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EST. STANDARD PRACTICEFIELD MANUAL REV. 2026

Every Claim Has a Story.
Know How to Read It.

The investigator's reference for procedure, law, and field technique.

47

State Reporting Thresholds Documented

200+

Recorded Statement Questions

12

Anti-Fraud Indicator Checklists

Methodology aligned with industry standards
01 / Recorded Statement TechniqueDownload Statement Templates

Recorded Statement Best Practices

In all-party-consent (two-party) states — including California, Florida, Illinois, and Pennsylvania — you must obtain explicit verbal or written consent before recording begins. In one-party states, the investigator's consent alone is sufficient, but best practice is to disclose recording at the outset regardless of jurisdiction. Failure to disclose in a two-party state renders the recording inadmissible and may expose the carrier to civil liability.

Two-Party Consent StatesAdmissibility Risk

The opening must establish: (1) the date, time, and location; (2) the identity of all parties present; (3) the recording disclosure and consent; (4) the claimant's acknowledgment that they are speaking voluntarily; and (5) that they understand the statement may be used in claim resolution. Never begin substantive questioning without completing all five elements — courts scrutinize the opening for voluntariness.

Immediately acknowledge the withdrawal on the record: "I note that [name] has indicated they wish to stop at this time. We will stop the recording." Do not attempt to continue questioning. Document the exact timestamp and circumstances in your activity log. Review the policy's cooperation clause — most ISO-standard policies allow suspension of benefits pending cooperation, but this must be coordinated with coverage counsel before any reservation of rights letter issues.

Cooperation ClauseReservation of Rights

Lead with open-ended questions to establish the claimant's narrative in their own words — this creates a baseline you can probe for inconsistency. Reserve closed-ended questions for locking down specific facts after the narrative is complete. A common error is closing down too early, which gives the claimant less rope and reduces the opportunity to identify contradictions with documented evidence.

▸ SAMPLE FRAGMENT — RECORDED STATEMENT OPENING SCRIPT

My name is [Investigator Name], I am a claims representative with [Carrier]. Today's date is [Date] and the time is [Time]. This statement is being recorded. [Claimant Name], do you understand that this conversation is being recorded and do you consent to the recording? … You are speaking voluntarily and understand this statement may be used in the evaluation of your claim?

Full script + 200+ follow-up questions in the Investigator Toolkit.

Question Templates & Reference Guides

Auto Liability Statement — 200-Question Bank

PDF + DOCX

Organized by phase: scene, vehicle, injuries, prior history, and post-loss activity. Includes liability-shifting follow-ups.

Updated Q1 2026 · ISO-aligned

Property Loss Recorded Statement Template

PDF

Covers origin and cause, occupancy verification, financial motive indicators, and prior loss disclosure sequence.

38 core questions + 60 conditional follow-ups

Two-Party Consent State Quick Reference

XLSX

Current as of 2026. Lists consent requirements, disclosure language, and penalty exposure by state.

All 50 states + D.C.

EUO vs. Recorded Statement: When to Escalate

Decision matrix for coverage counsel referral. Triggers: material misrepresentation, late reporting, suspicious origin.

1-page field decision tree

Download This Checklist
Recorded Statement ProtocolSIU Referral ThresholdsScene Documentation StandardsAnti-Fraud IndicatorsJurisdictional ReportingISO ClaimSearch IntegrationSurveillance Best PracticesEUO PreparationRecorded Statement ProtocolSIU Referral ThresholdsScene Documentation StandardsAnti-Fraud IndicatorsJurisdictional ReportingISO ClaimSearch IntegrationSurveillance Best PracticesEUO Preparation
02 / Anti-Fraud Indicators & SIU ReferralView State Requirements

Identifying Fraud Patterns & Referral Thresholds

Pattern analysis across multi-state rings consistently surfaces: (1) Late reporting — loss occurring 30+ days before the claim is filed, particularly near premium due dates or policy cancellation; (2) Policy inception proximity — loss within 30–60 days of policy bind, especially on older vehicles with comprehensive coverage added; (3) No independent witnesses — single-vehicle accidents or two-vehicle accidents with no third-party corroboration and both parties using the same body shop or attorney.

Late ReportingInception ProximityNo Independent Witness

Mandatory referral thresholds vary by state and carrier SIU plan, but NICB guidelines and NAIC model regulations create a baseline: refer when fraud is suspected AND claim value exceeds the state's reporting threshold (commonly $5,000–$15,000 depending on jurisdiction). Most carrier SIU plans require referral on any claim with three or more red-flag indicators regardless of dollar value. Discretionary referral is appropriate for single indicators on low-value claims — document your reasoning either way.

NICB GuidelinesMandatory Threshold

Ring patterns exhibit geographic clustering (multiple claims from the same zip code or body shop), attorney concentration (same PI firm across multiple claimants), and temporal clustering (multiple losses within a 90-day window). Opportunistic fraud is typically isolated, involves a real accident with exaggerated damages, and lacks the network signatures. ISO ClaimSearch cross-referencing and NICB referral are your primary tools for ring identification — single-claim analysis alone will not surface the pattern.

At minimum: the original claim report, recorded statement transcript or audio, all field investigation notes, photographs with GPS metadata, any surveillance footage with chain-of-custody documentation, ISO ClaimSearch results, prior loss history, and your written fraud indicator summary with specific factual support for each indicator. Conclusory referrals without factual support are routinely rejected by prosecutors and damage carrier credibility with law enforcement.

