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Insurance fraud has reached epidemic levels in the UK. | 0:00:05 | 0:00:09 | |
It's costing us more than £1.3 billion every year. | 0:00:09 | 0:00:14 | |
That's almost 3.6 million every day. | 0:00:14 | 0:00:17 | |
Deliberate crashes, bogus personal injuries, even phantom pets. | 0:00:19 | 0:00:23 | |
The fraudsters are risking more and more to make a quick killing and | 0:00:25 | 0:00:29 | |
every year it's adding around £50 to your insurance bill. | 0:00:29 | 0:00:34 | |
But insurers are fighting back, | 0:00:34 | 0:00:36 | |
exposing just under 15 fake claims every hour. | 0:00:36 | 0:00:39 | |
Armed with covert surveillance systems... | 0:00:39 | 0:00:41 | |
Subject out of the vehicle. | 0:00:41 | 0:00:44 | |
..sophisticated data analysis techniques... | 0:00:44 | 0:00:46 | |
-..and a number of highly-skilled police units... -Police, don't move. | 0:00:48 | 0:00:52 | |
-Stay where -you are! ..they are catching the criminals red-handed. | 0:00:52 | 0:00:55 | |
Just don't lie to us! | 0:00:55 | 0:00:57 | |
All those conmen, scammers and | 0:00:58 | 0:01:00 | |
cheats on the fiddle are now caught in the act and Claimed And Shamed. | 0:01:00 | 0:01:04 | |
Today, a group of friends that deliberately crash their cars for money are exposed. | 0:01:09 | 0:01:15 | |
It quickly became apparent that she had lied to us when she told | 0:01:15 | 0:01:18 | |
us that she did not know the other driver. | 0:01:18 | 0:01:20 | |
A claimant's attempt to dupe a new device from her phone insurers is blocked. | 0:01:20 | 0:01:25 | |
And something stinks when a high-end men's tailor claims his stock is | 0:01:31 | 0:01:34 | |
spoilt by sewage. | 0:01:34 | 0:01:37 | |
It became apparent that some of this documentation had, in fact, been | 0:01:37 | 0:01:42 | |
created by Mr L on his own computer. | 0:01:42 | 0:01:44 | |
More than 35 million of us get behind the wheel in the UK. | 0:01:49 | 0:01:53 | |
That adds up to a huge number of car policies and a staggering | 0:01:53 | 0:01:57 | |
£17.1 million is paid out in private car claims every day. | 0:01:57 | 0:02:02 | |
Statistics like that can be appetising for fraudsters and opportunists alike. | 0:02:02 | 0:02:06 | |
So, insurance companies are fighting a constant battle to identify | 0:02:06 | 0:02:10 | |
the genuine claims from those that have been exaggerated, | 0:02:10 | 0:02:12 | |
completely made up, or have even been the result of deliberate crashes. | 0:02:12 | 0:02:19 | |
The UK highways are some of the busiest in the world, with motorists | 0:02:19 | 0:02:23 | |
clocking-up an estimated 314 billion miles every year. | 0:02:23 | 0:02:28 | |
Mark Chiappino, at Direct Line Group, | 0:02:31 | 0:02:34 | |
has made it his business to bust the claims of fraudsters. | 0:02:34 | 0:02:39 | |
He was passed what looked like a fairly typical rear-end shunt accident to review. | 0:02:39 | 0:02:44 | |
Our customer, Ffion Owen, | 0:02:44 | 0:02:46 | |
notified us that she had had an accident, | 0:02:46 | 0:02:48 | |
driving her Ford Focus into the rear of an Audi A4, | 0:02:48 | 0:02:51 | |
driven by Faizal Saidi. | 0:02:51 | 0:02:53 | |
This accident occurred on a residential street in Liverpool. | 0:02:53 | 0:02:56 | |
On the face of it, this appeared to be a genuine accident. | 0:02:56 | 0:02:59 | |
This is the type of accident that happens hundreds, if not thousands, | 0:02:59 | 0:03:02 | |
of times every day on British roads. | 0:03:02 | 0:03:04 | |
It may have been an everyday occurrence, | 0:03:04 | 0:03:07 | |
but the timing was a little convenient | 0:03:07 | 0:03:09 | |
as Owen, who had rear-ended Saidi's car, | 0:03:09 | 0:03:13 | |
only had a week before her policy was due to expire. | 0:03:13 | 0:03:18 | |
We were subsequently notified of eight personal injury claims from | 0:03:18 | 0:03:22 | |
the occupants of the Audi and from Ffion Owen's own passengers. | 0:03:22 | 0:03:26 | |
These claims totalled approximately £38,000. | 0:03:26 | 0:03:29 | |
With only a week left on her policy and a high number of personal injury | 0:03:29 | 0:03:32 | |
claims submitted, suspicions were raised, | 0:03:32 | 0:03:36 | |
which led investigators to probe a little deeper. | 0:03:36 | 0:03:39 | |
We asked her, as a matter of routine whether she knew any of the occupants of | 0:03:39 | 0:03:42 | |
the other vehicles and she said that she didn't. | 0:03:42 | 0:03:44 | |
When the injury claims were presented, | 0:03:44 | 0:03:46 | |
we carried out further routine searches. | 0:03:46 | 0:03:48 | |
Our enquiries via social media led us to discover that not only did | 0:03:48 | 0:03:51 | |
Ffion Owen know Faizal Saidi, | 0:03:51 | 0:03:54 | |
but that she also featured in several photographs of the two of them together. | 0:03:54 | 0:03:57 | |
So, they had been proven to have exchanged more than paintwork previously. | 0:03:57 | 0:04:02 | |
It was damning evidence. | 0:04:02 | 0:04:04 | |
It quickly became apparent that she had lied to us when she told us that | 0:04:04 | 0:04:07 | |
she did not know the other driver. | 0:04:07 | 0:04:09 | |
Having been on the end of a barefaced lie, | 0:04:09 | 0:04:12 | |
Mark's team were keen to separate fact from fiction. | 0:04:12 | 0:04:15 | |
We started investigating this accident as a suspicious claim. | 0:04:15 | 0:04:19 | |
We instructed a forensic engineer to examine both vehicles and gather | 0:04:19 | 0:04:22 | |
further evidence. | 0:04:22 | 0:04:24 | |
And it would reveal some very curious discoveries. | 0:04:24 | 0:04:28 | |
The claim was presented to us as if Ffion Owen had driven into the back | 0:04:28 | 0:04:31 | |
of the Audi. When the Audi was examined, | 0:04:31 | 0:04:34 | |
we found damage on both the rear wings and on the rear of the vehicle. | 0:04:34 | 0:04:38 | |
This is damage that defies the law of physics. | 0:04:40 | 0:04:42 | |
The clue is in the title. | 0:04:42 | 0:04:44 | |
Rear-end shunt. | 0:04:44 | 0:04:46 | |
But those laws of physics continued to be broken. | 0:04:47 | 0:04:49 | |
There were screw heads protruding from one of the vehicles. | 0:04:49 | 0:04:52 | |
If there had been a single accident, | 0:04:52 | 0:04:54 | |
you would expect to find one corresponding mark on the other | 0:04:54 | 0:04:58 | |
