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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 | 0:00:25 | |
The fraudsters are risking more and more to make a quick killing. | 0:00:25 | 0:00:29 | |
And, every year, it's adding around £50 to your insurance bill. | 0:00:29 | 0:00:33 | |
But insurers are fighting back, | 0:00:33 | 0:00:35 | |
exposing just under 15 fake claims every hour. | 0:00:35 | 0:00:39 | |
Armed with covert surveillance systems,... | 0:00:39 | 0:00:42 | |
Subject out of the vehicle. | 0:00:42 | 0:00:44 | |
..sophisticated data analysis techniques, | 0:00:44 | 0:00:46 | |
..and a number of highly skilled police units,... | 0:00:49 | 0:00:51 | |
Police! Stay where you are! | 0:00:51 | 0:00:53 | |
..they're catching the criminals red-handed. | 0:00:53 | 0:00:55 | |
Don't lie to us! | 0:00:55 | 0:00:57 | |
All those conmen, scammers, and cheats on the fiddle | 0:00:58 | 0:01:01 | |
are now caught in the act and Claimed And Shamed. | 0:01:01 | 0:01:03 | |
A husband and wife team of fraudsters | 0:01:10 | 0:01:13 | |
get some unwelcome visitors. | 0:01:13 | 0:01:15 | |
Police officers. Can you come to the door, please? | 0:01:15 | 0:01:18 | |
A man has a serious accident | 0:01:18 | 0:01:20 | |
but finds the whole thing strangely amusing. | 0:01:20 | 0:01:23 | |
And a personal injury scam is scuppered | 0:01:32 | 0:01:35 | |
when a claimant mixes up his dates. | 0:01:35 | 0:01:37 | |
We only had to contact the employers and they were able to give us | 0:01:37 | 0:01:41 | |
information that completely contradicted | 0:01:41 | 0:01:44 | |
the employee's version of events. | 0:01:44 | 0:01:46 | |
Insurance companies are a meticulous lot. | 0:01:50 | 0:01:53 | |
They will comb through every detail of a claim | 0:01:53 | 0:01:56 | |
to ensure that everything is as it should be. | 0:01:56 | 0:01:59 | |
As long as you've done nothing wrong, there's nothing | 0:01:59 | 0:02:01 | |
to worry about but if you are defrauding your insurance provider, | 0:02:01 | 0:02:05 | |
it is more than likely that you'll get found out. | 0:02:05 | 0:02:07 | |
It might not happen right away but, eventually, | 0:02:07 | 0:02:10 | |
they will find you and come after you. | 0:02:10 | 0:02:13 | |
Fraud is a crime and the police are getting wise to it. | 0:02:14 | 0:02:18 | |
When an insurance company detects fraudsters, | 0:02:18 | 0:02:21 | |
they'll hand them over to IFED. | 0:02:21 | 0:02:23 | |
In 2012, the Insurance Fraud Enforcement Department was set up. | 0:02:24 | 0:02:28 | |
They are a dedicated police squad, | 0:02:28 | 0:02:30 | |
specialising in bringing those committing insurance fraud | 0:02:30 | 0:02:33 | |
to justice. | 0:02:33 | 0:02:35 | |
To date, they've convicted over 200 fraudsters. | 0:02:35 | 0:02:38 | |
Simon Styles is IFED's financial investigator. | 0:02:40 | 0:02:43 | |
In 2014, he and the team were given a case to investigate | 0:02:43 | 0:02:47 | |
by a health insurance provider called Simplyhealth. | 0:02:47 | 0:02:50 | |
They wanted IFED to look into two of their policyholders. | 0:02:51 | 0:02:55 | |
Mr Rehman Khan and his wife Shagufta. | 0:02:55 | 0:02:58 | |
Simplyhealth had made some rather startling discoveries | 0:02:58 | 0:03:01 | |
about what this seemingly ordinary couple were up to. | 0:03:01 | 0:03:05 | |
The Khans had a joint policy since 2002 | 0:03:05 | 0:03:08 | |
and they made a number of legitimate claims, | 0:03:08 | 0:03:11 | |
as well as fraudulent claims, over a ten-year period. | 0:03:11 | 0:03:14 | |
And it was only an internal audit ten years into their policy | 0:03:14 | 0:03:18 | |
