Episode 2 Claimed and Shamed


Episode 2

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Transcript


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Insurance fraud has reached epidemic levels in the UK.

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It's costing us more than £1.3 billion every year.

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That's almost 3.6 million every day.

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Deliberate crashes, bogus personal injuries, even phantom pets.

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The fraudsters are risking more and more to make a quick killing.

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And, every year, it's adding around £50 to your insurance bill.

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But insurers are fighting back,

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exposing just under 15 fake claims every hour.

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Armed with covert surveillance systems,...

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Subject out of the vehicle.

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..sophisticated data analysis techniques,

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..and a number of highly skilled police units,...

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Police! Stay where you are!

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..they're catching the criminals red-handed.

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Don't lie to us!

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All those conmen, scammers, and cheats on the fiddle

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are now caught in the act and Claimed And Shamed.

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A husband and wife team of fraudsters

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get some unwelcome visitors.

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Police officers. Can you come to the door, please?

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A man has a serious accident

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but finds the whole thing strangely amusing.

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And a personal injury scam is scuppered

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when a claimant mixes up his dates.

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We only had to contact the employers and they were able to give us

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information that completely contradicted

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the employee's version of events.

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Insurance companies are a meticulous lot.

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They will comb through every detail of a claim

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to ensure that everything is as it should be.

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As long as you've done nothing wrong, there's nothing

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to worry about but if you are defrauding your insurance provider,

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it is more than likely that you'll get found out.

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It might not happen right away but, eventually,

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they will find you and come after you.

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Fraud is a crime and the police are getting wise to it.

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When an insurance company detects fraudsters,

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they'll hand them over to IFED.

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In 2012, the Insurance Fraud Enforcement Department was set up.

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They are a dedicated police squad,

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specialising in bringing those committing insurance fraud

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to justice.

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To date, they've convicted over 200 fraudsters.

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Simon Styles is IFED's financial investigator.

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In 2014, he and the team were given a case to investigate

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by a health insurance provider called Simplyhealth.

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They wanted IFED to look into two of their policyholders.

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Mr Rehman Khan and his wife Shagufta.

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Simplyhealth had made some rather startling discoveries

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about what this seemingly ordinary couple were up to.

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The Khans had a joint policy since 2002

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and they made a number of legitimate claims,

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as well as fraudulent claims, over a ten-year period.

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And it was only an internal audit ten years into their policy

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that Simplyhealth realised something was wrong.

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They found that 300 claims had been made on the policy

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over the period of time.

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As a result of the audit and further investigations,

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it was discovered that 245 of those claims were fraudulent.

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These 245 fraudulent claims added up to over £18,000

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that had been handed out to the Khans by Simplyhealth.

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The type of claims that were made by Mr and Mrs Khan,

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over a ten-year period, were low-level claims.

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A claims handler receiving that on their desk

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wouldn't really bat an eyelid.

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Unfortunately, these claims just slipped through the net.

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So, by keeping each individual amount low, often under £100,

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Mr and Mrs Khan's fake claims went unnoticed.

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What's more, some of the health care that the Khans were claiming for

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was genuine.

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There were some 25 different companies

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that have been visited by the Khans..

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They had all said that the Khan family had attended there,

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at some point in the past ten years, but on minimal occasions.

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And not a number of occasions that the Khans had claimed they did.

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IFED suspected that the Khans had been using real invoices

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as templates to produce fake ones.

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They were also pretty sure that the couple weren't going to stop

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putting in more claims any time soon.

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We knew that we quickly had to speak to both Mr and Mrs Khan

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to make sure that we would stop any more fraudulent activity

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because the level and period of time and number of claims,

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we knew that they would continue their criminal activity.

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IFED needed to act fast to stop the Khans

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but they needed hard evidence

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to prove that the couple had been committing fraud.

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And the only way to get this was to raid the Khans' home.

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6.30 AM, Simon, along with Detective Sergeant Tom Hill are on the move.

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We're going to arrest two members of the same family

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who have been committing health insurance fraud

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over a ten-year period.

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By submitting fake, or altered, invoices for medical care.

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From various hospitals and

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other, sort of, health care providers.

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Mr and Mrs Khan have no idea that a police unit is closing in

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and officers hope that, by raiding early in the morning,

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they've got more chance of them being in

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and the IFED officers are out in force.

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There's another team going to another address

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and it will be a simultaneous arrest, if all goes to plan.

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As with any raid, the police never know how suspects will react

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and are trained to be vigilant.

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It's just a question of securing entry,

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in the first case, and making sure the premises is secure

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and all the people inside are accounted for, for our own safety.