damaged vehicle. However, he found not one, not two, not even three, | 0:04:58 | 0:05:03 | |
but four corresponding marks on the other vehicle, | 0:05:03 | 0:05:07 | |
indicating that the vehicles had been collided at least four times. | 0:05:07 | 0:05:11 | |
Yeah, you don't have to be a forensic engineer to figure out that | 0:05:11 | 0:05:15 | |
Owen's story was no longer adding up. | 0:05:15 | 0:05:18 | |
Once we realised that a serious attempt had been made to defraud Direct Line of £38,000, | 0:05:18 | 0:05:23 | |
we passed the details immediately to | 0:05:23 | 0:05:25 | |
the police insurance fraud enforcement department at Ifed. | 0:05:25 | 0:05:28 | |
Ifed snapped up the case and were eager to build on the investigative work | 0:05:28 | 0:05:32 | |
Direct Line had already done. | 0:05:32 | 0:05:34 | |
There was already quite a lot of evidence there. | 0:05:34 | 0:05:37 | |
The circumstances were broadly quite suspicious. | 0:05:37 | 0:05:40 | |
If these cars had genuinely crashed together, | 0:05:40 | 0:05:42 | |
there would only be one impact. | 0:05:42 | 0:05:44 | |
And also there shouldn't really be any kind of links between the | 0:05:44 | 0:05:47 | |
occupants of either vehicle. | 0:05:47 | 0:05:49 | |
With the connection between the drivers of | 0:05:49 | 0:05:51 | |
both vehicles established, | 0:05:51 | 0:05:53 | |
Oliver had to identify and move in on any other suspects. | 0:05:53 | 0:05:57 | |
When we looked at all the information we had about this case, | 0:05:57 | 0:06:00 | |
the most important thing for us was to focus down on | 0:06:00 | 0:06:04 | |
the key orchestrators. So, Faizal Saidi was driving one vehicle. | 0:06:04 | 0:06:08 | |
The other vehicle was being driven by Ffion Owen. | 0:06:08 | 0:06:11 | |
But we also wanted to speak to her boyfriend, Ciaran Hodson, | 0:06:11 | 0:06:15 | |
because we believed that there was evidence that he was the link | 0:06:15 | 0:06:18 | |
-between the two. -Hodson was also a passenger in Owen's car at the time of the accident. | 0:06:18 | 0:06:25 | |
It was time for Ifed to take this investigation to the next level. | 0:06:25 | 0:06:30 | |
We went to go and arrest Mr Hodson at his home address. | 0:06:30 | 0:06:34 | |
When we investigate crash-for-cash cases, | 0:06:34 | 0:06:37 | |
we're typically looking for anything... | 0:06:37 | 0:06:39 | |
Any kind of paperwork that relates to the insurance claim. | 0:06:39 | 0:06:42 | |
Also, we're often looking for phones because they can tell us a huge | 0:06:42 | 0:06:44 | |
amount about who's been in contact with who, | 0:06:44 | 0:06:47 | |
and crucially when. And if it's before the date of a collision, | 0:06:47 | 0:06:50 | |
then that's often telling evidence. | 0:06:50 | 0:06:53 | |
We came away with quite a lot of paperwork and some phones from his address. | 0:06:53 | 0:06:57 | |
The phones clearly showed frequent communication before | 0:06:57 | 0:07:00 | |
the accident between Owen, Hodson and the driver of the other car, | 0:07:00 | 0:07:04 | |
Faizal Saidi. | 0:07:04 | 0:07:06 | |
In light of the evidence, | 0:07:06 | 0:07:08 | |
this Bonnie and Clyde duo didn't last long under interview. | 0:07:08 | 0:07:12 | |
Fairly unusually for a crash-for-cash investigation, | 0:07:14 | 0:07:17 | |
both Hodson and Owen fully admitted that this collision had never really | 0:07:17 | 0:07:21 | |
happened, as they tried to purport to the insurance companies, | 0:07:21 | 0:07:25 | |
that they'd crashed the cars together to make some money. | 0:07:25 | 0:07:28 | |
And also because one of the vehicles already had a broken bumper and they | 0:07:28 | 0:07:32 | |
wanted to get a cheap repair. | 0:07:32 | 0:07:35 | |
With Owen and Hudson telling all, it was two suspects down, one to go. | 0:07:35 | 0:07:40 | |
We found Mr Saidi harder to locate. | 0:07:40 | 0:07:43 | |
More difficult to find and get his account. | 0:07:43 | 0:07:46 | |
Luckily, some colleagues of ours in a separate police force were also | 0:07:46 | 0:07:49 | |
looking to speak to Mr Saidi and so we were able to coordinate our | 0:07:49 | 0:07:53 | |
efforts and track him down. | 0:07:53 | 0:07:55 | |
So, Saidi was a man in demand. | 0:07:55 | 0:07:58 | |
But once Ifed had him in custody, | 0:07:58 | 0:08:00 | |
he wasn't as forthcoming as his partners in crime. | 0:08:00 | 0:08:04 | |
Mr Saidi didn't want to answer any of our questions. | 0:08:04 | 0:08:06 | |
But by that stage, we had his phone. | 0:08:06 | 0:08:08 | |
And so we had plenty of evidence there to show that there had been an | 0:08:08 | 0:08:12 | |
exchange between Mr Hodson and Mr Saidi of the details of Ms Owen's | 0:08:12 | 0:08:17 | |
vehicle and bank account details. | 0:08:17 | 0:08:19 | |
All leading up to the accident date. | 0:08:19 | 0:08:22 | |
So, we had clear evidence that this was a relatively carefully planned | 0:08:22 | 0:08:26 | |
and orchestrated crash-for-cash scam. | 0:08:26 | 0:08:29 | |
That was the final nail in the coffin for our troublesome trio. | 0:08:29 | 0:08:33 | |
The outcome was that we had compiled a pretty overwhelming case and we | 0:08:35 | 0:08:39 | |
took that to the Crown Prosecution Service who authorised charges against | 0:08:39 | 0:08:43 | |
all of these people. And we took them to court and they were all convicted. | 0:08:43 | 0:08:48 | |
Having pled guilty to fraud by false representation, | 0:08:48 | 0:08:51 | |
all three were sentenced to 12 months' imprisonment, | 0:08:51 | 0:08:54 | |
suspended for two years, | 0:08:54 | 0:08:56 | |
and were each ordered to pay back £3,000 to Direct Line. | 0:08:56 | 0:08:59 | |
I think what this case highlights is there's a multitude of ways that | 0:08:59 | 0:09:03 | |
insurers and the police look at crash-for-cash. | 0:09:03 | 0:09:06 | |
I think it's fair to say that the days of easy whiplash claims and | 0:09:06 | 0:09:11 | |
quick cash from crashes have gone. | 0:09:11 | 0:09:13 | |
There's a huge amount of work being done by the industry and the police | 0:09:13 | 0:09:17 | |
and it's only ever going to get harder. | 0:09:17 | 0:09:19 | |
Later, the owner of a puppy lies about it's date of death, to obtain | 0:09:25 | 0:09:29 | |
false insurance cover. | 0:09:29 | 0:09:31 | |
