Last year, a 31-year-old woman from Kidderminster was sentenced at Worcester Magistrates Court for 14 months after pleading guilty to three counts of insurance fraud.
As reported by the City of London Police, the defendant in that case contacted her insurers in October 2013 to make an £11k claim that two of her horse saddles had been stolen from her locker at a horse show. The insurers paid out £9,914 in respect of the claim, which was supported by photos, quotes and a crime reference number.
In November 2014, the defendant made another claim in excess of £10k against her Insurers claiming damage to a fridge freezer, television, washing machine, two iPads and two horse saddles whilst moving house.
Investigators were unhappy with the documents submitted as they were not on headed notepaper and contained several spelling and grammatical errors. No further evidence was submitted to support the claims despite multiple requests. Further enquires were undertaken which resulted in the case being referred to IFED and ultimately the successful prosecution.
The case illustrates the importance of robust fraud detection which is an important element of our service. Our Counter Fraud operations are headed by Neal Davies-Fletcher ACII ACILA ACFTech. Neal has a wealth of experience and in addition to his responsibilities with Quadra is often called upon to provide external training
At Quadra all staff receive training on the identification of fraud as part of our induction programme as well as receiving annual training thereafter. Fraud screening forms part of our FNOL process with further screening and referral to our internal fraud team forming a central part of our claims management process.
As a specialist provider of Loss Adjusting and Claims Services, we have developed a range of services to assist our clients when faced with a potentially fraudulent claim allowing greater flexibility and also recognising the commercial decisions that it is sometimes necessary to take when dealing with claims of this type.
We offer the following levels of investigation all of which may be adapted to suit individual requirements:
Quadra Intelligence Report – Investigations comprising a range of background enquiries, including full financial and social media checks with commentary, which form the basis of a bespoke Intelligence Report.
Quadra Investigation Report – A desktop review of the claim including a ‘balanced score card’ to ensure a proportional response is provided.
Quadra Fraud Investigation – Full investigation, including witness interview, statement taking and full enquiries, completed by our specialist investigator.
Find out more about our range of services which can be modified to suit individual client requirements and details are available on request –contact Simon Jones directly on 07808 315359.