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A few miles away, the second IFED team has arrived

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at the address of the other suspect.

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With raids like this, speed and surprise are everything.

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Once alerted, suspects may wake a run for it.

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So, with the exits covered,

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the occupants of both houses are given a rude awakening.

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Police officers. Can you come to the door, please?

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Good morning.

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Detective Inspector Ben Flanagan from the City of London Police.

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-Are you Rehman Khan?

-Yeah.

-Do you mind if we come in?

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I'll speak to you. I'll tell you what's happening. OK?

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-Who else is in the house?

-My wife.

-Your wife. Well, get them down.

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-Are they upstairs?

-Yeah.

-And I'll speak to you all at once.

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-They're going to have to wake up.

-Police.

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The police are in luck, both Rehman and Shagufta are in.

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Would you like to take a seat? I'll explain exactly what's happening.

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Yeah, sure.

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OK. We're detectives from the City of London Police.

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Insurance Fraud Enforcement Department.

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We've received an allegation from an insurance company,

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a crime has been reported to us of fraud,

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against Simplyhealth insurance

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OK?

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So, because of that allegation, I'm going to arrest you, OK?

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On suspicion of conspiracy to defraud.

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You do not have to say anything but it may harm your defence

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if you do not mention, when questioned,

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something which you later rely on in court.

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Anything you do say may be given evidence.

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So we can search the premises. We can interview you.

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And, then, we'll take it from there.

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Understandably shocked, Mr Khan claims that he's heard nothing

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about this from his insurance company.

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I'm ready to sort this out if there is a problem,

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-but they should talk to me first.

-OK.

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Well, they say they have and there is a problem

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and it's been reported as a crime,

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so I'm going to deal with it now, as a police officer. OK?

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The case is now in the hands of IFED,

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which means the investigation will be run by its rules.

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To see if the Khans are willing to cooperate,

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Simon asks them to help him to locate any potential evidence.

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As I say, we're going to search your whole house.

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It simplifies it, if you can tell us where any documentation

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in relation to any claims that you may have made are.

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Is there anything down here? Or is it all upstairs? No. It's upstairs.

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Whenever I go on searches, such as these, I always ask

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the occupant, as I did with Mr Khan, where the documentation was.

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He indicated various sideboards and cupboards and things

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around the building,

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but it gives you an idea but you never take that for granted.

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You've always got to search everything

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where you suspect it may be because, unfortunately, criminals do lie.

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So, the team embark on a systematic search of the entire property.

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We're looking for computer equipment

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which may have been used to manufacture

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fraudulent receipts and invoices.

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We're looking for paperwork in relation to these insurance claims

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that are believed to be fraudulent.

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They soon find a number of memory sticks and laptops

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which may have vital information stored on them.

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Everything is bagged up and labelled,

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ready to be taken away and examined by IFED's investigators.

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But it was a seemingly unassuming file that no-one was looking for

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that was to be crucial in cracking the case.

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Tucked away in one of the Khans' cupboards

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were several ink stamps and one had the word PAID on it.

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We'll have that.

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You never know what you're going to find

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when you go through the front door.

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You'd love to find little pieces of nuggets that you use

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that's going to assist in your prosecution.

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Having a stamp with the word PAID on it,

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which was exactly the one we believed was used

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in the fraudulent invoices, where successful claims have been made,

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finding something like that was immensely useful

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and it's very satisfying when you find something like that.

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The police search was proving to be a great success.

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Simon turned his attention to the Khans' bank statements

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found at their house.

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Part of my job as a financial investigator is to establish what

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bank accounts people have, but also to see what lifestyle they've got.

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What it does show is that there's an income into the accounts

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far in excess of what they could have legitimately have earned.

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All the time, I'm totting it up to see their outgoings

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and the incoming. And does it make sense, or is there a gap?

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Which would possibly suggest that they're living

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from the proceeds of criminal activity.

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As the search continues,

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Simon finds yet more of the Khans' financial paperwork to investigate.

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Just shown that this individual was on disability living allowance

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and, therefore, is not working.

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It was interesting to come across an instant access ISA.

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There's a number of credits into the account,

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over the last three or four years.

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The latest credit was in May of last year of £2,000,

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which shows the current balance is just over £4,000.

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Which is interesting.

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Something that I'll certainly put to her later in interview.

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As to how she's able to accumulate £4,000 in an ISA.

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More in-depth investigations reveal what Simon had suspected.

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The unaccounted money found in the Khans many bank accounts

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matched the exact amount that had been paid out

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by Simplyhealth from the fraudulent claims.

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Simplyhealth paid out £18,000

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and I found that the bank accounts

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relating to the Khans had received £18,500.

