Claims Fraud

There are two teams operating within Claims Fraud:

Specialist Claims Unit. We investigate suspected fraudulent claims, looking into an array of fraud cases that range from the opportunistic to the more organised.

First Party Validation Team. We’re responsible for reviewing all theft, fire and malicious damage total loss claims. We review all aspects of a single vehicle claim to ensure that the claim is valid and in line with their policy.

New Business Review

We are responsible for completing all validation checks for our insurer partners. This could include requesting specific documentation such as proof of a ‘no claims bonus’ or simply obtaining verbal confirmation from our customers. Within the team are analysts who are continuously reviewing our quote manipulation system to flag any possible fraudulent activity.

Special Investigations Unit

There are two distinct teams that make up the Special Investigation Unit:

The Intelligence Unit. We’re tasked with keeping one step ahead of the fraudsters. Our Applications team review both new and existing policies and claims using a wide range of tools and identify those worthy of further investigation by our other Counter Fraud teams. We use a wide variety of tools to detect fraud including our purpose-built relational database that can identify large scale fraud rings at the touch of a button. Our Claims team provides bespoke reports for all the Claims Counter Fraud teams using cutting-edge data management software, industry standard fraud detection tools as well as social media sites and cluster engines.

Field Force. We are a small team of agents who cover Greater London and the South East, the Midlands and the North West, who, working on instruction from our claims handlers, investigate suspicious collisions, ghost broking scams and conduct credit hire enquiries.