And a driver's claim his car was sideswiped by a bus breaks down when | 0:09:36 | 0:09:40 | |
CCTV shows it barely left a scratch. | 0:09:40 | 0:09:43 | |
Take a look at that. | 0:09:43 | 0:09:45 | |
The car doesn't even move. | 0:09:45 | 0:09:47 | |
Now, for most of us, living without our smartphones or tablets just | 0:09:51 | 0:09:54 | |
isn't an option. Whether you're keeping in touch, working on the go, | 0:09:54 | 0:09:58 | |
sharing your life with the world, | 0:09:58 | 0:10:00 | |
or are an online Scrabble addict like me. | 0:10:00 | 0:10:04 | |
Yeah! The modern day smartphone lets you do it all. | 0:10:04 | 0:10:07 | |
So, when we lose or break them, it's a big deal. | 0:10:07 | 0:10:11 | |
And that's why we have mobile phone insurance. | 0:10:11 | 0:10:15 | |
Luckily, mobile insurers can reconnect us with a replacement handset and | 0:10:15 | 0:10:18 | |
have us selfieing again before we know it. | 0:10:18 | 0:10:22 | |
But this service has also been targeted by fraudsters who think | 0:10:22 | 0:10:26 | |
they can make some easy money. | 0:10:26 | 0:10:29 | |
In the event of a device disaster, Andy Morris's team are on hand to help. | 0:10:29 | 0:10:34 | |
All manner of claims come across Andy's desk. | 0:10:34 | 0:10:37 | |
One particular case he was given to review, presented like a fairly | 0:10:37 | 0:10:40 | |
standard phone faux pas. | 0:10:40 | 0:10:44 | |
So, this lady called our claims team and told us that her iPhone had been | 0:10:44 | 0:10:49 | |
damaged and said that they had dropped the phone on the road and | 0:10:49 | 0:10:54 | |
the phone had been run over by various vehicles. | 0:10:54 | 0:10:58 | |
It's not hugely unusual for our customers to drop their phone and | 0:11:27 | 0:11:32 | |
subsequently a vehicle go over the phone. | 0:11:32 | 0:11:35 | |
It's quite rare that a phone would be run over by numerous vehicles. | 0:11:35 | 0:11:40 | |
Indeed, and the claimant explained how her handset was well beyond saving. | 0:11:40 | 0:11:44 | |
So, at that point, a claims agent offered to swap or repair the | 0:11:44 | 0:11:49 | |
device for the customer. | 0:11:49 | 0:11:52 | |
To which they were told quite clearly the phone was in several pieces. | 0:11:52 | 0:11:57 | |
And what's more, the claimant didn't have time to swap the device. | 0:11:57 | 0:12:04 | |
Despite a rather smashing story, | 0:12:04 | 0:12:06 | |
there was no way to validate the claimant's account of what had happened. | 0:12:06 | 0:12:10 | |
But the claims handler was still prepared to give her the benefit of the doubt. | 0:12:10 | 0:12:15 | |
So, we gave her the opportunity of claiming for a brand-new handset, | 0:12:15 | 0:12:19 | |
which we would call a replacement loss. | 0:12:19 | 0:12:23 | |
We asked for some additional information to process the claim. | 0:12:23 | 0:12:27 | |
In a normal set of circumstances, | 0:12:27 | 0:12:30 | |
that information would be processed on the same claim, | 0:12:30 | 0:12:34 | |
or within minutes or hours. | 0:12:34 | 0:12:37 | |
Well, this wasn't a normal situation. | 0:12:37 | 0:12:40 | |
And things took slightly longer than that. | 0:12:40 | 0:12:42 | |
We heard nothing from this claimant for ten months. | 0:12:42 | 0:12:48 | |
It's incredibly unusual for there to be such a long gap. | 0:12:48 | 0:12:54 | |
To be without the handset is equivalent | 0:12:54 | 0:12:59 | |
to losing an arm or a hand. | 0:12:59 | 0:13:02 | |
That's a wait of nearly a year to complete the claim for her destroyed device. | 0:13:02 | 0:13:06 | |
While the claimant was in no rush, | 0:13:06 | 0:13:09 | |
Andy's team had plenty of time to look into her phoney story. | 0:13:09 | 0:13:13 | |
Whilst processing the claim and gathering the information and the | 0:13:13 | 0:13:17 | |
evidence, our claims handling agent | 0:13:17 | 0:13:19 | |
found evidence that this unique device | 0:13:19 | 0:13:23 | |
had been exchanged directly with a manufacturer before the original | 0:13:23 | 0:13:28 | |
claim had been notified to us. | 0:13:28 | 0:13:32 | |
Andy's team had proof that the claimant had exchanged the phone | 0:13:32 | 0:13:36 | |
reported to be damaged, some ten months ago | 0:13:36 | 0:13:39 | |
and had already received a replacement handset. | 0:13:39 | 0:13:42 | |
This information was put to her. | 0:13:42 | 0:13:45 | |
The claimant might well be on the back foot. | 0:14:23 | 0:14:25 | |
Andy's team have established that the allegedly smashed device was | 0:14:25 | 0:14:28 | |
exchanged for a brand-new one ten months ago | 0:14:28 | 0:14:31 | |
courtesy of the phone manufacturer. | 0:14:31 | 0:14:34 | |
As her phone number would have transferred over to any new phone she was given, | 0:14:34 | 0:14:39 | |
Assurant could see she had been using the replacement handset all along. | 0:14:39 | 0:14:44 | |
Quite clearly in this case, the claimant stood to profit | 0:14:44 | 0:14:48 | |
because she had already | 0:14:48 | 0:14:51 | |
replaced the phone and she was then subsequently claiming for a new phone. | 0:14:51 | 0:14:57 | |
So, she would have profited because the result would have been two devices. | 0:14:57 | 0:15:02 | |
Even faced with the evidence, | 0:15:02 | 0:15:04 | |
the claimant was determined to play dumb. | 0:15:04 | 0:15:06 | |
During the claims process, our agent gathered the evidence | 0:15:28 | 0:15:32 | |
not only that this handset had been exchanged, | 0:15:32 | 0:15:35 | |
but also the mobile phone number and the individual claimant's | 0:15:35 | 0:15:42 | |
information was exactly the same. | 0:15:42 | 0:15:45 | |
In short, the evidence suggested the claimant was trying to claim for | 0:15:45 | 0:15:48 | |
a phone that had already been replaced. | 0:15:48 | 0:15:52 | |
But the curious gap of ten months before she even attempted to claim | 0:15:52 | 0:15:55 | |
with her insurers, gave Assurant cause for concern, | 0:15:55 | 0:15:58 | |
as well as time to investigate, allowing them to uncover key information. | 0:15:58 | 0:16:04 | |
At this stage, | 0:16:04 | 0:16:06 | |
the evidence that we'd gathered during the claims process made it | 0:16:06 | 0:16:11 | |
pretty unequivocal that the original story | 0:16:11 | 0:16:14 | |
that the handset had been dropped in | 0:16:14 | 0:16:16 | |
