Exero Claims — Insurance Claims Investigations
OUTSOURCED SIU SERVICES

Outsourced SIU Services

Outsourced SIU support means using an external investigative resource to carry out the investigations a claims or special investigations team refers to it. Exero Claims provides this support for insurers, TPAs and self-insured organizations that need investigative work in the Czech Republic, for individual referrals or on a continuing basis.

Claims professionals reviewing an investigation together in a Central European meeting room

The difference from assigning a single investigation is the working relationship. The client's team keeps control of its files and decisions, and Exero Claims acts as its investigative resource in the Czech Republic, working to the client's referral and reporting requirements.

When Outsourced SIU Support Is Used

Organizations typically use outsourced SIU support when:

  • They do not maintain their own investigative resources in the Czech Republic
  • An internal SIU or fraud team needs local investigative work carried out in the Czech Republic
  • Recurring referrals call for a consistent investigation and reporting arrangement
  • An insurer based outside the Czech Republic has claims requiring Czech investigation

Individual Referrals and Continuing Support

Insurers and claims organizations can refer individual claims requiring investigation in the Czech Republic. Exero Claims conducts the authorized investigation and reports the findings to the instructing client.

Exero Claims can also provide continuing investigative support where an insurer, TPA or self-insured organization requires recurring investigation in the Czech Republic. Each assignment remains subject to the client's authorization and investigative requirements.

Support for Internal SIU Teams

An insurer's existing SIU or fraud team can use Exero Claims for local investigative activity in the Czech Republic.

This allows the client's internal team to retain control of the investigation while Exero Claims performs authorized local research, interviews or fieldwork.

Working to the Client's Procedures

Assignments can be conducted according to agreed:

  • Referral instructions
  • Investigative objectives
  • Authorization procedures
  • Reporting requirements
  • Client-specific requirements

What the Client Receives

For each referral, the client receives a factual investigation report prepared to the agreed reporting requirements.

Reports describe the investigative work performed and the information developed, and distinguish investigator observations, witness information, third-party information and research findings where applicable. Supporting material is included where obtained during the authorized assignment.

What Remains With the Client

Exero Claims provides investigative support and factual reporting. Claims, coverage, fraud, liability and payment decisions, and the management of the client's own SIU process, remain with the instructing organization.

International Insurers

International insurers and claims organizations can instruct Exero Claims directly for claims requiring investigation in the Czech Republic.

Czech Republic Coverage

Outsourced SIU support is available for investigations throughout the Czech Republic.

Data Protection and Privacy

Investigations are conducted for an identified purpose and with regard to applicable Czech and EU privacy and data protection requirements.

Setting Up Support

Individual investigations are submitted through the Exero Claims Assignment Portal, and How Assignment Works explains the steps. Organizations considering continuing support can contact Exero Claims to discuss referral and reporting requirements.

Common Questions

Discuss SIU Support

Organizations requiring ongoing investigative support can contact Exero Claims to discuss referral requirements and case-handling procedures. Individual investigations can be submitted through the Exero Claims Assignment Portal.