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So, this put the Khans right in the middle of this fraud.

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With the raid at the Khans' house nearly complete,

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at the other address,

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the officers have found something which they believe could be vital.

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IFED's Ben Flanagan calls to give the news.

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We found details of a safety deposit box here.

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So I'm thinking that there may well be documents

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relating to this offence, or cash from it,

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in the box.

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With the searches at both properties over, Mr and Mrs Khan

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along with the evidence seized are taken back to the station.

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But the most important thing now

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is that IFED gets its hands on the safety deposit box,

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which could contain important evidence.

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Still to come....

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IFED hit the jackpot.

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You can see, it would appear that we've got items of jewellery.

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We'll be seizing all of this.

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And Esure deal with a particularly hapless driver.

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It was simply inconceivable that one individual could be so unlucky

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to be involved in five separate road traffic accidents in 10 months.

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Now, when it comes to submitting an insurance claim,

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it's our responsibility to give an honest account of the details

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surrounding the claim,

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as failure to do so is quite simply fraud.

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However, for some people,

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the temptation of getting their hands on a hefty pay-out

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can be enough to make them exaggerate, overstate,

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or even downright lie.

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The team at i-Cog claims management are highly trained

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to tell the difference between people who are making up a story

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and those who are telling the truth,

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as CEO Tara Shelton explains.

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What is often missed to the untrained ear

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is that when someone's actually under a position of stress

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the heart beats faster.

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Breathing changes. Voice pitch changes.

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That's the level of detail that we actually listen at.

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This unique skill set enables the team to identify

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suspicious claims that might otherwise be undetected.

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Operations manager Kayleigh Farrell recalls

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a recent case involving a man who'd had a nasty car accident.

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So, the policyholder was driving along a main country road

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when he approached the corner, he lost control of his vehicle

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and collided with a telegraph pole

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and that had flipped his car into a nearby field.

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This had caused the vehicle to be a total loss,

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which resulted in £11,000 worth of claim.

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A terrifying incident.

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And quite possible to lose control for just a split second

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on a dark country road.

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However, something about the story had raised alarm bells

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with the driver's own insurance company,

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so they enlisted the expertise of i-Cog.

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The i-Cog call handler wanted to hear the driver explain

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the detail of his ordeal in his own words.

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The driver was claiming his memories of the whole incident were a blur.

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All he remembered was trying to turn his headlights to full beam

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but his car was plunged into darkness

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and he careered off the road.

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To start off the conversation,

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the handler just simply asked the claimant what exactly had happened.

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However, he provided an extremely vague account

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of what seemed to be quite a traumatic incident,

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involving the vehicle itself.

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In my experience, there would be a full account of exactly what

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had happened, they'd be able to provide much information,

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of exactly what they'd seen, exactly what they'd heard,

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and even down to what they'd smelled during the collision of the vehicle.

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The team at i-Cog regularly speak to people

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who've had traumatic experiences.

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But there was something about this man's account that jumped out.

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The claimant appeared to have absolutely no emotion,

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regarding the collision itself.

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You know, he showed absolutely no fear of what had happened.

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It wasn't traumatic to him.

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You know, he'd rolled his vehicle, it had been a complete loss

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and, yet, he had no emotion whatsoever

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when he was informing us of what had happened.

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The claimant's behaviour throughout the account was inappropriate.

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He was laughing on many occasions

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where it didn't seem to be necessary to laugh.

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If I'd been driving a car, crashed into a telegraph pole,

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been flipped over and landed upside down,

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I know I wouldn't be laughing about it.

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Even if I'd lost my memory, as this guy was claiming he had,

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I would still feel totally traumatised.

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As I'm sure you probably would too.

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Yet, this man seemed to be showing no real emotion

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about his ordeal at all.

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The i-Cog operator had been paying close attention to every word

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of the account the claimant was giving.

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They'd noticed one important inconsistency.

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His mobile phone, that he said had gone missing,

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mysteriously reappeared later on in the story.

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When the handler informed the claimant that, in fact,

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his account did not make any sense

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he also agreed with her that it didn't.

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That is highly concerning,

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as to why the claimant would think his account didn't make any sense.

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And that is why we also believe it was fabricated.

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The i-Cog operator had given the caller every opportunity

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to provide some concrete facts but there were none forthcoming.

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For us, after leaving the conversation,

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it was quite clear in our discussions that the claimant

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may not have actually been involved in the collision at all.

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Or, if he was, he may have been drinking alcohol

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and, clearly, departed the scene for that reason.

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The lack of detail provided by the caller meant that Kayleigh

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and her team felt it necessary to recommend to the insurance

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company to investigate further before paying out a penny.

