Mutual insurance companies
The essential figure of the detective for this type of investigations is more important than ever when there are suspicions, proving to be indispensable as a collaborator with the Health Mutual Societies. In these cases, the figures show that the Social Security fraud is around 90%.
The action procedure is to go to the usual job of the employee in a situation of medical leave, disability or recipient of a benefit incompatible with the work activity in order to be able to check if they are present in the facilities or if the establishment remains open or closed. For this verification, we will use the time necessary to verify the fact, except for specific instructions of the mutual contracting party.
The monitoring of the employee may be initiated in the mutual centres, in the usual workplace or at home in order to verify and be able to demonstrate in a reliable and conclusive way if they carry out other work activities, as a freelance or on behalf of somebody else, or any other activity incompatible with the situations defined above (walking, carrying weights, moving limbs or trunk, driving vehicles, etc.).
The follow-ups should last enough days so that the facts can be verified and demonstrated. Usually, an investigation is carried out for a minimum of three days, unless the mutual insurance company considers a lower number of days sufficient.
In those cases, in which the mutual insurance companies consider the minimum of three days insufficient, they may make a request for an extension of the follow-up.
