What can be a potential outcome of an adjuster's fraud investigation?

In the context of an adjuster's fraud investigation, supporting or refuting the legitimacy of the claim is a critical outcome. An adjuster undertakes a fraud investigation to ascertain whether the claim in question is valid or a result of fraudulent activities. This examination involves collecting and analyzing evidence, conducting interviews, and sometimes collaborating with law enforcement or fraud specialists.

If the investigation finds substantial evidence supporting the claim, it can lead to a resolution wherein the claimant receives their entitled benefits. Conversely, if the investigation uncovers fraudulent elements, it may result in the dismissal of the claim or other legal actions. Therefore, the outcome directly revolves around assessing and determining the truth of the claim's legitimacy, making this answer the most relevant in the context of what occurs after a fraud investigation is conducted.