Investigation Services for Third-Party Administrators
Exero Claims provides claims investigation and field services for third-party administrators managing insurance claims in the Czech Republic.
TPAs can instruct individual investigations or use Exero Claims for recurring local investigation and verification requirements.
Local Investigation Support
Services available to TPAs include:
- Insurance claims investigations
- Surveillance and activity verification
- Background and prior claims investigations
- OSINT and SOCMINT
- Scene investigations
- Witness interviews and recorded statements
- Insurance fraud investigations
- Compliance services
- Workplace injury investigations
- Disability and benefits verification
- Litigation support
- Other authorized field enquiries
Surveillance
Surveillance can provide an independent record of publicly observable activity relevant to a claim.
Field Investigations
Exero Claims can conduct scene enquiries, witness interviews, address verification and other fieldwork required for claims being administered in the Czech Republic.
Compliance and Continuing Claims
TPAs managing disability, workplace injury, sick leave or other continuing claims can instruct compliance visits and other field verification.
Suspected Fraud and Misrepresentation
Where a referred claim contains inconsistencies or concerns requiring investigation, Exero Claims can conduct factual enquiries according to the TPA's instructions.
The TPA or its client retains responsibility for claims and fraud determinations.
Supporting Multiple Client Programs
A TPA may administer claims for multiple insurers, employers or other organizations.
Where agreed, assignments can follow client-specific questions, authorization procedures and reporting requirements.
Individual and Recurring Assignments
Exero Claims can accept individual referrals or support recurring investigative requirements in the Czech Republic.
Each investigation remains subject to the authorized scope and instructions for that assignment.
International TPAs
Claims administrators outside the Czech Republic can instruct Exero Claims when local investigation or verification is required within the country.
Reporting
Reports describe the work performed and information developed.
The TPA and its instructing client retain responsibility for claims, coverage, liability, fraud and payment decisions.
Czech Republic Coverage
Investigation and field services can be provided 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.
Assign a Claim
Submit the claim information and investigative requirements through the Exero Claims Assignment Portal.