Case Studies

Proven results in real-world cases

Explore how Delta Group has helped insurers and employers uncover fraud, validate claims, and close cases with confidence.

Case Study

Verification Denied: Uncovering Fraudulent Medical Records from Uganda

When an insurance carrier questioned the authenticity of medical records submitted from two healthcare facilities in Uganda, they turned to Delta Group to find the truth. What followed was an investigation that showed how easily polished, professionally sourced documentation can mask a claim with no basis in facts.

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Verification Denied: Uncovering Fraudulent Medical Records from Uganda

When an insurance carrier questioned the authenticity of medical records submitted from two healthcare facilities in Uganda, they turned to Delta Group to find the truth. What followed was an investigation that showed how easily polished, professionally sourced documentation can mask a claim with no basis in facts.
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How Layered Surveillance and Courtroom-Ready Testimony Drove a Fraud Finding in a Complex Workers’ Compensation Claim

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The Claim that Crossed Continents: When Document Review Wasn’t Enough, an On-the-Ground Investigation in Greece Uncovered the Truth

When a carrier suspected a long-standing workers'compensation claimant was submitting fabricated medical records from aphysician in Rhodes, Greece, they turned to Delta Group to find the truth. What followed was an international investigation that proved geography is no barrier to exposing fraud.
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Document Fraud: How PDF Metadata Analysis Uncovered Altered HOA Loss Assessments

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Case Study

Forklift Fiction: The Truth Behind a False Claim

A workers’ compensation claim was filed by an employee alleging a left ankle and foot injury on July 14, 2025, while stepping down from a forklift. Our investigation revealed that the injury actually occurred during a soccer game and was falsely reported as work-related because the employee lacked health insurance.
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Case Study

Workers' Compensation Fraud Task Force - Claimant Fraud Case Study

Welcome to the Coalition Against Insurance Fraud’s first of a four-part series of articles in 2025 on Workers’ Compensation (WC) fraud. The first article, “Claimant Fraud-Case Study”, will be followed by a Premium Fraud-Case Study; an in-depth Provider Fraud Analysis; and then a review of the Best WC Criminal Fraud Statutes.
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Case Study

Uncovering Fraud in a Long-Term Care Claim

The insured claimed a medical condition which required 16 hours per day of home health care. The referring claim examiner stated that several red flags existed to include age of claimant not typically associated with the medical claim; cash payments were being made to the home health care provider and the receipts submitted with the claim, seem like duplicates.
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