that Simplyhealth realised something was wrong. | 0:03:18 | 0:03:22 | |
They found that 300 claims had been made on the policy | 0:03:22 | 0:03:25 | |
over the period of time. | 0:03:25 | 0:03:27 | |
As a result of the audit and further investigations, | 0:03:27 | 0:03:30 | |
it was discovered that 245 of those claims were fraudulent. | 0:03:30 | 0:03:33 | |
These 245 fraudulent claims added up to over £18,000 | 0:03:33 | 0:03:39 | |
that had been handed out to the Khans by Simplyhealth. | 0:03:39 | 0:03:42 | |
The type of claims that were made by Mr and Mrs Khan, | 0:03:44 | 0:03:47 | |
over a ten-year period, were low-level claims. | 0:03:47 | 0:03:50 | |
A claims handler receiving that on their desk | 0:03:50 | 0:03:53 | |
wouldn't really bat an eyelid. | 0:03:53 | 0:03:54 | |
Unfortunately, these claims just slipped through the net. | 0:03:54 | 0:03:58 | |
So, by keeping each individual amount low, often under £100, | 0:03:58 | 0:04:02 | |
Mr and Mrs Khan's fake claims went unnoticed. | 0:04:02 | 0:04:06 | |
What's more, some of the health care that the Khans were claiming for | 0:04:06 | 0:04:09 | |
was genuine. | 0:04:09 | 0:04:10 | |
There were some 25 different companies | 0:04:10 | 0:04:13 | |
that have been visited by the Khans.. | 0:04:13 | 0:04:16 | |
They had all said that the Khan family had attended there, | 0:04:16 | 0:04:19 | |
at some point in the past ten years, but on minimal occasions. | 0:04:19 | 0:04:22 | |
And not a number of occasions that the Khans had claimed they did. | 0:04:22 | 0:04:27 | |
IFED suspected that the Khans had been using real invoices | 0:04:27 | 0:04:30 | |
as templates to produce fake ones. | 0:04:30 | 0:04:33 | |
They were also pretty sure that the couple weren't going to stop | 0:04:33 | 0:04:36 | |
putting in more claims any time soon. | 0:04:36 | 0:04:38 | |
We knew that we quickly had to speak to both Mr and Mrs Khan | 0:04:40 | 0:04:43 | |
to make sure that we would stop any more fraudulent activity | 0:04:43 | 0:04:46 | |
because the level and period of time and number of claims, | 0:04:46 | 0:04:51 | |
we knew that they would continue their criminal activity. | 0:04:51 | 0:04:55 | |
IFED needed to act fast to stop the Khans | 0:04:55 | 0:04:59 | |
but they needed hard evidence | 0:04:59 | 0:05:00 | |
to prove that the couple had been committing fraud. | 0:05:00 | 0:05:02 | |
And the only way to get this was to raid the Khans' home. | 0:05:02 | 0:05:06 | |
6.30 AM, Simon, along with Detective Sergeant Tom Hill are on the move. | 0:05:09 | 0:05:15 | |
We're going to arrest two members of the same family | 0:05:15 | 0:05:20 | |
who have been committing health insurance fraud | 0:05:20 | 0:05:24 | |
over a ten-year period. | 0:05:24 | 0:05:26 | |
By submitting fake, or altered, invoices for medical care. | 0:05:26 | 0:05:31 | |
From various hospitals and | 0:05:31 | 0:05:34 | |
other, sort of, health care providers. | 0:05:34 | 0:05:37 | |
Mr and Mrs Khan have no idea that a police unit is closing in | 0:05:38 | 0:05:43 | |
and officers hope that, by raiding early in the morning, | 0:05:43 | 0:05:45 | |
they've got more chance of them being in | 0:05:45 | 0:05:48 | |
and the IFED officers are out in force. | 0:05:48 | 0:05:51 | |
There's another team going to another address | 0:05:51 | 0:05:54 | |
and it will be a simultaneous arrest, if all goes to plan. | 0:05:54 | 0:05:57 | |
As with any raid, the police never know how suspects will react | 0:05:58 | 0:06:02 | |
and are trained to be vigilant. | 0:06:02 | 0:06:04 | |
