FCI INVESTIGATIONS

WHERE VIDEO AND INFORMATION ARE KING!

OUR MISSION

“Our mission at FCI is to be at the forefront of the investigative industry with getting results and being

your partner in fighting fraud. We are a results driven company. We offer cost containment solutions for our

clients. At FCI you can be assured that all of your investigative needs will be met. Our focus will be to

handle your investigative needs from your initial contact to the complete resolution by strong focus on

customer service, investigative expertise and RESULTS.”

SERVICES OFFERED(FCI is a full service investigative company)

SIU RAPID REACTION TEAM AOE/COE Investigations SIU/File Review and DIF Submission EUO Fatality Scene Investigations Statements and Interviews Clinic Investigations Theft & Property

INVESTIGATIVE TEAM Surveillance Neighborhood Canvasses Background Investigations Hospital and Pharmacy Verifications Alive and Well Verifications

AOE/COE INVESTIGATIONS

Combat Fraud on the front end Initiate within 24 Hours Secure statement before they “lawyer

up” Speak with witnesses before they

“disappear” or forget Photograph scene Secure evidence Determine Subrogation Sets up for future surveillance

FILE ANALYSIS & DIF REFERRALSFCI, YOUR PARTNER IN SIU

FILE ANALYSIS

Review of Field Notes Review of Surveillance tapes Review of Doctor Notes Review of Depositions & EUOs Review of Statements Determine if there is proof of intent Determine if further investigation is

needed Determine if any inconsistencies within

the file

DIF SUBMISSION

Write Summary of Analysis Organize File Material Meet with Officer assigned to file Following up Report outcome of submission

626 Compliant

Florida law requires that all licensed insurers and health maintenance organizations establish a special investigative unit and/or file an anti-fraud plan to the Division of Insurance Fraud.

FCI can partner up with your existing SIU team

FCI SIU Provides:

Claim Investigation Services Fraud Detection & Prevention On Site Consultation with Established

Office Hours Fraud Feasibility Analysis & Reviews State Fraud Referrals State Compliance & Reporting Toll Free Fraud Hotline

What FCI does to Build a Successful Fraud Case

Evidence, medical report, video surveillance, documentation

Deposition – key to lock down testimony so that they can’t recant their statement (invaluable tool to use following surveillance or receipt of prior medical complaints & treatment

Organized case to present to the Department of Insurance Fraud – the file “needs to speak for itself” – include First Report of Injury, Transcribed Statements, Medical Records, Depositions

SURVEILLANCE

Why do it?

Why it works

How it works

How often?

OUR INVESTIGATIVE TEAM

Profile Case Social Media Search Assigned to the field Vary up times Communication between Managers and

Investigators Communication back to the adjuster or

SIU Recommendations

What sets us apart? Investigative Staff Management Better Customer Service Pricing No Sub-Contractors

Investigative Staff We build from the ground up – our

investigators are our product Good pay, benefits, video bonus program =

RESULTS Evaluated on a Metric performance system of

stats and time service Other companies build from marketing – sell,

sell, sell

Management Managers promoted from the field Manage on average only 8 investigators Constant communication with the

investigators Continuously strategizing cases Working smart – varying up times Profiling

Better Customer Service

We deal directly with the adjuster or SIU They get a better feel for their cases No middle man like sub-contractors

Biggest Complaints Home/No Activity – FCI gets information No suggestions or recommendations Lost at light They worked it 6AM to 2PM every day! Not letting adjuster know if case is burned

FCI works budget smarter Don’t eat up budget by sitting the mandatory 4 hours Getting results cuts down on exposure

RATE SCHEDULE

AOE/COE Investigations $75.00 per hour EUO $75.00 per hour Surveillance $560.00 per day Neighborhood Canvasses $200.00 Flat Rate Background Investigations $80.00 SIU/File Review $700.00 DIF Submittal $700.00 Scene Investigations $75.00 per hour Statements and Interviews $75.00 per hour Hospital Verifications $99.00 (up to 24) Pharmacy Verifications $99.00 Clinic Investigations $600.00 Flat Rate per day Alive and Well Verifications $200.00 Flat Rate

No Sub-contractors No “middle-man”

Investigators are managed by our managers

It all goes back to communication

Equipment We have a dedicated Linux based web-

server Our software developers have modified

the Cent-os Linux key components to heighten security

We are behind a double-NAT managed Watch Guard firewall which is hardware based

Capability of sending video & statements electronically

PASS(Partner Access System Solutions)

Secure Access to your cases, files & videos

Assigned log in and password

Staff Multilingual – Spanish, Creole, Arabic,

Portuguese, German, and Hebrew Experienced SIU Team All staff can communicate electronically

through computers and blackberrys State of the art video cameras Digital and micro-cassette dictation

equipment Digital Cameras Inside video equipment Well maintained vehicle

Evidence Evidence is stored in a secured, locked,

climate controlled evidence room in our office

Additionally, evidence is stored electronically

Time Service Normal turn around is 10 – 14 days Can turn around in 24 to 48 hours Five tier Q & A process on reports and

video