the road and run over by various vehicles actually had no fact. | 0:16:16 | 0:16:22 | |
But there was no budging the claimant from her version of events. | 0:16:22 | 0:16:26 | |
We had evidence to prove that the handset had been swapped. | 0:16:49 | 0:16:52 | |
So, during the call, | 0:16:52 | 0:16:54 | |
on supplying the information and the evidence to this claimant, | 0:16:54 | 0:16:59 | |
the lady merely said, "OK, all right, thanks." | 0:16:59 | 0:17:03 | |
And just like that, the ongoing 10-month claim was over. | 0:17:19 | 0:17:24 | |
The claimant's willingness to throw in the towel, strongly suggests she | 0:17:24 | 0:17:27 | |
thought pulling a fast one would be easy as one, two, three. | 0:17:27 | 0:17:32 | |
What's incredible about this case is the behaviour of the claimant. | 0:17:32 | 0:17:36 | |
They probably don't realise that every conversation, or every interaction, | 0:17:36 | 0:17:42 | |
is recorded. So, what that means is our ability to detect fraud, | 0:17:42 | 0:17:46 | |
even though it might be ten months later, is greater. | 0:17:46 | 0:17:50 | |
Now, you probably have never wondered what an insurance cheat looks like, | 0:17:56 | 0:17:59 | |
but I can tell you they come in many guises from all manner of | 0:17:59 | 0:18:02 | |
backgrounds. The truth is, | 0:18:02 | 0:18:04 | |
not all fraud is committed by what you might consider | 0:18:04 | 0:18:06 | |
out-and-out criminals. In fact, | 0:18:06 | 0:18:08 | |
there are often individuals in respected positions who have no history of criminality, | 0:18:08 | 0:18:14 | |
but for whatever reason decide to go down a dishonest path. | 0:18:14 | 0:18:17 | |
RSA's John Beadle picked up the thread of a case which needed some | 0:18:19 | 0:18:23 | |
further investigation, back in 2009. | 0:18:23 | 0:18:26 | |
This was a claim from a gentleman who had been a loyal customer of | 0:18:26 | 0:18:31 | |
ours for some time, in respect of his commercial property, | 0:18:31 | 0:18:36 | |
which was a rather exclusive Central London menswear shop. | 0:18:36 | 0:18:40 | |
And he made a claim in respect of water damage | 0:18:40 | 0:18:45 | |
caused at his commercial premises, | 0:18:45 | 0:18:47 | |
which had damaged both his stock and | 0:18:47 | 0:18:51 | |
his personal clothing. | 0:18:51 | 0:18:53 | |
On the face of it, this was a genuine claim, | 0:18:53 | 0:18:56 | |
which we settled relatively quickly with a cash payment of £30,000. | 0:18:56 | 0:19:02 | |
But unfortunately, the claimant's bad luck soon struck again. | 0:19:02 | 0:19:08 | |
Some years later, Mr Elle made another claim where sewage had escaped into | 0:19:08 | 0:19:14 | |
his commercial premises and had damaged again both his | 0:19:14 | 0:19:20 | |
commercial stock and also his personal effects. | 0:19:20 | 0:19:23 | |
The value of this claim was some £39,000. | 0:19:23 | 0:19:27 | |
With Mr Elle's high-end suits ruined and reeking, | 0:19:27 | 0:19:30 | |
the conditions of the claim were also a little whiffy. | 0:19:30 | 0:19:34 | |
This being the second occasion with very similar circumstances, | 0:19:34 | 0:19:39 | |
it would prompt us to look a little closer, which is indeed what we did. | 0:19:39 | 0:19:45 | |
John's team were determined to wring out the truth. | 0:19:45 | 0:19:48 | |
We asked Mr Elle to substantiate the claim and give us a list of the items | 0:19:48 | 0:19:53 | |
which had been damaged and these | 0:19:53 | 0:19:55 | |
were really expensive pieces of clothing. | 0:19:55 | 0:20:00 | |
He produced to us some documentation to support his claim. | 0:20:00 | 0:20:05 | |
When we examined this, | 0:20:05 | 0:20:07 | |
we found actually it bared very similar relationship with the original claim. | 0:20:07 | 0:20:13 | |
Whilst not quite a duplicate of it, | 0:20:13 | 0:20:15 | |
it appeared to contain items which were the same. | 0:20:15 | 0:20:18 | |
Highly suspicious that the two | 0:20:18 | 0:20:20 | |
claims bore such startling similarities, | 0:20:20 | 0:20:23 | |
the paperwork Mr Elle had supplied was analysed for any discrepancies. | 0:20:23 | 0:20:28 | |
It became apparent that some of this documentation had in fact been | 0:20:28 | 0:20:31 | |
created by Mr Elle on his own computer | 0:20:31 | 0:20:35 | |
the day before the visit by our | 0:20:35 | 0:20:38 | |
investigator and no doubt in preparation for his visit. | 0:20:38 | 0:20:42 | |
With strong evidence that Mr Elle had submitted a fraudulent claim, | 0:20:42 | 0:20:46 | |
it was time to air his dirty laundry in public. | 0:20:46 | 0:20:50 | |
We confronted Mr Elle with our difficulties | 0:20:50 | 0:20:54 | |
we had in respect of the claim | 0:20:54 | 0:20:57 | |
and the supporting documentation | 0:20:57 | 0:20:59 | |
and he offered no reasonable explanation. | 0:20:59 | 0:21:04 | |
We certainly weren't going to pay the claim and in fact we referred | 0:21:04 | 0:21:08 | |
the case to Ifed. | 0:21:08 | 0:21:11 | |
The Insurance Fraud Enforcement Department took the case on | 0:21:11 | 0:21:14 | |
and after reviewing the evidence and interviewing Mr Elle, | 0:21:14 | 0:21:17 | |
it wouldn't be long before he would need one of his own suits for | 0:21:17 | 0:21:21 | |
a very formal occasion. | 0:21:21 | 0:21:23 | |
Ifed picked up our investigation and ultimately charged Mr Elle | 0:21:23 | 0:21:29 | |
with two counts of fraud. | 0:21:29 | 0:21:32 | |
He went to crown court, | 0:21:32 | 0:21:34 | |
where he pleaded guilty and he was sentenced to | 0:21:34 | 0:21:37 | |
ten months' imprisonment, suspended for 12 months, | 0:21:37 | 0:21:41 | |
and ordered to do 160 hours of community work. | 0:21:41 | 0:21:47 | |
Mr Elle had narrowly escaped a custodial sentence. | 0:21:47 | 0:21:50 | |
But RSA still had unfinished business with him. | 0:21:50 | 0:21:53 | |
In addition to the prison sentence and the conviction that | 0:21:53 | 0:21:57 | |
Mr Elle received, | 0:21:57 | 0:21:59 | |
we will be pursuing recovery of our own original payment of £30,000. | 0:21:59 | 0:22:05 | |
This well-respected fashion entrepreneur and businessmen had | 0:22:05 | 0:22:08 | |
paid a high price for his attempted fraud. | 0:22:08 | 0:22:11 | |
I think when Mr Elle reflects on this, | 0:22:11 | 0:22:14 | |
he will obviously bitterly regret his actions. | 0:22:14 | 0:22:18 | |
