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

Investigating Employee Concerns – A Case Study

Investigating Employee Concerns – A Case Study

surveillance photographerOur Newcastle city centre based client got in touch with us after having Surmount recommended to them by a previous organisation we’d worked with, checking us out online and liking what they saw. They brought us in to consult with regards to concerns they had regarding one of their staff.

The staff member had a sales role within the company that required them to travel the region and meet with selected prospective customers that had been cultivated by the company’s engagement team. The prerequisite of the job was that a certain amount of sales calls per day was expected. Read more about Investigating Employee Concerns – A Case Study

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

The Perils of National Investigation Services.

The Perils of National Investigation Services.

More and more of late the field of professional investigation is being plagued by ‘national’ agencies who disingenuously pretend they have “regional reach” into – in our case – places like Newcastle, Tyne and Wear, Northumberland and the rest of the North East.

Routinely they are London based or thereabouts. There is no one main investigative head office or HQ and no hierarchy of investigators. It is simply a website that splinters off to suggest it is local to you dependent on where you’re searching for. The people behind this ‘agency’ might be based in Essex or wherever, but it’s imperative to them that you believe they are based in your city where ever you are. Read more about The Perils of National Investigation Services.

“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.

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