Insurance Fraud & Workers’ Compensation Investigations in Miami

Insurance Fraud & Workers’ Compensation Investigations in Miami

Most injury claims are honest. The ones that are not cost Florida businesses and insurers millions and raise everyone's premiums. FSO Guard's licensed investigators verify workers' compensation, disability and liability claims lawfully and discreetly — so decisions are made on evidence, not suspicion.

A back injury that keeps an employee out of work for months while he renovates his house. A slip-and-fall in a store that was rehearsed twice before the camera-free aisle was found. A disability claim filed by someone running a landscaping crew on weekends. FSO Guard’s licensed investigators provide insurance fraud and workers’ compensation investigations in Miami and South Florida for employers, carriers, administrators and attorneys — lawful, discreet, and documented to the standard a Judge of Compensation Claims expects.

Red flags that justify an investigation

  • Injury reported on a Monday morning, right after a holiday, or immediately after a layoff notice, discipline or a denied vacation.
  • No witnesses, or witnesses whose accounts change.
  • Claimant is hard to reach, refuses light duty, or has a history of prior claims across employers.
  • Medical treatment inconsistent with the injury, or providers known for volume claims.
  • Reports of the claimant working elsewhere, exercising, traveling or posting activity online.
  • A liability claim at a location with no cameras, filed weeks later, with an attorney already retained.

None of these proves fraud. They justify verification — which protects honest claimants as much as it exposes dishonest ones.

Investigator taking a recorded witness statement for a claims case in Miami
Investigator taking a recorded witness statement for a claims case in Miami

What we do

Activity surveillance

Planned observation of the claimant in public — leaving home, lifting, driving, working, exercising, attending events — with time-stamped, geotagged video from unmarked vehicles. Two investigators when the claimant is mobile. Reports describe exactly what was observed, without editorializing, so the video speaks for itself.

Claimant background and prior claims

Identity verification, prior workers’ compensation and liability claims, litigation history, other employment, business ownership and licenses, and criminal history where relevant — all from lawful sources with a documented permissible purpose.

Employment and activity verification

Is the claimant working for another employer or running a business while collecting benefits? We verify through records, field checks and lawful observation.

Social media and open-source review

Lawful review and preservation of publicly available posts, photos, marketplace listings and check-ins that contradict the claimed limitations — captured properly so they are admissible.

Scene and liability investigations

For premises and auto liability: scene documentation and measurements, camera canvass, witness identification and recorded statements, weather and lighting conditions, prior incident history at the location.

Witness canvass and interviews

Locating co-workers, neighbors and bystanders, taking recorded or written statements, and delivering them in a format counsel can use.

How the investigation is run

  1. Referral and intake — claim summary, claimant profile, restrictions, deposition or IME dates, budget.
  2. Plan — surveillance days chosen around the claimant’s routine and key dates; background work first, because it is cheap and often decisive.
  3. Field work — surveillance, canvass, verification. Daily updates to the adjuster or attorney.
  4. Report — chronological narrative, still frames and video, records and statements as exhibits, delivered securely. Investigators are available for depositions and hearings.

Rules we follow

We observe only in public, never trespass, never record private conversations without consent, never contact claimants under false pretenses, never place trackers on vehicles we have no right to track, and never obtain protected medical or financial records without lawful authority. Investigations are conducted under a written agreement with a documented lawful purpose. This is not caution for its own sake — evidence obtained any other way is excluded, and the employer or carrier becomes the defendant.

Related services

Surveillance investigations, background checks, litigation support for attorneys, fraud investigations and workplace security during terminations.

Claims investigators in Miami, Fort Lauderdale and Palm Beach

FSO Guard Security Company is a Florida-licensed private investigative agency (License A 1000095) serving employers, carriers, TPAs and law firms across Miami-Dade, Broward and Palm Beach counties. Investigators work in English, Spanish and Russian. For a confidential referral call (786) 659-5011 or message us on WhatsApp; we quote in writing and can begin within 24–48 hours.

FAQ

Frequently Asked Questions

Is it legal to put a workers' comp claimant under surveillance?

Yes. Observing and recording a person in public places where there is no reasonable expectation of privacy is lawful in Florida, and it is standard practice in claims investigation. We do not trespass, do not record audio without consent, do not contact the claimant under pretext and do not use GPS trackers on vehicles we have no right to track. Evidence gathered that way is what holds up before a Judge of Compensation Claims or a jury.

What does a claim investigation include?

Depending on the case: a claimant background and prior-claims review, employment and activity verification, planned activity surveillance with time-stamped video, canvassing and witness interviews, a lawful review of public social media, scene documentation for liability claims, and a written report with exhibits. Attorneys often add recorded statements and testimony.

Who hires you for these cases?

Employers (especially self-insured companies and those with high experience mods), insurance carriers and third-party administrators, defense attorneys, and occasionally claimants' attorneys who need an independent scene investigation. All work is performed under a written agreement with a documented lawful purpose.

How many days of surveillance are needed?

Usually two to three well-planned days produce a clear picture: a claimant who is genuinely disabled looks the same on every day, and one who is not usually reveals it quickly. We plan around the claimant's known routine, medical appointments and deposition dates, and we stop when the evidence is conclusive — either way.

Can you investigate other insurance claims?

Yes — property and auto liability claims, slip-and-fall and premises liability, staged accidents, disability claims and life insurance contestability investigations, as well as fraud by contractors or public adjusters. Each is scoped individually.

Need this service in Miami or South Florida?

Licensed, insured and available 24/7 across Miami-Dade, Broward and Palm Beach.