And the shame that he's brought on himself, | 0:22:18 | 0:22:22 | |
his family and indeed his respected business. | 0:22:22 | 0:22:26 | |
Still to come, a fisherman is caught hook, | 0:22:31 | 0:22:34 | |
line and sinker after faking a burglary. | 0:22:34 | 0:22:36 | |
We challenged the customer over that and he admitted that the item | 0:22:36 | 0:22:40 | |
actually in the photograph wasn't stolen. | 0:22:40 | 0:22:43 | |
Whether you've got a soft spot for cute kitties or a love for | 0:22:47 | 0:22:50 | |
pedigree dogs, pet insurance offers owners protection should their furry friends | 0:22:50 | 0:22:55 | |
need help. It's one of those policies you hope you'll never need, | 0:22:55 | 0:22:59 | |
but it's also one that's all too easy to let slip. | 0:22:59 | 0:23:02 | |
Unfortunately, there are some owners out there who, | 0:23:02 | 0:23:04 | |
in the event they find themselves without valid cover, | 0:23:04 | 0:23:08 | |
will do almost anything to get their hands on a pay-out. | 0:23:08 | 0:23:13 | |
Puppies are adorable. | 0:23:13 | 0:23:15 | |
But these cute canines are a huge responsibility and incredibly | 0:23:15 | 0:23:18 | |
vulnerable. So, when a dog owner called to report a tragic accident, | 0:23:18 | 0:23:23 | |
Simon Wheeler's team were on hand to deal with the call. | 0:23:23 | 0:23:28 | |
This claim concerns a very young Pomeranian puppy. | 0:23:28 | 0:23:31 | |
A very, very sad case. | 0:23:31 | 0:23:33 | |
The owners were moving house. | 0:23:33 | 0:23:35 | |
In the evening, sadly, | 0:23:35 | 0:23:37 | |
the policyholder's sister trod on the puppy and killed it. | 0:23:37 | 0:23:41 | |
A horrible accident. | 0:23:41 | 0:23:43 | |
The claimant had bought the puppy from a breeder and he'd come with | 0:23:43 | 0:23:47 | |
a free 28-day period of insurance cover. | 0:23:47 | 0:23:50 | |
The first time we heard from the policyholder was a telephone call | 0:23:50 | 0:23:55 | |
just to determine when the temporary period of insurance ran out. | 0:23:55 | 0:23:58 | |
So, she'd elected not to continue that into a full annual policy. | 0:23:58 | 0:24:02 | |
So, the date was obviously important to her, | 0:24:02 | 0:24:05 | |
in terms of when the accident happened. | 0:24:05 | 0:24:09 | |
The purchase price of the puppy was £1,500. | 0:24:09 | 0:24:11 | |
A sizeable sum. | 0:24:11 | 0:24:13 | |
And without a valid policy, | 0:24:13 | 0:24:15 | |
the claimant wouldn't receive a penny back. | 0:24:15 | 0:24:17 | |
And it wouldn't be long before the claims team would hear from her again. | 0:24:34 | 0:24:37 | |
That very same day, | 0:24:37 | 0:24:39 | |
we then had another conversation with the policyholder. | 0:24:39 | 0:24:42 | |
And she called up to advise us that the puppy had died. | 0:24:42 | 0:24:46 | |
The 15th. Just one day before the policy was due to expire. | 0:24:59 | 0:25:04 | |
A fact she had suspiciously checked just hours earlier. | 0:25:04 | 0:25:09 | |
The claimant appeared to be too distraught to continue the call | 0:25:09 | 0:25:12 | |
and passed the phone to her daughter. | 0:25:12 | 0:25:14 | |
Between the claimant and her daughter, | 0:25:44 | 0:25:47 | |
we have established that the puppy died the day they were moving house. | 0:25:47 | 0:25:52 | |
But examining the veterinary records | 0:25:52 | 0:25:54 | |
gave Simon's team serious cause for concern. | 0:25:54 | 0:25:57 | |
I'm looking at the veterinary history, | 0:25:57 | 0:26:00 | |
the date that the puppy was killed was actually different to the date | 0:26:00 | 0:26:05 | |
the policyholder had suggested. | 0:26:05 | 0:26:08 | |
Rather than the 15th of December, | 0:26:08 | 0:26:10 | |
with the policy expiring on the 16th, | 0:26:10 | 0:26:12 | |
the date that the vet had recorded was actually the 17th. | 0:26:12 | 0:26:16 | |
So, the claim wasn't covered. | 0:26:16 | 0:26:19 | |
With the claimant's cover expiring on the 16th, | 0:26:19 | 0:26:22 | |
this information was put to her. | 0:26:22 | 0:26:24 | |
So, once again, | 0:26:44 | 0:26:45 | |
it seemed to be the claimant's daughter who was in charge of dealing with | 0:26:45 | 0:26:49 | |
the puppy's untimely death. | 0:26:49 | 0:26:50 | |
The policyholder received the notice from us that we declined | 0:26:50 | 0:26:53 | |
the claim because the incident occurred outside the period of cover, | 0:26:53 | 0:26:58 | |
as detailed in the veterinary notes. | 0:26:58 | 0:27:00 | |
The policyholder then challenged the veterinary history. | 0:27:00 | 0:27:04 | |
Despite the contradicting evidence, | 0:27:04 | 0:27:06 | |
the claimant was sticking to her story. | 0:27:06 | 0:27:08 | |
She's now blaming the discrepancy on her daughter's error. | 0:27:32 | 0:27:35 | |
And despite the claimant's increasing irritation, | 0:27:35 | 0:27:38 | |
the claims handler calmly relays the facts. | 0:27:38 | 0:27:41 | |
The claimant was starting to make a real dog's dinner of her story. | 0:28:00 | 0:28:03 | |
Furthermore, on listening to the calls, | 0:28:03 | 0:28:06 | |
the policyholder had been insistent that the puppy had been trodden on | 0:28:06 | 0:28:09 | |
on the day that they moved house. | 0:28:09 | 0:28:11 | |
And that date was the 15th of December. | 0:28:11 | 0:28:13 | |
When we went back to the policyholder | 0:28:13 | 0:28:15 | |
after we'd done our investigations, | 0:28:15 | 0:28:17 | |
she confirmed that actually the date of moving was the 17th | 0:28:17 | 0:28:20 | |
and the puppy had been killed on the 17th. | 0:28:20 | 0:28:22 | |
CLAIMANT SIGHS | 0:28:37 | 0:28:39 | |
A telling sigh. The claimant has just dropped herself right in it. | 0:28:39 | 0:28:44 | |
The policy expired on the 16th of December and we've already | 0:28:44 | 0:28:48 | |
established that the puppy's death and their house move occurred on the same day, | 0:28:48 | 0:28:52 | |
which she's just admitted to being the 17th of December. | 0:28:52 | 0:28:55 | |
Crucially, a day after the cover had ended. | 0:28:55 | 0:28:59 | |
Having had a situation where | 0:28:59 | 0:29:01 | |
the policyholder had tried to move the date, | 0:29:01 | 0:29:04 | |
to bring the date into the period of cover, | 0:29:04 | 0:29:06 | |
to have the purchase price covered, | 0:29:06 | 0:29:09 | |
