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In the context of auto accident insurance claims, the acronym SIU refers to “Special Investigation Unit.” All the big auto insurance companies have an SIU of some type. The primary purpose of these investigation teams is to uncover fraudulent claims activity in auto accident cases.

The role of the SIU is to identify and investigate claims that may be fraudulent or otherwise merit further examination. This can include claims that involve unusual circumstances, excessive or unrealistic damages, or inconsistencies in the documentation or evidence provided by the claimant.

If an insurance company believes a claim may be fraudulent, it will typically refer the case to its SIU for further investigation. The SIU will then conduct a detailed examination of the case, gather additional information and evidence, and determine whether sufficient evidence supports the claim.

Insurance companies seem to think auto accident claim fraud is widespread and pervasive. I disagree with this view as to how prevalent claims fraud is. However, there is no dispute that many car accident claimants either exaggerate their injuries or even make them up entirely.

The primary duties of an SIU include conducting investigations into claims that have been identified as potentially fraudulent or suspicious, gathering and analyzing evidence, interviewing witnesses and claimants, and working with law enforcement agencies to prosecute fraudulent claims. They also work to identify trends and patterns of fraudulent activity, and to develop and implement strategies to prevent fraud from happening in the first place.

SIU investigations may involve a wide range of insurance products, including health insurance, life insurance, auto insurance, and property and casualty insurance. They may also involve a wide range of fraudulent activities, including false claims, staged accidents, and identity theft.

Good car accident lawyers in Maryland understand that SIU units serve an important function and are beneficial. Why? Because ridding the system of fraudulent accident claims leaves a larger pie – and a more differentiated pie – for people who suffer legitimate injuries in car accidents and deserve full compensation. When insurance companies payout on fraudulent claims, it takes money away from valid claimants. Standing and fighting against fake accident claims is the best thing insurance companies can do for truly deserving victims.

This is why most SIU investigations involve claims based on soft tissue injuries. If you have a case under SIU investigation, the best way to handle it is by being proactive. Taking a “wait and see” approach can be a big mistake regarding SIU investigations. The best strategy is to confront the issue head-on. If possible, contact the SIU investigator to discover why they are suspicious. Then do your own investigation of the claim and provide additional information that might help clarify some confusion and assure the SIU that your client is being honest. If your investigation reveals strong suspicions of fraud, you should probably withdraw from the case.

One thing I found of interest in writing this post is GEICO’s advice on dealing with potential fraudulent claims. They tell their insureds to “look out for large, older vehicles with three or more occupants.” This sounds a bit like profiling to me. Should we also be on the lookout for poor people? I mean, it might be statistically true, but it seems a little ill-advised to point this out.

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