It's just a question of securing entry, | 0:06:05 | 0:06:08 | |
in the first case, and making sure the premises is secure | 0:06:08 | 0:06:11 | |
and all the people inside are accounted for, for our own safety. | 0:06:11 | 0:06:15 | |
A few miles away, the second IFED team has arrived | 0:06:16 | 0:06:19 | |
at the address of the other suspect. | 0:06:19 | 0:06:22 | |
With raids like this, speed and surprise are everything. | 0:06:22 | 0:06:25 | |
Once alerted, suspects may wake a run for it. | 0:06:30 | 0:06:32 | |
So, with the exits covered, | 0:06:32 | 0:06:34 | |
the occupants of both houses are given a rude awakening. | 0:06:34 | 0:06:37 | |
Police officers. Can you come to the door, please? | 0:06:37 | 0:06:40 | |
Good morning. | 0:06:45 | 0:06:46 | |
Detective Inspector Ben Flanagan from the City of London Police. | 0:06:46 | 0:06:49 | |
-Are you Rehman Khan? -Yeah. -Do you mind if we come in? | 0:06:49 | 0:06:51 | |
I'll speak to you. I'll tell you what's happening. OK? | 0:06:51 | 0:06:54 | |
-Who else is in the house? -My wife. -Your wife. Well, get them down. | 0:06:54 | 0:06:58 | |
-Are they upstairs? -Yeah. -And I'll speak to you all at once. | 0:06:58 | 0:07:01 | |
-They're going to have to wake up. -Police. | 0:07:01 | 0:07:03 | |
The police are in luck, both Rehman and Shagufta are in. | 0:07:03 | 0:07:06 | |
Would you like to take a seat? I'll explain exactly what's happening. | 0:07:06 | 0:07:09 | |
Yeah, sure. | 0:07:09 | 0:07:11 | |
OK. We're detectives from the City of London Police. | 0:07:12 | 0:07:15 | |
Insurance Fraud Enforcement Department. | 0:07:15 | 0:07:18 | |
We've received an allegation from an insurance company, | 0:07:18 | 0:07:21 | |
a crime has been reported to us of fraud, | 0:07:21 | 0:07:24 | |
against Simplyhealth insurance | 0:07:24 | 0:07:27 | |
OK? | 0:07:27 | 0:07:29 | |
So, because of that allegation, I'm going to arrest you, OK? | 0:07:29 | 0:07:32 | |
On suspicion of conspiracy to defraud. | 0:07:32 | 0:07:34 | |
You do not have to say anything but it may harm your defence | 0:07:34 | 0:07:36 | |
if you do not mention, when questioned, | 0:07:36 | 0:07:38 | |
something which you later rely on in court. | 0:07:38 | 0:07:40 | |
Anything you do say may be given evidence. | 0:07:40 | 0:07:42 | |
So we can search the premises. We can interview you. | 0:07:42 | 0:07:46 | |
And, then, we'll take it from there. | 0:07:48 | 0:07:50 | |
Understandably shocked, Mr Khan claims that he's heard nothing | 0:07:50 | 0:07:54 | |
about this from his insurance company. | 0:07:54 | 0:07:56 | |
I'm ready to sort this out if there is a problem, | 0:07:56 | 0:07:59 | |
-but they should talk to me first. -OK. | 0:07:59 | 0:08:02 | |
Well, they say they have and there is a problem | 0:08:02 | 0:08:05 | |
and it's been reported as a crime, | 0:08:05 | 0:08:07 | |
so I'm going to deal with it now, as a police officer. OK? | 0:08:07 | 0:08:09 | |
The case is now in the hands of IFED, | 0:08:09 | 0:08:12 | |
which means the investigation will be run by its rules. | 0:08:12 | 0:08:16 | |
To see if the Khans are willing to cooperate, | 0:08:16 | 0:08:18 | |
Simon asks them to help him to locate any potential evidence. | 0:08:18 | 0:08:23 | |
As I say, we're going to search your whole house. | 0:08:23 | 0:08:25 | |
It simplifies it, if you can tell us where any documentation | 0:08:25 | 0:08:28 | |
in relation to any claims that you may have made are. | 0:08:28 | 0:08:33 | |
Is there anything down here? Or is it all upstairs? No. It's upstairs. | 0:08:33 | 0:08:37 | |
Whenever I go on searches, such as these, I always ask | 0:08:37 | 0:08:40 | |