it was yet more of an indication that she was trying to twist and | 0:29:09 | 0:29:12 | |
manipulate the cover to suit her needs. | 0:29:12 | 0:29:16 | |
Despite this whole dispute centring around when the puppy had his fatal | 0:29:16 | 0:29:21 | |
accident, the claimant decides that dates are suddenly unimportant. | 0:29:21 | 0:29:25 | |
Again, she was trying to manipulate | 0:29:39 | 0:29:41 | |
the timing of the puppy's death to fall inside the period of cover. | 0:29:41 | 0:29:45 | |
So, she's insistent and desperate and nothing was too much effort for her. | 0:29:45 | 0:29:48 | |
The claimant is clearly frustrated, | 0:29:48 | 0:29:51 | |
but the simple fact is her policy expired on the 16th of December and | 0:29:51 | 0:29:55 | |
she did not have valid cover. | 0:29:55 | 0:29:58 | |
But she's refusing to back down. | 0:29:58 | 0:30:00 | |
While the claimant continued to pass the buck, | 0:30:33 | 0:30:35 | |
the evidence was overwhelming. | 0:30:35 | 0:30:38 | |
The rejection of the claim stood and no money was paid out, | 0:30:38 | 0:30:42 | |
although this type of lengthy investigation | 0:30:42 | 0:30:45 | |
still does cost insurers. | 0:30:45 | 0:30:46 | |
It's tedious and it's time-consuming for all parties. | 0:30:46 | 0:30:51 | |
That adds a huge administrative burden into the process for us. | 0:30:51 | 0:30:56 | |
That administrative burden comes with a cost. | 0:30:56 | 0:30:58 | |
That cost, unfortunately, gets loaded into premiums. | 0:30:58 | 0:31:01 | |
This case proves that anyone who tries to pull one over on pet insurers is | 0:31:01 | 0:31:05 | |
going to have a rough day. | 0:31:05 | 0:31:08 | |
For people who try to manipulate dates or adjust things to suit their | 0:31:08 | 0:31:11 | |
own ends, it's usually very easy to see through it. | 0:31:11 | 0:31:15 | |
It doesn't take much effort to really pick under the skin of | 0:31:15 | 0:31:18 | |
situations that don't appear to be as they should be. | 0:31:18 | 0:31:22 | |
When it comes to making an insurance claim, there's no such thing as a | 0:31:27 | 0:31:30 | |
little white lie. | 0:31:30 | 0:31:32 | |
If you've been involved in a genuine accident, then exaggerating or | 0:31:32 | 0:31:36 | |
fabricating any damages and injuries to get a bigger pay-out is fraud. | 0:31:36 | 0:31:40 | |
And it can land those who try it in very hot water. | 0:31:40 | 0:31:44 | |
Transport companies are often victim to this type of opportunistic fraud | 0:31:44 | 0:31:47 | |
as there's a misconception they're a soft touch. | 0:31:47 | 0:31:51 | |
But this couldn't be further from the truth. | 0:31:51 | 0:31:56 | |
There are thousands of buses operating on UK roads. | 0:31:56 | 0:31:59 | |
These mechanical beasts are hard to miss. | 0:31:59 | 0:32:02 | |
Sometimes, literally. | 0:32:02 | 0:32:05 | |
Lee Ingram knows all about how motorists can get tangled up with | 0:32:05 | 0:32:08 | |
these oversize vehicles. | 0:32:08 | 0:32:10 | |
He was asked to look over one claim which seemed to be at the minor end | 0:32:10 | 0:32:14 | |
of the accident scale. | 0:32:14 | 0:32:16 | |
The actual accident circumstances in this case were | 0:32:16 | 0:32:19 | |
that a bus was overtaking a stationary line of traffic on its right. | 0:32:19 | 0:32:22 | |
It's gone ahead to do a left-hand turn into a side road and as it's done so, | 0:32:22 | 0:32:26 | |
the rear tail of the bus has swung out and pressed up against | 0:32:26 | 0:32:31 | |
the stationary car. The bus driver didn't actually know an incident had occurred. | 0:32:31 | 0:32:35 | |
It wasn't until a short while after, | 0:32:35 | 0:32:37 | |
when the car driver followed him down the road | 0:32:37 | 0:32:40 | |
and let him know that the accident happened, that he was aware of it. | 0:32:40 | 0:32:43 | |
A seemingly minor accident, | 0:32:43 | 0:32:46 | |
but the occupants of the car submitted damages and personal injury claims | 0:32:46 | 0:32:49 | |
totalling over £8,000, | 0:32:49 | 0:32:52 | |
which prompted Lee's team to re-examine the circumstances of the incident. | 0:32:52 | 0:32:56 | |
When we reviewed the accounts given by both of the claimants, | 0:32:56 | 0:33:00 | |
we found a number of inconsistencies in their statements. | 0:33:00 | 0:33:03 | |
Both of the claimants in this incident are alleging that they were jolted forwards | 0:33:03 | 0:33:07 | |
and backwards in their vehicle when the collision has occurred. | 0:33:07 | 0:33:12 | |
One of them's claiming that they were moving at a slow speed. | 0:33:12 | 0:33:14 | |
The other one said that they were moving at a moderate speed. | 0:33:14 | 0:33:17 | |
But the key factor there is that they both allege that the vehicle | 0:33:17 | 0:33:20 | |
was moving at the time that the bus struck them. | 0:33:20 | 0:33:24 | |
A strange account, | 0:33:24 | 0:33:26 | |
as the initial report had stated that the car was stationary during the incident. | 0:33:26 | 0:33:31 | |
But it would be the personal injury claims that would raise serious | 0:33:31 | 0:33:34 | |
-suspicions. -The driver of the car has submitted a claim for | 0:33:34 | 0:33:37 | |
soft tissue injuries to his neck and back. | 0:33:37 | 0:33:41 | |
He's also alleging that he's got a fear of travel after this | 0:33:41 | 0:33:45 | |
seemingly low-speed impact. | 0:33:45 | 0:33:47 | |
He's also put in a claim for care and domestic assistance. | 0:33:47 | 0:33:51 | |
So, cooking, cleaning, childcare. | 0:33:51 | 0:33:55 | |
We do see these claims from time to time and the key really is to look | 0:33:55 | 0:33:58 | |
at the injuries sustained and think, "Is that reasonable?" | 0:33:58 | 0:34:01 | |
But you're also looking, in this case, to see who has actually | 0:34:01 | 0:34:04 | |
provided that care. | 0:34:04 | 0:34:06 | |
Given the extent of the claimant's alleged injuries and | 0:34:06 | 0:34:09 | |
the psychological effect of the accident, | 0:34:09 | 0:34:11 | |
you'd suspect a team of highly trained medical experts, wouldn't you? | 0:34:11 | 0:34:15 | |
He's alleging that the person who's given this care was his wife. | 0:34:15 | 0:34:20 | |
Now, she submitted in her claim that she also cannot do these very things | 0:34:20 | 0:34:25 | |
that he's alleging she assisted him with. | 0:34:25 | 0:34:28 | |
