Insurance Investigation Services
Insurance Fraud Investigators in New York
Insurance fraud costs New York carriers and policyholders billions every year. PI NY Group's retired NYPD investigators conduct professional surveillance, activity checks, and field investigations that produce court-ready evidence — giving insurance companies and defense attorneys the documentation they need to contest fraudulent claims.
$1B+
Annual insurance fraud cost in New York State
20+
Years NYPD investigative experience
48hr
Average surveillance report turnaround
100%
Legally compliant evidence collection
The Fraud That's Costing Your Company Right Now
Most insurance fraud is not sophisticated. A claimant who says they cannot lift more than ten pounds — photographed moving furniture. A worker collecting total disability — documented working construction on weekends. A plaintiff claiming chronic pain from a slip and fall — caught playing recreational sports. The fraud is happening. The question is whether you have documented proof.
PI NY Group conducts the surveillance and field investigations that produce that proof. Our retired NYPD investigators know how to follow a subject without detection, document activity that contradicts a claim, and produce a report that holds up in court, arbitration, or negotiation. We have done this for decades — first for the NYPD, now for carriers, TPAs, and defense attorneys throughout New York.
Video Documentation
HD video with timestamps, GPS data, and chain-of-custody records
Written Reports
Formatted for court, arbitration, and carrier review
Field Investigation
Covert surveillance by retired NYPD investigators
Types of Insurance Fraud We Investigate
Insurance fraud takes many forms. These are the most common cases we handle for carriers and defense attorneys in New York:
01
Workers' Compensation Fraud
A claimant receiving disability benefits while working another job, performing physical activities inconsistent with their claimed injury, or misrepresenting the circumstances of the original incident. This is the most frequently requested insurance investigation in New York.
02
Personal Injury Fraud
Plaintiffs exaggerating or fabricating the extent of injuries from auto accidents, slip and falls, or premises liability incidents. Surveillance documenting physical capabilities that contradict medical claims is often the most powerful evidence in these cases.
03
Disability Claim Fraud
Long-term or short-term disability claimants who are working, traveling, or engaging in activities inconsistent with their claimed condition. Activity documentation and lifestyle investigation reveal the gap between what is claimed and what is real.
04
Auto Insurance Fraud
Staged accidents, exaggerated damage claims, and fraudulent injury claims following vehicle incidents. Field investigation and background research on claimants, witnesses, and involved parties.
05
Property & Liability Fraud
Exaggerated or fabricated property damage claims, staged incidents, and fraudulent liability claims. Scene investigation, witness interviews, and claimant background research.
06
Medical Provider Fraud
Billing for services not rendered, unnecessary procedures, and provider kickback schemes. Background investigation on medical providers involved in high-volume personal injury cases.
From Assignment to Evidence — How It Works
Every insurance investigation follows a disciplined process designed to produce legally admissible evidence efficiently.
Case Received
Assignment received from carrier, TPA, or defense attorney
24hr Evaluation
Subject research and surveillance plan developed within 24 hours
Field Deployment
Covert field investigators deployed at optimal times
HD Documentation
HD video, photos, GPS data collected and secured
Report Delivered
Written report with all evidence delivered within 48 hours
Who We Work With
We provide insurance investigation services directly to carriers, third-party administrators, and defense attorneys throughout New York State.
Insurance Carriers
Direct assignment from claims departments for surveillance, activity checks, and field investigation on active claims.
Third-Party Administrators
TPA assignment management with standardized reporting formats and direct investigator communication.
Defense Attorneys
Surveillance and activity documentation for personal injury defense, workers' comp defense, and fraud litigation support.
Self-Insured Employers
Large employers managing workers' compensation claims internally benefit from professional surveillance and field investigation services.
Common Questions — Insurance Investigations
How quickly can you respond to a new assignment?
Same day acknowledgment for all assignments. Field deployment within 24 to 48 hours depending on the case and subject location. For urgent matters, contact us directly by phone.
What format are your reports delivered in?
Written reports in PDF format with embedded video links or attached media files. Reports include investigator credentials, case reference, complete activity narrative, and all photographic and video evidence with timestamps and GPS data. We can customize format to match carrier or TPA requirements.
Do you cover all of New York State?
Yes. We conduct insurance investigations throughout all five boroughs, Long Island, Westchester, and all of New York State. For assignments outside our primary coverage area, we coordinate with trusted investigators in other regions.
Is your surveillance evidence admissible in court?
Yes, when collected properly — which is always our standard. All evidence is collected in legally permissible ways, documented with chain-of-custody records, and prepared to meet New York evidentiary standards for court, arbitration, and mediation.
Can you conduct surveillance on claimants who travel or move around?
Yes. We conduct mobile surveillance across New York State and coordinate coverage for subjects who travel. Multi-investigator deployments are available for subjects who are surveillance-aware or who travel extensively.
How do we establish a working relationship for ongoing assignments?
Contact us to discuss your volume and requirements. We work with carriers and TPAs on both individual assignments and ongoing referral arrangements with agreed response times and reporting formats.
NYPD Investigators. Not Former Security Guards.
The difference between a professional insurance investigation and an amateur one is the quality of the documentation. Evidence collected incorrectly gets thrown out. Reports written without legal standards get challenged. Investigators who don't know how to conduct mobile surveillance without detection lose the subject and waste your budget.
Cesar Malde and Felix Clase bring decades of NYPD surveillance experience to every insurance assignment. They know how to follow subjects in New York City traffic, document activity in dense urban environments, and produce reports that hold up when defense attorneys and plaintiff's counsel put them under scrutiny.
- Cesar Malde — Retired NYPD Lieutenant, Surveillance Expert
- Felix Clase — Retired NYPD Detective 1st Grade
- Licensed Private Investigators — New York State
- Statewide coverage — all of New York
Start Getting the Evidence You Need.
Same-day response. Statewide coverage. Retired NYPD investigators on every assignment.
Available 24/7 · Licensed & Insured · New York State