Remote Service Available Nationwide

1. Intake & Documentation Review

2. Pattern & Behavior Analysis

3. Independent finding Report

4. Optional Clarification Call

Our Review Process

1. No duplication of adjuster work: We complement, never replace the initial claim review

2. Fraud-focused methodology: Every service is built to uncover fraud exposure, inconsistencies, and indicators, not simply restate facts

3. Actionable intelligence: Our reports are structured for clarity, defensibility, and immediate use in carrier and SIU decision making

4. Human-led expertise, not automation

The CAG Differences

• Clarity without disruption: We enhance insight without changing your workflow.

• Neutral: No advocacy for closure or escalation.

• Defensible: Evidence-based investigations with clear documentation.

• No Integration: We work outside your systems no IT onboarding, no platform access, no credentials required.

• Responsive: Inquiries answered within one business day; urgent reviews scheduled same day when possible.

• Independent: We provide structured investigative insight only—no claim adjusting, coverage decisions, or PI services. All data comes from public, legally accessible sources.

Our Approach

Turnaround times

• Verification Insights Review:

• 24-48 hours

• Travel Claim Fraud Review:

• 24 hours - 3 days

• Fraud Indicator Review:

• 3-6 days

• Expedited investigation available upon request

Fraud Indicator Review

Common Scenarios

• Contradictory statements

• Conflicting documents

• Suspicious medical bills

• Staged-loss indicators

• Documentation inconsistencies

• Provider red flags

• High-exposure or sensitive claim

Travel Claim Review

Common Scenarios

• Unverifiable itineraries

• Altered receipts

• Late-document submissions

• Multiple trips in short timeframe

• Patterns of repeat claims

• Screenshots

• PNG or JPEG photos

• No identification or lost identification

Verification Insight Review

Ideal For:

• Mild discomfort but no clear red flags

• Inconsistent FNOL details

• Behavioral indicators

• Need to determine if escalation is warranted

Claim Defensibility Review

Claim quality reviews designed to assess whether a file has been investigated thoroughly, documented clearly, and supported in a way that can withstand internal scrutiny, regulatory review, or legal challenge.