These two clearly need to communicate more often. | 0:34:28 | 0:34:32 | |
Sounds like the blind leading the blind. | 0:34:32 | 0:34:35 | |
And it wasn't just the claimant's personal injuries | 0:34:35 | 0:34:37 | |
Lee suspected were hugely exaggerated. | 0:34:37 | 0:34:40 | |
After an accident, we will often inspect a vehicle involved in a collision with one of our buses. | 0:34:40 | 0:34:45 | |
Part of that inspection is to take photos of the vehicle. | 0:34:45 | 0:34:49 | |
We saw photographs come back and they showed some minor | 0:34:49 | 0:34:52 | |
scuffing to the door in a sort of brushing motion, | 0:34:52 | 0:34:55 | |
and we'd also lost the back of the wing mirror off the car. | 0:34:55 | 0:34:59 | |
Very indicative of a minor impact, | 0:34:59 | 0:35:02 | |
rather than actually a dent | 0:35:02 | 0:35:04 | |
which you would expect from a side-on collision. | 0:35:04 | 0:35:07 | |
With the claimant's version of events suggesting a violent shunt had taken place, | 0:35:07 | 0:35:13 | |
it was time to check the bus CCTV to see what had actually occurred. | 0:35:13 | 0:35:18 | |
This footage clearly shows... | 0:35:18 | 0:35:21 | |
I mean, this chap and his wife have both said they were thrown forwards | 0:35:21 | 0:35:25 | |
and backwards. Take a look at that. | 0:35:25 | 0:35:26 | |
The car doesn't even move. | 0:35:26 | 0:35:28 | |
So, they haven't been tossed around | 0:35:28 | 0:35:30 | |
like an old pair of socks in a tumble dryer - as alleged. | 0:35:30 | 0:35:35 | |
We're talking about a push against a wing mirror on a car. | 0:35:35 | 0:35:37 | |
You push a wing mirror and it just folds. | 0:35:37 | 0:35:40 | |
No way. No way is that car moving from hitting that wing mirror. | 0:35:40 | 0:35:43 | |
Hardly the automotive carnage the claimants had suggested. | 0:35:45 | 0:35:48 | |
When we actually looked into this claim and investigated it | 0:35:48 | 0:35:50 | |
thoroughly, looking at the CCTV footage, | 0:35:50 | 0:35:54 | |
it soon became apparent that this was a very low-speed impact. | 0:35:54 | 0:35:58 | |
We couldn't really see how anyone | 0:35:58 | 0:36:02 | |
could have sustained any movement within this vehicle | 0:36:02 | 0:36:04 | |
following on from this very innocuous collision, really. | 0:36:04 | 0:36:09 | |
And despite submitting a claim of over £8,000, | 0:36:09 | 0:36:12 | |
the driver of the car was prepared to settle it at the scene for quite a bit less. | 0:36:12 | 0:36:16 | |
The claimant had gone to our driver on the day and had said that | 0:36:16 | 0:36:21 | |
if you paid him £50, he would go away and not pursue the claim. | 0:36:21 | 0:36:24 | |
Lee and the claims team had seen more than enough to make a decision. | 0:36:24 | 0:36:28 | |
We refused to accept that this barely perceptible coming together | 0:36:28 | 0:36:32 | |
of vehicles could have caused | 0:36:32 | 0:36:34 | |
anything like the level of injuries or damages that were being claimed. | 0:36:34 | 0:36:38 | |
So, we refused to pay the claim, | 0:36:38 | 0:36:40 | |
leaving the claimants with either the option of issuing proceedings on | 0:36:40 | 0:36:45 | |
us, or dropping their claims. | 0:36:45 | 0:36:47 | |
Despite the overwhelming evidence against them, | 0:36:47 | 0:36:49 | |
the claimants decided to take the case to court - | 0:36:49 | 0:36:53 | |
a decision they would regret. | 0:36:53 | 0:36:55 | |
The judge just simply couldn't believe, when he'd seen the footage... | 0:36:57 | 0:37:01 | |
He saw there's no movement in this car. | 0:37:01 | 0:37:04 | |
It's quite obvious. So, it doesn't take the judge much to look at the footage and think, | 0:37:04 | 0:37:08 | |
"This is just not right." | 0:37:08 | 0:37:10 | |
So the judge has struck the claim out in its entirety, | 0:37:10 | 0:37:13 | |
with an award for our costs in full. | 0:37:13 | 0:37:16 | |
So, it's a very satisfactory outcome to a claim that, once we'd looked at | 0:37:16 | 0:37:20 | |
the footage, really had no chance of succeeding. | 0:37:20 | 0:37:23 | |
Despite his many years in the job, | 0:37:23 | 0:37:25 | |
cases like this one are still keeping Lee on his toes. | 0:37:25 | 0:37:29 | |
I still am surprised with | 0:37:29 | 0:37:31 | |
the ridiculous claims we do get in sometimes | 0:37:31 | 0:37:34 | |
and the barefaced cheek of some people and what they will go through | 0:37:34 | 0:37:38 | |
just to try and make some easy money. | 0:37:38 | 0:37:41 | |
Also, I'm always amazed that they still haven't cottoned on the level | 0:37:41 | 0:37:44 | |
of investigations and detail that we will look into | 0:37:44 | 0:37:47 | |
just to verify a claim. | 0:37:47 | 0:37:49 | |
These people should really wake up | 0:37:49 | 0:37:50 | |
before they consider submitting a claim to us. | 0:37:50 | 0:37:54 | |
Now, if you're unfortunate enough to have something stolen, | 0:37:59 | 0:38:01 | |
then so long as you're covered with an insurance policy, | 0:38:01 | 0:38:04 | |
it can be replaced. In the event of a theft, | 0:38:04 | 0:38:07 | |
insurance companies place a lot of trust in us being honest about what's been taken. | 0:38:07 | 0:38:11 | |
But sadly there are those who attempt to bend the truth and | 0:38:11 | 0:38:15 | |
think adding an item here or there won't really make a difference. | 0:38:15 | 0:38:18 | |
The truth is, it's no different to going out and stealing that item. | 0:38:18 | 0:38:22 | |
So, when insurers suspect this is happening, | 0:38:22 | 0:38:24 | |
they'll do everything within their power to identify the fraud | 0:38:24 | 0:38:28 | |
and stop it in its tracks. | 0:38:28 | 0:38:31 | |
Home insurers can protect everything | 0:38:31 | 0:38:33 | |
from the kitchen sink to the garden shed. | 0:38:33 | 0:38:37 | |
David Berry's team at Lloyds Banking Group received a call from a customer | 0:38:37 | 0:38:41 | |
who'd had a less secure part of his property targeted. | 0:38:41 | 0:38:45 | |
In April 2015, | 0:38:45 | 0:38:47 | |
he contacted us by phone and explained to us that the lean-to, | 0:38:47 | 0:38:52 | |
which runs alongside the side of his house, had been broken into. | 0:38:52 | 0:38:55 | |
We asked the customer what had been stolen at the time and he explained | 0:38:57 | 0:39:02 | |
to us that he didn't think that | 0:39:02 | 0:39:03 | |