▸ SAMPLE FRAGMENT — THREE RED-FLAG INDICATORS — PROPERTY FIRE

Indicator 1: Policy increased to replacement cost value 45 days prior to loss. Indicator 2: Claimant reports being the sole occupant at time of fire with no independent witness to departure. Indicator 3: Financial records (obtained via signed authorization) reflect three NSF notices in the 60 days preceding the loss.

Full script + 200+ follow-up questions in the Investigator Toolkit.

State Reporting Statutes & SIU Plan References

SIU Mandatory Reporting Thresholds — All 50 States

XLSX

Dollar thresholds, reporting timelines, and designated state agency contacts. Cross-referenced against NAIC model act adoption status.

Current as of Jan 2026

Anti-Fraud Indicator Matrix — Auto, Property, Workers Comp

PDF

47 indicators organized by line of business and fraud type. Weighted scoring model for SIU referral decision support.

47 indicators · 3 LOBs

ISO ClaimSearch Integration Guide

How to run prior loss history, cross-reference claimant identifiers, and interpret match confidence scores in an active investigation.

Step-by-step field reference

NICB Fraud Referral Portal — Submission Checklist

Required fields, supporting documentation standards, and follow-up protocol for NICB case referrals.

NICB-aligned · 2026 format

Download Fraud Indicator Checklist
Recorded Statement ProtocolSIU Referral ThresholdsScene Documentation StandardsAnti-Fraud IndicatorsJurisdictional ReportingISO ClaimSearch IntegrationSurveillance Best PracticesEUO PreparationRecorded Statement ProtocolSIU Referral ThresholdsScene Documentation StandardsAnti-Fraud IndicatorsJurisdictional ReportingISO ClaimSearch IntegrationSurveillance Best PracticesEUO Preparation
03 / Scene Photography & Field DocumentationView Equipment Guide

Scene Photography Standards & Protocols

Establish before you detail: (1) Four-corner wide-angle establishing shots from each compass point; (2) Mid-range approach shots showing the vehicle in context of the scene; (3) Close-up damage documentation — each panel, glass, and undercarriage area; (4) Interior documentation including airbag deployment, VIN plate, odometer, and any personal property; (5) Scene context — road surface, signage, sight lines, and any physical evidence. Every photo must have GPS metadata enabled. Sequence matters in litigation — establishing shots without context gaps are what defense counsel will attack.

GPS Metadata RequiredSequence Documentation

Do not enter a fire scene until the fire marshal has cleared it and issued an origin-and-cause report or authorized investigator access. Photograph the exterior perimeter before entry. Document the origin area last — approach from the area of least damage toward greatest. Do not move debris. If you suspect arson, stop your investigation and contact your SIU immediately — evidence handling chain of custody must be established before any physical examination. Your role is documentation, not excavation.

Fire Marshal Clearance FirstChain of Custody

EXIF metadata should capture: GPS coordinates (latitude/longitude to six decimal places), date and time stamp synchronized to UTC, device identifier, and file hash for authenticity verification. Many carriers now require photos uploaded through a carrier-approved mobile app that embeds a digital certificate. Photos taken with personal devices and transferred manually are increasingly challenged in litigation for metadata integrity. Use your carrier-issued or approved capture application.

Engage a professional for: structural losses where causation is disputed; fire losses with potential arson indicators; large commercial losses exceeding your carrier's authority threshold; and any loss where litigation is anticipated. The cost of a qualified forensic engineer at the outset is orders of magnitude less than the cost of a bad-faith claim stemming from inadequate investigation. Document your escalation decision in the claim file.

▸ SAMPLE FRAGMENT — SCENE PHOTO LOG HEADER — FIELD TEMPLATE

Claim No: [___] · Date/Time of Inspection: [___] · Investigator: [___] · Weather Conditions: [___] · Camera/Device: [___] · GPS Coordinates Verified: Y/N · Photo Count: [___] · Fire Marshal Clearance Obtained: Y/N/NA

Full script + 200+ follow-up questions in the Investigator Toolkit.

Equipment Recommendations & Field Gear

Field Photography Kit — Recommended Equipment Grid

FIELD GUIDE

Primary camera, wide-angle and macro lenses, measuring tape, scale markers, portable lighting, and metadata-verified capture app. Organized by budget tier.

3 budget tiers · Updated 2026

GPS-Verified Photo Capture Apps — Carrier-Approved List

PDF

Comparison of Xactimate Sketch, EagleView, and carrier-native apps. Metadata standards, file format requirements, and upload protocols.

iOS + Android coverage

Scene Documentation Checklist — Auto, Property, Workers Comp

PDF

Line-item checklist organized by loss type. Includes required shots, metadata verification steps, and file naming convention.

3 LOB variants · Printable

Forensic Engineer & Umpire Referral Directory

Regional directory of IASIU-affiliated forensic engineers, fire investigators, and certified umpires. Organized by state and specialty.

Nationwide · IASIU-affiliated

Download Scene Checklist

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▸ FULL RESOURCE LIBRARY — GATED ACCESS

The Complete Investigator Toolkit.
One access point. Every resource you need in the field.

Recorded statement question banks, jurisdiction-by-jurisdiction SIU reporting thresholds, anti-fraud indicator matrices, scene photography checklists, and EUO preparation guides — all formatted for field use.

200+ Statement Questions

47 State Thresholds

Scene Photo Protocol

Fraud Red-Flag Matrix

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