Gaining Clarity when Claims Are Unclear

We provide independent, evidence-based investigative support, helping adjusters and SIU teams make confident, informed decisions.

Our value Proposition

Recovering Bandwidth

We step in when high caseloads limit your capacity for deeper review

Interpreting Inconsistency

We apply human judgement where automated tools flag patterns but cannot assess behavior.

We ensure no potentially significant details is overlooked simply because time is limited

Ensuring Thoroughness

Our Story

Claim Analysis Group exists to strengthen the fight against insurance fraud. We are built on real-world experience across claims, SIU, and compliance in complex, multi-jurisdictional environments.

We’ve seen firsthand that questionable claims often slip through—not due to lack of expertise, but because adjusters and SIU teams face real constraints: limited time, bandwidth, and competing priorities.

Our role is to support that reality. We provide structured, independent SIU analysis that brings clarity to claims requiring closer review without disrupting workflows or requiring system access.

Our team is made up of experienced claim adjusters, SIU investigators, data analysts, and compliance professionals with over a decade of industry experience.

The Challenges You Face

Suspicious claims rarely look like clear fraud. Concerns often start with an inconsistent detail or shifting story. Yet adjusters face production targets, and SIU teams must prioritize

a red and blue background with three blue balls
a red and blue background with three blue balls

The CAG Differences

  • Clarity without disruption: We enhance insight without changing your workflow.

  • Neutral: No advocacy for closure or escalation.

  • Defensible: Evidence-based investigations with clear documentation.

  • No Integration: We work outside your systems—no IT onboarding, no platform access, no credentials required.

  • Responsive: Inquiries answered within one business day; urgent reviews scheduled same day when possible.

  • Independent: We provide structured investigative insight only—no claim adjusting, coverage decisions, or PI services. All data comes from public, legally accessible sources.

Our Guiding Values

Clarity Over Assumption

Bring order to files through structured analysis and organized, reliable findings

Integrity First

Honesty, neutrality, and respect for the truth. Grounded in evidence

Every detail is handled with highest standard of discretion and security

We apply a balanced, human-led approach, critical thinking is key

Confidentiality
Human Judgement

Who We Serve

We provide essential investigative capacity and clarity to the professionals and organizations who need it most

  • Insurances Carriers (SIU analyst, Claim managers & Adjusters)

  • Broker & MGAs

  • Third Party Administrator

  • Self-Insured Entities

  • Any team that needs independent, structured SIU-focused analysis to make confident decisions.

Ready to Gain Clarity on Your Claims?

man in white dress shirt sitting beside woman in black long sleeve shirt
man in white dress shirt sitting beside woman in black long sleeve shirt