Insurance SIU Process
In this short video, we explore the Special Investigation Unit (SIU) process used in Property & Casualty (P&C) / General Insurance claims management. When a claim exhibits potential fraud indicators or unusual patterns, it may be referred for special investigation before a final claim decision is made.
The video covers:
✔️ Referral and Triage of suspicious claims
✔️ SIU Queue and case assignment
✔️ Investigative Workflow (field and digital investigations)
✔️ Evidence Gathering and verification
✔️ Use of police reports, legal records, and surveillance evidence
✔️ Final Claim Decisions and outcomes
✔️ Investigation documentation and case tracking
Understanding the SIU process helps insurance professionals, business analysts, claims professionals, testers, developers, and insurtech practitioners appreciate how insurers verify facts, manage fraud risk, and ensure fair claim settlements.