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The claim is now with the fraud department of the insurance

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company and is being further investigated with the police.

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For the team at i-Cog,

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cases of potential insurance fraud are never a joke.

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For some, the workplace can be a precarious environment.

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If you're unlucky enough to have an accident that could have been

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prevented by your employer, you can seek fair compensation.

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However, this protection is sometimes exploited by those

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who are prepared to exaggerate injuries

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or even make them up in the hope of cashing in.

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Unfortunately, no amount of health and safety

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can make an environment completely risk-free.

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Mihir Pandya is Allianz's counter-fraud manager

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and an expert at sniffing out the bona fide claims from the bogus.

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He was given one seemingly everyday case to investigate.

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This claim first came to light when we received a claim for

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personal injury from one of our customer's employees.

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Our customer owned a petrol station.

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The reserve that we had for the claim,

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on receiving the circumstances, was set at £50,000.

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That's a whopping claim total.

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You'd expect the claimant to have suffered some serious injuries.

0:23:120:23:15

The employee alleged that he had injured his wrist

0:23:150:23:20

when moving a delivery of cartons which were covered in ice.

0:23:200:23:24

His version of the events was that whilst moving the delivery of

0:23:240:23:29

cartons, the cartons slipped, he tried to catch the cartons,

0:23:290:23:33

and being covered in ice, that's when they injured his wrist.

0:23:330:23:36

It sounded like an unfortunate accident,

0:23:360:23:39

but the claimant also proved to be rather slippery.

0:23:390:23:42

It became apparent really early on that this was actually quite

0:23:420:23:47

an amateurish attempt at committing fraud.

0:23:470:23:50

We only had to contact the employers and they were able to give us

0:23:500:23:54

information that completely contradicted

0:23:540:23:57

the employee's version of events.

0:23:570:23:59

He must've been suffering with brain freeze well,

0:23:590:24:02

as the claimants timings were a little off.

0:24:020:24:05

The information that the employer provided us was that the employee

0:24:050:24:11

didn't start his shift till 11pm.

0:24:110:24:15

And delivery would have been made in the afternoon and would have

0:24:150:24:19

been dealt with in the afternoon by another employee.

0:24:190:24:23

Yeah, the claimant really should have picked a day

0:24:230:24:26

he was actually working, just to make his story more convincing.

0:24:260:24:30

In our opinion, there was no way that the employee suffered the

0:24:300:24:33

injury that he was claiming for.

0:24:330:24:35

It was very clear from the information that we had that

0:24:350:24:39

this injury just didn't occur.

0:24:390:24:41

Yet the claimant continued to insist that the injury had occurred

0:24:410:24:47

and he decided to take us to court.

0:24:470:24:50

A very bold, some might say foolish move by the claimant,

0:24:500:24:54

given the evidence against him.

0:24:540:24:56

But Allianz were willing to go all the way.

0:24:560:24:59

We were very surprised that he took this course of action,

0:24:590:25:02

but, in our minds, we were confident that we would win this in court.

0:25:020:25:08

During the court hearing,

0:25:100:25:11

we were able to present to the court the number of inconsistencies,

0:25:110:25:16

the information and the evidence that we had.

0:25:160:25:20

And, halfway through the hearing,

0:25:200:25:22

the claimant suddenly decided that he needed an interpreter.

0:25:220:25:27

Which, for us, was the first time that we discovered that

0:25:270:25:31

he had issues with speaking English.

0:25:310:25:35

The claimant had previously managed to communicate perfectly well.

0:25:350:25:40

His sudden loss of the lingo was rather convenient.

0:25:400:25:44

The claimant didn't fare at all well during the hearing

0:25:440:25:48

and his credibility was seriously undermined.

0:25:480:25:52

For example, he had put forward details of a witness that had

0:25:520:25:56

apparently seen the accident occur and he didn't turn up.

0:25:560:26:00

And also, the employer had very, very good records

0:26:000:26:04

with regards to the day in question,

0:26:040:26:06

which also undermined the claimant's version of events.

0:26:060:26:10

But the claimant's silence wouldn't help his cause.

0:26:100:26:14

Ultimately, the claimant lost this in court.

0:26:140:26:17

And not only were we not required

0:26:170:26:20

to pay anything towards the alleged injury,

0:26:200:26:23

the claimant himself was ordered to pay over 12,000 back in costs.

0:26:230:26:28

So, instead of receiving a tidy pay-out he didn't deserve, the

0:26:290:26:32

claimant received a large bill of court costs and a slap on the wrist.

0:26:320:26:36

This was a very cynical and opportunistic attempt by the claimant.

