Triggering a Disability Claim Investigation

Triggering a Disability Claim InvestigationRecently, in commenting on one of our posts, a reader asked what type of "red flags" exist that may trigger a field investigation of a Social Security disability claim. While our experience in this area is largely in working for the special investigations unit of a long-term disability insurance company, it is likely the following are considered by the Social Security Administration as well, particularly when a denial of disability benefits is pending appeal:

While these are just some of the many “red flags” disability insurers look at, one should be aware of them, and always anticipate an investigation. Unfortunately, many of them can be reasonably justified or explained away. Nevertheless, disability insurers and the Social Security Administration will often use field investigations, even when unwarranted, as an excuse to delay paying out on a claim.