the occupant, as I did with Mr Khan, where the documentation was. | 0:08:40 | 0:08:43 | |
He indicated various sideboards and cupboards and things | 0:08:43 | 0:08:48 | |
around the building, | 0:08:48 | 0:08:49 | |
but it gives you an idea but you never take that for granted. | 0:08:49 | 0:08:52 | |
You've always got to search everything | 0:08:52 | 0:08:54 | |
where you suspect it may be because, unfortunately, criminals do lie. | 0:08:54 | 0:08:57 | |
So, the team embark on a systematic search of the entire property. | 0:08:57 | 0:09:01 | |
We're looking for computer equipment | 0:09:01 | 0:09:05 | |
which may have been used to manufacture | 0:09:05 | 0:09:07 | |
fraudulent receipts and invoices. | 0:09:07 | 0:09:09 | |
We're looking for paperwork in relation to these insurance claims | 0:09:09 | 0:09:12 | |
that are believed to be fraudulent. | 0:09:12 | 0:09:15 | |
They soon find a number of memory sticks and laptops | 0:09:15 | 0:09:17 | |
which may have vital information stored on them. | 0:09:17 | 0:09:20 | |
Everything is bagged up and labelled, | 0:09:20 | 0:09:23 | |
ready to be taken away and examined by IFED's investigators. | 0:09:23 | 0:09:26 | |
But it was a seemingly unassuming file that no-one was looking for | 0:09:29 | 0:09:33 | |
that was to be crucial in cracking the case. | 0:09:33 | 0:09:35 | |
Tucked away in one of the Khans' cupboards | 0:09:35 | 0:09:39 | |
were several ink stamps and one had the word PAID on it. | 0:09:39 | 0:09:43 | |
We'll have that. | 0:09:45 | 0:09:47 | |
You never know what you're going to find | 0:09:47 | 0:09:48 | |
when you go through the front door. | 0:09:48 | 0:09:50 | |
You'd love to find little pieces of nuggets that you use | 0:09:50 | 0:09:53 | |
that's going to assist in your prosecution. | 0:09:53 | 0:09:55 | |
Having a stamp with the word PAID on it, | 0:09:55 | 0:09:58 | |
which was exactly the one we believed was used | 0:09:58 | 0:10:01 | |
in the fraudulent invoices, where successful claims have been made, | 0:10:01 | 0:10:05 | |
finding something like that was immensely useful | 0:10:05 | 0:10:07 | |
and it's very satisfying when you find something like that. | 0:10:07 | 0:10:11 | |
The police search was proving to be a great success. | 0:10:11 | 0:10:14 | |
Simon turned his attention to the Khans' bank statements | 0:10:14 | 0:10:17 | |
found at their house. | 0:10:17 | 0:10:18 | |
Part of my job as a financial investigator is to establish what | 0:10:18 | 0:10:22 | |
bank accounts people have, but also to see what lifestyle they've got. | 0:10:22 | 0:10:26 | |
What it does show is that there's an income into the accounts | 0:10:26 | 0:10:29 | |
far in excess of what they could have legitimately have earned. | 0:10:29 | 0:10:32 | |
All the time, I'm totting it up to see their outgoings | 0:10:32 | 0:10:35 | |
and the incoming. And does it make sense, or is there a gap? | 0:10:35 | 0:10:41 | |
Which would possibly suggest that they're living | 0:10:41 | 0:10:44 | |
from the proceeds of criminal activity. | 0:10:44 | 0:10:48 | |
As the search continues, | 0:10:49 | 0:10:51 | |
Simon finds yet more of the Khans' financial paperwork to investigate. | 0:10:51 | 0:10:55 | |
Just shown that this individual was on disability living allowance | 0:10:55 | 0:10:59 | |
and, therefore, is not working. | 0:10:59 | 0:11:02 | |
It was interesting to come across an instant access ISA. | 0:11:02 | 0:11:08 | |
There's a number of credits into the account, | 0:11:08 | 0:11:10 | |
over the last three or four years. | 0:11:10 | 0:11:13 | |