the thieves had got fully into the lean-to | 0:39:03 | 0:39:05 | |
because it appeared that they had only taken items | 0:39:05 | 0:39:08 | |
that were quite close to the door. | 0:39:08 | 0:39:10 | |
Although it could have been worse, | 0:39:10 | 0:39:12 | |
the claimant reported that some expensive items had been taken. | 0:39:12 | 0:39:16 | |
A number of items were stolen. | 0:39:16 | 0:39:18 | |
There was a drill, which he wasn't actually that bothered about because | 0:39:18 | 0:39:21 | |
he was more concerned about the fact he was a keen fisherman and a number | 0:39:21 | 0:39:25 | |
of items that were clearly important to him had been stolen. | 0:39:25 | 0:39:28 | |
Those items had been acquired over a period of time and also some of them | 0:39:28 | 0:39:31 | |
were very, very recently purchased. | 0:39:31 | 0:39:33 | |
And in fact they were very expensive. He estimated that the | 0:39:33 | 0:39:36 | |
total value of the claim was in the region of £5,000. | 0:39:36 | 0:39:39 | |
As the name suggests, | 0:39:39 | 0:39:40 | |
lean-tos aren't usually the most solid or secure of structures and | 0:39:40 | 0:39:45 | |
are commonly filled with low-value things. | 0:39:45 | 0:39:47 | |
So, to be keeping five grand's worth of stuff in there was slightly odd. | 0:39:47 | 0:39:52 | |
When we asked the customer to provide us with fuller details | 0:39:52 | 0:39:55 | |
in terms of the description of the items, | 0:39:55 | 0:39:57 | |
together with any receipts he had | 0:39:57 | 0:39:59 | |
or details of where he bought the goods from, | 0:39:59 | 0:40:02 | |
we also suggested to him that he might have photographs of any of | 0:40:02 | 0:40:06 | |
these items that might also help us understand their value. | 0:40:06 | 0:40:09 | |
As requested, the claimant promptly supplied the claims team with photos | 0:40:10 | 0:40:14 | |
of the alleged stolen items. | 0:40:14 | 0:40:16 | |
But there was one small problem. | 0:40:16 | 0:40:18 | |
When we looked at the properties within the equipment, we identified | 0:40:18 | 0:40:21 | |
that one of them was taken around about 20 minutes before he | 0:40:21 | 0:40:23 | |
reported the claim to us. | 0:40:23 | 0:40:25 | |
And the second one though was around about an hour, | 0:40:25 | 0:40:27 | |
a little bit over an hour, AFTER the claim was reported to us | 0:40:27 | 0:40:31 | |
over the phone. | 0:40:31 | 0:40:32 | |
A puzzling discovery, which was put to the claimant. | 0:40:32 | 0:40:35 | |
When we asked the customer to tell us when he had taken these photographs, | 0:40:37 | 0:40:41 | |
he told us that they'd been taken over a period of time, | 0:40:41 | 0:40:44 | |
going back maybe as long as two years. | 0:40:44 | 0:40:46 | |
It was looking like the claimant had only managed to frame himself | 0:40:47 | 0:40:52 | |
for a potential fraud. | 0:40:52 | 0:40:54 | |
We challenged the customer over that and he admitted that whilst he had | 0:40:54 | 0:40:57 | |
had some items of equipment stolen, | 0:40:57 | 0:41:00 | |
the item actually in the photograph wasn't stolen. | 0:41:00 | 0:41:03 | |
But he had added it to the claim. | 0:41:03 | 0:41:04 | |
The claimant had come clean, | 0:41:04 | 0:41:06 | |
but this lone confession didn't mean he was off the hook. | 0:41:06 | 0:41:10 | |
We explained to him that as part of that claim was fraudulent, | 0:41:10 | 0:41:14 | |
he wasn't entitled under the policy | 0:41:14 | 0:41:16 | |
to any payment because it was now our right to cancel the policy | 0:41:16 | 0:41:19 | |
on the grounds of fraud. | 0:41:19 | 0:41:20 | |
So, the claimant wasn't going to receive a penny. | 0:41:20 | 0:41:23 | |
But that wasn't the end of the investigation. | 0:41:23 | 0:41:26 | |
We reported the matter to the Insurance Fraud Enforcement Department and when they | 0:41:26 | 0:41:31 | |
interviewed the customer, he explained to them that actually | 0:41:31 | 0:41:34 | |
nothing had been stolen from the shed. | 0:41:34 | 0:41:37 | |
This keen fisherman had been baited by the false idea that submitting a | 0:41:37 | 0:41:41 | |
fraudulant claim would pay off. | 0:41:41 | 0:41:43 | |
Previously, he'd told us that a number of items had been stolen, | 0:41:43 | 0:41:46 | |
valued at around £5,000. | 0:41:46 | 0:41:49 | |
So, it really was a surprise to us when he actually did admit to the | 0:41:49 | 0:41:51 | |
police that nothing at all was stolen. | 0:41:51 | 0:41:53 | |
Despite the claimant's blatant and planned attempt to swindle his | 0:41:53 | 0:41:57 | |
insurers, he narrowly avoided prosecution. | 0:41:57 | 0:41:59 | |
As a result of that interview, | 0:41:59 | 0:42:01 | |
and again because the customer was of previously good character, | 0:42:01 | 0:42:04 | |
the police were prepared to deal with the matter | 0:42:04 | 0:42:07 | |
by way of a police caution. | 0:42:07 | 0:42:08 | |
Ifed will investigate any suspected fraud | 0:42:11 | 0:42:14 | |
and for insurers, | 0:42:14 | 0:42:15 | |
having the boys in blue as an ally often proves invaluable. | 0:42:15 | 0:42:20 | |
Had we not reported the matter to the police, | 0:42:20 | 0:42:23 | |
it's very unlikely that we would've actually understood ultimately that | 0:42:23 | 0:42:26 | |
nothing at all was stolen. | 0:42:26 | 0:42:28 | |
Insurance companies are making it crystal clear that they are not soft | 0:42:28 | 0:42:32 | |
targets and there will be serious consequences if anyone tries to defraud them. | 0:42:32 | 0:42:37 | |
I honestly don't believe that customers sometimes realise the | 0:42:37 | 0:42:41 | |
repercussions of what can happen if they're caught committing insurance | 0:42:41 | 0:42:45 | |
fraud. Potentially, | 0:42:45 | 0:42:46 | |
it could mean that the matter is reported to the police, | 0:42:46 | 0:42:49 | |
which could lead to imprisonment or a suspended sentence. | 0:42:49 | 0:42:51 | |
Insurance fraud in this country costs all of us money. | 0:42:56 | 0:42:59 | |
But the days of no-questions-asked pay-outs are numbered. | 0:42:59 | 0:43:03 | |
Insurers are getting ever more sophisticated technology to identify, | 0:43:03 | 0:43:07 | |
track and prosecute fraudsters | 0:43:07 | 0:43:09 | |
and courts are using new powers to put these criminals behind bars. | 0:43:09 | 0:43:14 |