0:26:370:26:42

But the fact that we wouldn't roll over and we were prepared to

0:26:420:26:45

go all the way into court to deal with this really does demonstrate

0:26:450:26:50

that we will protect our honest policyholders

0:26:500:26:53

by making sure we do not pay out fraudulent claims.

0:26:530:26:56

Coming up...

0:27:030:27:04

Some revealing CCTV footage proves to be comedy gold.

0:27:040:27:08

He's pacing around. He's very agitated.

0:27:090:27:12

I watched this back at triple speed

0:27:120:27:14

and I could hear the Benny Hill music playing in the background.

0:27:140:27:17

Now, if you drive, then you have to have car insurance.

0:27:210:27:25

it is simply not an option.

0:27:250:27:27

And if you're unlucky enough to have an accident that is undisputedly

0:27:270:27:30

your fault, it becomes clear why car insurance is so essential.

0:27:300:27:34

Especially if you've caused a lot of damage to another car

0:27:340:27:38

and, even worse, caused injuries to other people.

0:27:380:27:41

This exact scenario happened to a man who'd had his car insured with esure.

0:27:420:27:47

For argument's sake, let's call him Mr A.

0:27:470:27:51

Mr A had driven into the back of someone at a set of traffic lights

0:27:510:27:54

and conscientiously called his insurers to report the accident.

0:27:540:27:58

The case was referred to a specialist insurance law firm,

0:28:190:28:22

Horwich Farrelly.

0:28:220:28:23

On the face of it, this was a run-of-the-mill road traffic

0:28:230:28:27

accident that esure see all too frequently.

0:28:270:28:30

The policyholder of esure was wholly at fault.

0:28:300:28:33

That policyholder freely admitted liability.

0:28:330:28:36

A seemingly honest customer,

0:28:380:28:40

but then it's hard to make out an accident isn't your fault

0:28:400:28:43

when you've driven into a stationary vehicle.

0:28:430:28:46

Unfortunately for Mr A, the car he'd crashed into was full of people.

0:28:460:28:51

There were four people in the other car and all of them claimed

0:29:060:29:10

to have been injured and wanted compensation.

0:29:100:29:13

The first request to come in was from the driver.

0:29:130:29:16

This was a claim for personal injury,

0:29:160:29:18

valued at approximately £4,000,

0:29:180:29:22

as well as a claim for vehicle damage in the sum of 4,250.

0:29:220:29:26

This wasn't an unusually high amount for such a crash,

0:29:260:29:30

but something Mr A had said on that initial phone call

0:29:300:29:33

had immediately raised suspicions.

0:29:330:29:35

Esure felt it was highly unlikely for a crash like this

0:29:420:29:45

to have been reported just minutes after impact.

0:29:450:29:48

Surely the five people involved would have got out,

0:29:480:29:51

exchanged details, made sure no-one was seriously injured

0:29:510:29:54

and pulled in somewhere safe before making a call.

0:29:540:29:57

They decided to investigate Mr A further

0:29:570:30:00

and were shocked at their findings.

0:30:000:30:03

Just two weeks earlier, he had put in

0:30:030:30:05

a claim for another accident that he also said was his fault.

0:30:050:30:09

Whilst this claim was being investigated,

0:30:120:30:14

a third and further claim was intimated against esure,

0:30:140:30:18

with the policyholder once again freely admitting fault.

0:30:180:30:22

So, Mr A had been in three accidents that he admitted

0:30:220:30:26

were his fault in the space of just eight weeks.

0:30:260:30:30

And all had injured several people.

0:30:300:30:32

Either he was a terrible driver

0:30:320:30:34

or something more sinister was going on.

0:30:340:30:37

Esure carefully monitored Mr A for nearly a year,

0:30:370:30:40

and in that time, he was involved in a total of five claims.

0:30:400:30:45

It was simply inconceivable that one individual could be so unlucky

0:30:450:30:50

to be involved in five separate road traffic accidents in ten months.

0:30:500:30:55

So what was going on?

0:30:550:30:57

Well, Ronan and his team had a good idea.

0:30:570:31:01

The policyholder had been offering inducements

0:31:010:31:03

to stage road traffic accidents.

0:31:030:31:06

He had accepted a policy with esure and had staged a number of

0:31:060:31:10

different road traffic accidents

0:31:100:31:12

as well as another with a different insurer.

0:31:120:31:15

So, with five separate collisions in ten months,

0:31:150:31:18

esure and Horwich Farrelly suspected that Mr A had been paying people

0:31:180:31:22

to take part in deliberate car accidents.

