9255 Corbin Avenue
Suite 200
NORTHRIDGE CA 91324-2401
(800)
743-2524 
818-782-5887 Fax:
818-734-7847
SIU Referral – Liability Claims
From ___________________________ Company: ____________________________ Date: _______________
Insured: _________________________ Loss Date: ___________________________ Policy No: __________
Claim No: ______________________________________ Other: ____________________________________
Insured or claimant is unusually knowledgeable with regard to insurance terminology.
Insured or claimant handles all business in person
Loss occurred within two months of policy inception
Insured or claimant is in financial difficulty
The insured acquired the policy from an agent far from his home or business.
The insured or claimant has temporary, or out of area, identification.
The policy is the insured’s first insurance policy.
The insured or claimant has a history of prior losses
Telephone number for insured or claimant is an answering service or voice mail
First contact from claimant is from an attorney.
Claimant has physical therapy for soft tissue injuries more than three times a week.
Claimant treats with a medical practitioner more than 10 miles from his home.
Claimant retains attorney on the day of loss.
Claimant wants quick settlement
Claimant files suit before negotiations begin
Comments: ____________________________________________________________________________________________________
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Each indicator checked is important. If three or more are checked there is a potential for a suspected fraudulent claim and the file should be referred to your SIU, FIMAT.
No single indicator, or combination of indicators, makes a claim fraudulent. It only indicates that a file deserves a more intense investigation by your SIU, FIMAT.
Last Updated August 18, 2007