internal teams, dictate outcomes, or access client systems. Our role is to bring structure, clarity, and documented analysis to claims that benefit from an additional layer of review.

Our work is designed to:

Recovering Bandwidth
Interpreting Inconsistencies
Ensuring Thoroughness

We apply human judgement where automated tools flag patterns but cannot assess behavior.

We step in when high caseloads limit your capacity for deeper review

We ensure no potentially significant details is overlooked simply because time is limited

Our Guiding Values

Clarity Over Assumption

Bring order to files through structured analysis and organized, reliable findings

Integrity First

Honesty, neutrality, and respect for the truth. Grounded in evidence

Every detail is handled with highest standard of discretion and security

We apply a balanced, human-led approach, critical thinking is key

Confidentiality
Human Judgement
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silhouette of man illustration
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close-up of lighted candle
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red padlock on black computer keyboard
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love truth again illustration

Who We Serve

We provide essential investigative capacity and clarity to the professionals and organizations who need it most

  • Insurances Carriers (SIU analyst, Claim managers & Adjusters)

  • Broker & MGAs

  • Third Party Administrator

  • Self-Insured Entities

  • Any team that needs independent, structured SIU-focused analysis to make confident decisions.

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man in white dress shirt sitting beside woman in black long sleeve shirt