0:31:220:31:25

In this case, they think Mr A paid the other driver to agree to

0:31:250:31:29

being crashed into so that he could put in a claim for thousands from

0:31:290:31:32

Mr A's insurance company.

0:31:320:31:34

It was believed that if esure had paid out,

0:31:340:31:37

Mr A would get a large cut.

0:31:370:31:40

Esure refused to pay out the £8,250, but the driver, perhaps under

0:31:400:31:46

pressure from Mr A, was insistent, and he took esure to court.

0:31:460:31:51

The driver of the vehicle Mr A had crashed into

0:31:510:31:54

found himself in front of a judge.

0:31:540:31:57

At trial, the claimant was cross-examined thoroughly by a barrister.

0:31:570:32:01

His evidence was completely undermined and began to unravel.

0:32:010:32:06

The claimant gave evidence as to his route on the day of the accident.

0:32:060:32:10

He had suggested he was going from a shopping centre to his own house.

0:32:100:32:13

The judge, knowing the area well, was able to identify,

0:32:130:32:17

after hearing our evidence,

0:32:170:32:19

that this route was extremely unlikely and would have taken

0:32:190:32:22

the claimant away from the route that he should have been travelling.

0:32:220:32:26

There were other inconsistencies

0:32:260:32:28

in the driver's account of the accident.

0:32:280:32:30

And, for the judge, the case was clear-cut.

0:32:300:32:33

The judge found that this claim was fundamentally dishonest,

0:32:330:32:37

that the claimant changed his case to suit his needs,

0:32:370:32:41

and the case was riddled with inconsistencies.

0:32:410:32:45

There was no way that the judge believed any aspects of the claim

0:32:450:32:49

that was pursued.

0:32:490:32:51

The driver of the car didn't receive a penny

0:32:510:32:54

of the £8,250 he was claiming.

0:32:540:32:57

But the judge went further,

0:32:570:32:59

ordering him to pay £13,000 to esure

0:32:590:33:02

to cover their costs.

0:33:020:33:04

In my view, this is the worst type of fraud.

0:33:040:33:07

This is not opportunistic, but completely staged and planned

0:33:070:33:13

road traffic accident fraud, something that has been

0:33:130:33:17

a blight of the insurance industry for many years.

0:33:170:33:20

OK, let's return to North London now, where Ifed are continuing

0:33:240:33:28

to search the home of Rehman and Shagufta Khan,

0:33:280:33:31

who are suspected of making no less than 245 fraudulent health insurance claims.

0:33:310:33:37

So far, officers have seized several items, including laptops and

0:33:370:33:41

memory sticks, which could all be key in proving the Khans' guilt.

0:33:410:33:44

Crucially, they also found a rubber stamp that they believe

0:33:440:33:48

was being used by the Khans to make their fake invoices look real.

0:33:480:33:52

We have a "paid" one.

0:33:530:33:55

-Can have that. You got a bag with you?

-Yeah.

0:33:550:33:59

So I'm going to seize them as evidence of the offence.

0:33:590:34:02

The operation's gone well.

0:34:020:34:04

But there's still more work to be done, as the team that raided

0:34:040:34:07

the other property made an interesting discovery that

0:34:070:34:10

needs to be investigated.

0:34:100:34:11

We've found details of a safety deposit box here.

0:34:110:34:15

The Khans are being taken to the police station for questioning.

0:34:160:34:20

After obtaining a warrant,

0:34:200:34:22

another team head off to check out the deposit box.

0:34:220:34:25

Traditionally, items of high value are stored in these boxes,

0:34:280:34:31

so the Ifed team are keen to discover exactly what's inside.

0:34:310:34:36

It would appear that we've got items of jewellery.

0:34:360:34:40

Little ingots here, look. Fine gold, 10g. Ten-gram ingots, look.

0:34:410:34:45

We will be seizing all of this.

0:34:450:34:47

The box is packed full of items which look to be very valuable

0:34:470:34:51

and could be vital evidence in the investigation against Mr and Mrs Khan.

0:34:510:34:56

This haul could be worth a fortune.

0:34:560:34:59

Until we get that appraised,

0:34:590:35:00

we're not going to know exactly what the value of that is.

0:35:000:35:03

But it will be very interesting because, obviously,

0:35:030:35:05

they're going to have to account for those items.

0:35:050:35:09

And they're going to have to prove to us that those items were obtained

0:35:090:35:12

legitimately and not as the result of any criminal activity.

0:35:120:35:15

Unfortunately, the Khans were unwilling to assist the police

0:35:150:35:18

in their investigations, as Simon Styles recalls.

0:35:180:35:21

Both Mr and Mrs Khan were arrested and taken to

0:35:230:35:25

a local police station, where they were later interviewed.

