Who We Are

Claim Analysis Group Claim exists to strengthen the fight against insurance fraud.
We support insurers, TPAs, MGAs, and self-insured organizations that require structured, human-led investigative insight when claims present fraud indicators, documentation concerns, or unresolved questions.

CAG Team Members
CAG Team Members

The Reality We Solve

Questionable claims rarely present straightforward answers.
Fraud indicators may appear without establishing what occurred.
Documentation may seem credible while containing inconsistencies.
Timelines may conflict, and verification may raise new questions.

These situations require more than identifying a red flag. They require disciplined investigative analysis capable of:

• Separating reported information from verified facts
• Evaluating evidence in context
• Identifying inconsistencies and gaps
• Documenting the reasoning behind investigative findings


CAG provides that independent analytical perspective, helping claims and SIU teams move from uncertainty toward clarity while preserving objectivity, transparency, and defensibility.

Our Roles & Operational Boundaries

CAG does not adjust claims, determine coverage, settle files, or make final decisions.
Those responsibilities remain entirely with the client.

Our role is to provide structured, evidence-based analysis and transparent documentation that support informed and defensible outcomes.

No IT Intergration

CAG operates outside internal carrier systems.
Our engagements require no software implementation, system integration, or direct access to client platforms.

Client-Controlled Scope

Clients determine what information is provided and define the scope of each engagement.
CAG conducts its analysis using the materials supplied, supported by appropriate independent verification resources..

Independent Verification & Analysis

Our work may include:

• OSINT
• Public-source information
• Document and metadata analysis
• Cross-referencing and timeline evaluation
• Other desk-based verification methods appropriate to the investigative question

Client-Retain 100% Decision Authority

Experience Behind the Analysis

CAG is built on more than a decade of hands-on experience across:

• Property, travel, and casualty claims
• Investigative analysis, fraud analysis, and SIU
• Compliance
• Data analysis


This multidisciplinary background allows us to examine questionable claims through both an investigative and analytical lens evaluating evidence, testing material information, identifying inconsistencies, and documenting findings with clarity.

CAG complements the expertise already within claims and SIU organizations by providing an independent analytical perspective when a file presents fraud indicators, documentation concerns, or unresolved questions that warrant deeper examination.

Turnaround Times

All reviews are conducted promptly while maintaining the analytical rigor required for defensible investigation insight.

2 Days - 5 days

Travel Claim Analysis

1 - 3 days

Fraud Indicator Analysis

Claim Defensibility Analysis

Most Claim Defensibility Analysis are completed within 3-6 business days, allowing sufficient time for disciplined review of claim documentation, investigative steps, and decision rationale

Tel: 713-487-7297

Email: contact@claimanalysisgroup.com

Address: 11811 North Freeway, Suite 222, Houston, TX 77060

© 2026 Claim Analysis Group, LLC. All Rights Reserved.

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