Insurance Fraud – A Case Study

Insurance Fraud – A Case Study

The policyholder had submitted a claim that his BMW 1 Series vehicle had been stolen at the end of March 2018. The initial contact centre staff member taking the details raised a concern and the claims management team put one of their investigators on it.

 

The investigator came back and notified the company that there was “nothing” suspicious about the claim, that they found the policyholder to be “entirely believable” and that they had “no concerns”. The insurance company weren’t convinced – the policyholder couldn’t locate his V5, his crime reference number for reporting it did not appear valid and he allegedly changed the location of where he said it was last parked once it was pointed out to him that there was heavy CCTV coverage in that area. Read more about Insurance Fraud – A Case Study

WHY EXCELLENT LOCUS REPORTING IS IMPORTANT

WHY EXCELLENT LOCUS REPORTING IS IMPORTANT

A LOCUS report is a formal document made up of various other pieces of evidence that is designed to explain and identify the physical facts of how and where an accident or incident has occurred.

The overall document when broken down will contain things such as sketch plans, photographs, localised pertinent intelligence and the authoring agent’s written report. In our area of work within private investigation, they are most commonly used in legal cases such as insurance claims and defence cases pertaining to road traffic collisions and accidents resulting in injury. Read more about WHY EXCELLENT LOCUS REPORTING IS IMPORTANT

INSURANCE FRAUD INVESTIGATIONS

INSURANCE FRAUD INVESTIGATIONS

surveillance photographerProbably one of the biggest misconceptions about the world of “investigation” is the whole thing of there always being that ‘smoking gun’ that the investigator finds right there at the scene, just being dropped at that exact moment by the guilty party… Job’s a good ‘un – we’re all heading home for an early finish on a Friday afternoon!

The reality is decidedly less glamorous and actually much more arduous. Take a case we worked on in the matter of a high value insurance fraud: Read more about INSURANCE FRAUD INVESTIGATIONS

“It’s All In The Details” – An Insurance Fraud Case Study.

“It’s All In The Details” – An Insurance Fraud Case Study.

We received instruction from a UK insurance company who wanted a secondary investigation completed to support the one completed by their own claims management team in relation to an insurance claim made by one of their policyholders.

The policyholder had submitted a claim that his BMW 1 Series vehicle had been stolen at the end of March 2018. The initial contact centre staff member taking the details raised a concern and the claims management team put one of their investigators on it. Read more about “It’s All In The Details” – An Insurance Fraud Case Study.

LOCUS Reporting – A Case Study

LOCUS Reporting – A Case Study

busy motorwayFor those unaware, a LOCUS report is a formal document made up of various other pieces of evidence that is designed to explain and identify the physical facts of how and where an accident or incident has occurred. The overall document when broken down will contain things such as sketch plans, photographs, localised pertinent intelligence and the authoring agent’s written report. In our area of work within private investigation, they are most commonly used in legal cases such as insurance claims and defence cases pertaining to road traffic collisions and accidents resulting in injury. Read more about LOCUS Reporting – A Case Study

Effective Insurance Fraud Investigations

Effective Insurance Fraud Investigations

Probably one of the biggest misconceptions about the world of “investigation” is the whole thing of there always being that ‘smoking gun’ that the investigator finds right there at the scene, just being dropped at that exact moment by the guilty party… Job’s a good ‘un – we’re all heading home for an early finish on a Friday afternoon!

The reality is decidedly less glamorous and actually much more arduous. Take a recent case we worked on in the matter of a high value insurance fraud. Read more about Effective Insurance Fraud Investigations