0:35:250:35:28

They gave various different accounts of it,

0:35:280:35:31

but no admissions relating to what they had actually done.

0:35:310:35:34

Apart from setting up adjustment policies and making claims.

0:35:340:35:38

But they were in denial and, unfortunately,

0:35:380:35:41

it meant that we were doing a lot more work than we needed to do.

0:35:410:35:45

Two years later, and it's the day Simon Styles and his team

0:35:470:35:51

have been waiting for - the Khans are at the Old Bailey.

0:35:510:35:54

To get to today, the day of sentencing,

0:35:540:35:57

has meant that a lot of hard work has been undertaken by Ifed.

0:35:570:36:01

These individuals were arrested in January, 2014,

0:36:010:36:04

so it's taken over two years to get where we are.

0:36:040:36:08

The investigation was much bigger and lengthier due to

0:36:080:36:12

Shagufta and Rehmen Khan saying "no comment"

0:36:120:36:14

in two interviews that took place post-arrest.

0:36:140:36:17

There was 25 individual companies that had to be spoken to

0:36:180:36:23

and statements taken from them.

0:36:230:36:25

I looked at maybe ten or 11 bank accounts belonging to the

0:36:250:36:28

Khan family to see where the money had gone to.

0:36:280:36:31

So it was an extensive investigation

0:36:310:36:32

and a lot of painstaking work went into it.

0:36:320:36:36

But this hard work paid off.

0:36:360:36:39

The haul of jewellery found in the safety deposit box

0:36:390:36:42

proved to be a red herring.

0:36:420:36:44

However, the evidence the team found during the raids and the

0:36:440:36:47

strength of the case Ifed put together against Rehman and Shagufta Khan was overwhelming,

0:36:470:36:52

and the couple did eventually admit their guilt.

0:36:520:36:55

I've just come out from the Central Criminal Court, Court 2,

0:36:550:36:59

where Rehman and Shagufta Khan

0:36:590:37:02

were given 12 months' prison sentence.

0:37:020:37:04

The judge said because of the length of time that they'd actually

0:37:040:37:08

committed these offences, which was over ten-year period,

0:37:080:37:11

and nearly £19,000 they stole, the judge said he had no choice

0:37:110:37:15

but to give them a period of imprisonment.

0:37:150:37:17

There's one final bizarre twist to this tale.

0:37:170:37:21

The Khans obviously thought that if they were to pay most of the money back,

0:37:210:37:25

the judge would go easy on them.

0:37:250:37:26

He didn't.

0:37:260:37:27

But the couple had already handed Simon a large wad of cash.

0:37:270:37:31

It is very, very unusual.

0:37:310:37:33

I've never seen that before and never heard of it happening.

0:37:330:37:35

It's £15,000. I'm leaving here now to bank it and that goes back to the victim of crime.

0:37:350:37:40

And that is great news.

0:37:400:37:42

An excellent result.

0:37:420:37:45

Simplyhealth will be getting most of their money back and the

0:37:450:37:49

fraudsters who stole £18,500 from them over ten years are behind bars.

0:37:490:37:56

Now, I consider myself to be pretty relaxed behind the wheel,

0:38:040:38:07

but even I can feel the rage start to bubble...

0:38:070:38:11

when I see roadworks approaching -

0:38:110:38:13

the inevitable lane closures, temporary lights that take an age

0:38:130:38:16

to change, and worst of all, traffic jams.

0:38:160:38:20

But imagine if, while stuck in roadworks traffic,

0:38:200:38:22

you were hit by a ten-tonne bus.

0:38:220:38:25

Lee Ingram works as a claims team manager for FirstGroup.

0:38:280:38:32

With a fleet of over 6,300 buses

0:38:320:38:35

driving around 40 UK cities,

0:38:350:38:37

there's bound to be the odd accident.

0:38:370:38:40

And it is Lee's job to manage the claims that come in.

0:38:400:38:43

He recalls a case involving an accident which took place at

0:38:430:38:46

some dreaded roadworks.

0:38:460:38:49

The claimant in this case is saying that as they were stationary,

0:38:490:38:52

waiting to merge in at roadworks, we've gone past them

0:38:520:38:55

and collided with their stationary vehicle.

0:38:550:38:58

So, essentially, we've changed lanes into their car.

0:38:580:39:00

A clear-cut case, then.

0:39:000:39:02

If the car was stationary, then the bus driver must be at fault.

0:39:020:39:06

FirstGroup would have to pay out.

0:39:060:39:09

When the repair invoice actually came in,

0:39:090:39:10

we're looking at a really minor scuff to the car -

0:39:100:39:14

slight damage to a wheel trim.