The latest credit was in May of last year of £2,000, | 0:11:13 | 0:11:16 | |
which shows the current balance is just over £4,000. | 0:11:16 | 0:11:20 | |
Which is interesting. | 0:11:20 | 0:11:22 | |
Something that I'll certainly put to her later in interview. | 0:11:22 | 0:11:25 | |
As to how she's able to accumulate £4,000 in an ISA. | 0:11:25 | 0:11:30 | |
More in-depth investigations reveal what Simon had suspected. | 0:11:30 | 0:11:35 | |
The unaccounted money found in the Khans many bank accounts | 0:11:35 | 0:11:39 | |
matched the exact amount that had been paid out | 0:11:39 | 0:11:42 | |
by Simplyhealth from the fraudulent claims. | 0:11:42 | 0:11:45 | |
Simplyhealth paid out £18,000 | 0:11:45 | 0:11:48 | |
and I found that the bank accounts | 0:11:48 | 0:11:50 | |
relating to the Khans had received £18,500. | 0:11:51 | 0:11:55 | |
So, this put the Khans right in the middle of this fraud. | 0:11:55 | 0:11:59 | |
With the raid at the Khans' house nearly complete, | 0:11:59 | 0:12:03 | |
at the other address, | 0:12:03 | 0:12:04 | |
the officers have found something which they believe could be vital. | 0:12:04 | 0:12:08 | |
IFED's Ben Flanagan calls to give the news. | 0:12:08 | 0:12:11 | |
We found details of a safety deposit box here. | 0:12:11 | 0:12:15 | |
So I'm thinking that there may well be documents | 0:12:16 | 0:12:19 | |
relating to this offence, or cash from it, | 0:12:19 | 0:12:22 | |
in the box. | 0:12:22 | 0:12:24 | |
With the searches at both properties over, Mr and Mrs Khan | 0:12:26 | 0:12:29 | |
along with the evidence seized are taken back to the station. | 0:12:29 | 0:12:32 | |
But the most important thing now | 0:12:33 | 0:12:36 | |
is that IFED gets its hands on the safety deposit box, | 0:12:36 | 0:12:39 | |
which could contain important evidence. | 0:12:39 | 0:12:42 | |
Still to come.... | 0:12:42 | 0:12:44 | |
IFED hit the jackpot. | 0:12:44 | 0:12:46 | |
You can see, it would appear that we've got items of jewellery. | 0:12:46 | 0:12:50 | |
We'll be seizing all of this. | 0:12:51 | 0:12:53 | |
And Esure deal with a particularly hapless driver. | 0:12:53 | 0:12:57 | |
It was simply inconceivable that one individual could be so unlucky | 0:12:57 | 0:13:02 | |
to be involved in five separate road traffic accidents in 10 months. | 0:13:02 | 0:13:07 | |
Now, when it comes to submitting an insurance claim, | 0:13:11 | 0:13:14 | |
it's our responsibility to give an honest account of the details | 0:13:14 | 0:13:17 | |
surrounding the claim, | 0:13:17 | 0:13:19 | |
as failure to do so is quite simply fraud. | 0:13:19 | 0:13:22 | |
However, for some people, | 0:13:22 | 0:13:23 | |
the temptation of getting their hands on a hefty pay-out | 0:13:23 | 0:13:27 | |
can be enough to make them exaggerate, overstate, | 0:13:27 | 0:13:30 | |
or even downright lie. | 0:13:30 | 0:13:31 | |
The team at i-Cog claims management are highly trained | 0:13:33 | 0:13:36 | |
to tell the difference between people who are making up a story | 0:13:36 | 0:13:39 | |
and those who are telling the truth, | 0:13:39 | 0:13:41 | |
as CEO Tara Shelton explains. | 0:13:41 | 0:13:44 | |
What is often missed to the untrained ear | 0:13:45 | 0:13:47 | |
is that when someone's actually under a position of stress | 0:13:47 | 0:13:52 | |
the heart beats faster. | 0:13:52 | 0:13:53 | |
Breathing changes. Voice pitch changes. | 0:13:53 | 0:13:57 | |
That's the level of detail that we actually listen at. | 0:13:57 | 0:14:02 | |
This unique skill set enables the team to identify | 0:14:02 | 0:14:04 | |
suspicious claims that might otherwise be undetected. | 0:14:04 | 0:14:08 | |
