The FraudBusters

The FraudBusters Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from The FraudBusters, Medical and health, Gurugram.

Investigation & verification of Health Insurance, Life Insurance, Death, Accident, Due Diligence, IP Rights, Kidnap, Ransom, Extortion, Background Check & more.

24/04/2025

08/03/2025

Celebrating Women, Empowering Change!

This International Women’s Day, let’s honor the incredible women who inspire, lead, and transform workplaces and communities. Their strength, compassion, and innovation drive progress every day.

At HelpfulHearts, we are committed to fostering a culture of health, equality, and well-being—because when women thrive, businesses and societies flourish.

Let’s champion inclusivity, advocate for well-being, and support every woman in reaching her full potential.

Tag the women who inspire you and celebrate their achievements!

18/04/2024

Urgent hiring field verification officers on contract/part time basis for Madhya Pradesh
Job description
Urgently scouting for smart, honest Field Investigation officers (80% field work) for Madhya Pradesh especially Indore, Bhopal, Jabalpur, Gwalior, Ujjain, Satna, Ratlam, & surrounding areas with experience in Health insurance, PA, life insurance claims investigations.
Should be able to produce integrity & experience certificates from the previous employers.

Company Description
The FraudBusters is a team of experienced investigators and security professionals based in New Delhi. We are committed to helping our clients and partners find the answers they need through our investigation services. We have expertise across various fields such as health claims investigations, personal accident investigations, and life insurance investigation. Our team is dedicated to providing our clients with the expertise they can’t find anywhere else.

Role Description
We are looking for a full-time Field Investigator to join our team. This is a hybrid role, located in New Delhi with some flexibility for remote work. The Field Investigator will be responsible for conducting investigations, gathering evidence, and preparing reports. The Field Investigator will also be responsible for interviewing witnesses, conducting surveillance, and analyzing data.

Job Profile
Graduation (any subject) is mandatory
2-3 yrs experience is desirable in a related industry or any of the fields stated earlier.
Freshers can also apply.
Assessing a range of factual information including the background
Checking details with policy holders, witnesses, and other professionals (e.g.- Doctors/Hospitals/Clinics)
Writing reports and collating information
Protecting insurance companies from paying out to invalid claims
Giving advice on claims
Conducting investigations on various suspicious insurance claims, which may also include claims that are suspected to have originated from fraud, criminal activities, falsified or false documents, arson or unnecessary medical procedures
Recording correct and accurate data and statements in reports
Paying visits and investigating several circumstances
Examining and reviewing photographs, documents, and statements
Researching audio or video surveillance and carefully watching them for clues
Giving feedback on all activities to the insurance organization for final determination
Examining a range or series of factual information during investigations

Skills required
Strong investigative and analytical skills
Excellent communication and interpersonal skills
Ability to work independently and as part of a team
Ability to work under pressure and meet deadlines
Proficiency in Microsoft Office Suite
Knowledge of legal and regulatory requirements
Knowledge of investigative techniques and procedures
Knowledge of security protocols and procedures
Relevant experience in the field of investigation
Bachelor’s degree in a related field
Initiative
Good verbal and written communication skills in English & native language to liaise effectively with various job professionals, witnesses, the insurance organization, or claimants so as to conduct investigations
Good numeracy and literally skills (remember, paperwork)
Ability to adapt quickly to any situation
Organized with good time management skills
Able to deal with people in a compassionate manner (some will be in difficult circumstances)
Negotiation skills
Good decision maker, even under pressure
Thorough knowledge of insurance law
Good organizational and time management skills to work effectively even under pressure, and also to complete tasks within a given timeframe
An enquiring mind and sound mathematical skills to efficiently carry out effective investigations, which may also include putting suspects on surveillance
Several years of professional work experience in a related industry or any of the fields stated earlier
Must have own vehicle.

Share your resume/profile: info@fraudbusters.co.in

Industry
Insurance

Fraudulent life insurance claims in India are a serious issue that impacts both insurance companies and policyholders. W...
21/06/2023

Fraudulent life insurance claims in India are a serious issue that impacts both insurance companies and policyholders. While the majority file legitimate claims, there are instances where fraudulent claims are made to deceive insurance companies for financial gain.
After almost 1 yr. of life insurance & 2 yrs. of health insurance claim's verification, The FraudBusters have come across the below frauds/fraudulent activities:
Concealment of Pre-existing Conditions: Policyholders may intentionally hide or fail to disclose pre-existing medical conditions, such as diabetes, heart disease, or cancer, when applying for a life insurance policy. By concealing these conditions, they can secure coverage and later file a claim related to the undisclosed condition.
Falsified Death Claims: This type of fraud involves policyholders or beneficiaries submitting false information regarding the death of the insured individual. They may provide forged death certificates, fabricated hospital records, or fictitious accident reports to support their claim.
Policy Lapses and Revivals: Policyholders sometimes allow their policies to lapse intentionally by discontinuing premium payments. Later, they may attempt to revive the policy by falsely claiming that the premiums were paid continuously. This fraudulent activity is aimed at obtaining a death benefit payout.
Multiple Policies: Fraudsters may purchase multiple life insurance policies from different insurers on the same individual without disclosing the existence of other policies. They do this to maximize the potential payout upon the insured person's death.
Identity Theft: In some cases, criminals may steal someone's identity and use it to purchase life insurance policies. They then stage the insured person's death and submit fraudulent claims to collect the insurance benefits.
To combat fraudulent insurance claims, The FraudBusters employ various modalities for document verification, and rigorous claims investigations at the request of Insurance Companies. The FraudBusters also use data analytics and technology to detect patterns of fraud and identify suspicious claims.
The FraudBusters will soon be implementing Artificial Intelligence & Machine Learning to identify red flag locations & the claims will be verified as per the responses generated by AI & ML. The FraudBusters is committed towards saving the finances of the insurance companies.

25/12/2022

Address

Gurugram
122003

Opening Hours

Monday 9:30am - 6:30pm
Tuesday 9:30am - 6:30pm
Wednesday 9:30am - 6:30pm
Thursday 9:30am - 6:30pm
Friday 9:30am - 6:30pm
Saturday 9:30am - 6:30pm

Telephone

+919416621679

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