0:39:140:39:16

And the bus, the cost of possibly polishing out a scuff on the

0:39:160:39:21

paintwork and £4 for a new bottle of white spirit.

0:39:210:39:24

The repair costs were so low to both vehicles that even

0:39:240:39:28

a bottle of white spirit had been listed.

0:39:280:39:31

So imagine Lee's shock when the people in the car

0:39:310:39:34

said they'd been badly injured.

0:39:340:39:35

Something about the claim smelt a bit off.

0:39:350:39:38

Despite what would appear to be a fairly innocuous collision,

0:39:380:39:42

we still received a claim in the value of around about £10,000,

0:39:420:39:47

which would have been for the injuries themselves

0:39:470:39:50

and solicitors' fees.

0:39:500:39:51

You may be wondering how they got to such

0:39:520:39:54

a large amount of money for such a tiny collision.

0:39:540:39:57

Well, it was because the car driver and passenger were claiming

0:39:570:40:01

they had suffered whiplash injuries,

0:40:010:40:03

bad back and neck pains from the impact of the bus.

0:40:030:40:07

Lee wasn't entirely convinced,

0:40:070:40:09

and with nearly every one of his buses fitted with CCTV,

0:40:090:40:13

he knew he could take a look at the footage to help him

0:40:130:40:15

understand exactly what had happened.

0:40:150:40:19

When we look at the CCTV, we're expecting to see

0:40:190:40:22

a bus striking into the side of a stationary car, causing it to move.

0:40:220:40:27

For someone to have whiplash injuries, there will have had

0:40:290:40:31

to have been a moment of impact between the two vehicles.

0:40:310:40:34

So, Lee was on the hunt for the footage which showed this.

0:40:340:40:38

Here comes the bus now.

0:40:380:40:39

I mean, it's just going to brush the wing of this vehicle.

0:40:390:40:43

Now, look for movement in the vehicle, because if you can see it,

0:40:430:40:47

can you let me know? Because I can't see that vehicle move.

0:40:470:40:51

So I don't think it happens.

0:40:510:40:53

And if there's no movement in that car,

0:40:530:40:54

then I don't know how either of those people are injured.

0:40:540:40:57

But there was something else seen in the footage

0:40:570:41:00

that turned the injury claim into one big joke.

0:41:000:41:03

If you watch this man closely,

0:41:030:41:05

he has put in a claim for soft tissue injuries

0:41:050:41:08

to his shoulders and his neck.

0:41:080:41:11

And yet, he doesn't stop sort of flapping and gesticulating.

0:41:110:41:16

He's moving, he's pacing around. He's very agitated.

0:41:160:41:20

I watched this back at triple speed and I could hear the Benny Hill

0:41:200:41:24

music playing in the background.

0:41:240:41:25

THE BENNY HILL SHOW THEME PLAYS

0:41:250:41:28

No wonder he's injured. I was exhausted just watching him.

0:41:360:41:40

Not only did the CCTV show that it was unlikely that the driver and

0:41:400:41:44

passenger had suffered any serious injuries, it also went further

0:41:440:41:48

to show that, actually, the bus driver didn't do anything wrong.

0:41:480:41:52

Throughout this claim, the third party's solicitors were alleging

0:41:520:41:55

that we'd changed lanes into their client's stationary vehicle.

0:41:550:41:59

When we look back at the CCTV footage, we can clearly see

0:41:590:42:03

that the bus has just continued on its straight course.

0:42:030:42:06

But, due to the position of the roadworks,

0:42:060:42:09

the vehicles do actually come together.

0:42:090:42:12

But there's certainly no sudden veering from the direction

0:42:120:42:15

the bus was travelling in.

0:42:150:42:16

The footage had brought the entire claim to a grinding halt.

0:42:160:42:20

We had already received a claim for the repairs to the car

0:42:200:42:24

from their insurers.

0:42:240:42:26

Once we'd seen the CCTV footage, we sent it on to them, told them

0:42:260:42:30

what it showed, and we promptly received a reimbursing cheque

0:42:300:42:34

for the bottle of white spirit and the damage caused to our bus.

0:42:340:42:39

He even got the money back for the turps,

0:42:390:42:43

which must have boosted Lee's spirits no end.

0:42:430:42:46

From people chancing their luck by exaggerating their injuries to

0:42:490:42:53

organised criminal gangs, insurance fraud hits all of us in the pocket.

0:42:530:42:58

But, instead of getting away with it,

0:42:580:43:01

more and more of these fraudsters are being claimed and shamed.

0:43:010:43:05

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