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| SIU Roundtable: Various Approaches to Long Term Care Investigations |
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There are many different ways to approach a potential fraud investigation. While the utilization of investigative
methods and techniques depends on the specific circumstances of the claim, the choice of how to proceed with an
investigation may also depend upon the philosophy of the insurance carrier/organization. The Special
Investigations Unit Roundtable will broach these subjects and more by discussing the advantages and
disadvantages of the different approaches and the potential implications for adjudicating long term care claims.
Such topics for discussion will include interviewing, surveillance, integration of Special Investigations Units and Long
Term Care Claim Departments, legal issues and more.
Lyn Banville - John Hancock
Reinaldo Carvajal - Genworth
Scott Henry - Metlife
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