Insurance Fraud
Insurance fraud occurs when individuals or organisations make false or exaggerated claims to gain payouts. Examples include staged accidents, fabricated losses, or providing false information during policy applications.
Investigation Approach:
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Claim Verification: Analysing claim details and corroborating them with supporting evidence, such as photos, receipts, and witness statements.
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Surveillance: Monitoring claimants to verify the authenticity of injuries, damage, or incidents.
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Data Analysis: Using fraud detection software to identify patterns of suspicious claims or repeat offenders.
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Expert Collaboration: Working with accident reconstruction experts, medical professionals, or forensic analysts to disprove fraudulent claims.
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Reporting and Deterrence: Preparing evidence for insurers and law enforcement to pursue legal action against fraudsters.