Operations manager Kayleigh Farrell recalls | 0:14:11 | 0:14:14 | |
a recent case involving a man who'd had a nasty car accident. | 0:14:14 | 0:14:18 | |
So, the policyholder was driving along a main country road | 0:14:18 | 0:14:23 | |
when he approached the corner, he lost control of his vehicle | 0:14:23 | 0:14:26 | |
and collided with a telegraph pole | 0:14:26 | 0:14:29 | |
and that had flipped his car into a nearby field. | 0:14:29 | 0:14:32 | |
This had caused the vehicle to be a total loss, | 0:14:32 | 0:14:34 | |
which resulted in £11,000 worth of claim. | 0:14:34 | 0:14:38 | |
A terrifying incident. | 0:14:38 | 0:14:40 | |
And quite possible to lose control for just a split second | 0:14:40 | 0:14:43 | |
on a dark country road. | 0:14:43 | 0:14:45 | |
However, something about the story had raised alarm bells | 0:14:45 | 0:14:48 | |
with the driver's own insurance company, | 0:14:48 | 0:14:51 | |
so they enlisted the expertise of i-Cog. | 0:14:51 | 0:14:53 | |
The i-Cog call handler wanted to hear the driver explain | 0:14:53 | 0:14:56 | |
the detail of his ordeal in his own words. | 0:14:56 | 0:15:00 | |
The driver was claiming his memories of the whole incident were a blur. | 0:15:46 | 0:15:52 | |
All he remembered was trying to turn his headlights to full beam | 0:15:52 | 0:15:55 | |
but his car was plunged into darkness | 0:15:55 | 0:15:58 | |
and he careered off the road. | 0:15:58 | 0:16:00 | |
To start off the conversation, | 0:16:13 | 0:16:14 | |
the handler just simply asked the claimant what exactly had happened. | 0:16:14 | 0:16:17 | |
However, he provided an extremely vague account | 0:16:17 | 0:16:20 | |
of what seemed to be quite a traumatic incident, | 0:16:20 | 0:16:23 | |
involving the vehicle itself. | 0:16:23 | 0:16:25 | |
In my experience, there would be a full account of exactly what | 0:16:25 | 0:16:29 | |
had happened, they'd be able to provide much information, | 0:16:29 | 0:16:33 | |
of exactly what they'd seen, exactly what they'd heard, | 0:16:33 | 0:16:36 | |
and even down to what they'd smelled during the collision of the vehicle. | 0:16:36 | 0:16:40 | |
The team at i-Cog regularly speak to people | 0:17:03 | 0:17:06 | |
who've had traumatic experiences. | 0:17:06 | 0:17:08 | |
But there was something about this man's account that jumped out. | 0:17:08 | 0:17:12 | |
The claimant appeared to have absolutely no emotion, | 0:17:12 | 0:17:15 | |
regarding the collision itself. | 0:17:15 | 0:17:18 | |
You know, he showed absolutely no fear of what had happened. | 0:17:18 | 0:17:21 | |
It wasn't traumatic to him. | 0:17:21 | 0:17:23 | |
You know, he'd rolled his vehicle, it had been a complete loss | 0:17:23 | 0:17:26 | |
and, yet, he had no emotion whatsoever | 0:17:26 | 0:17:28 | |
when he was informing us of what had happened. | 0:17:28 | 0:17:31 | |
The claimant's behaviour throughout the account was inappropriate. | 0:18:05 | 0:18:09 | |
He was laughing on many occasions | 0:18:09 | 0:18:10 | |
where it didn't seem to be necessary to laugh. | 0:18:10 | 0:18:13 | |
If I'd been driving a car, crashed into a telegraph pole, | 0:18:13 | 0:18:17 | |
been flipped over and landed upside down, | 0:18:17 | 0:18:19 | |
I know I wouldn't be laughing about it. | 0:18:19 | 0:18:22 | |
Even if I'd lost my memory, as this guy was claiming he had, | 0:18:22 | 0:18:25 | |
I would still feel totally traumatised. | 0:18:25 | 0:18:28 | |
As I'm sure you probably would too. | 0:18:28 | 0:18:30 | |
Yet, this man seemed to be showing no real emotion | 0:18:30 | 0:18:32 | |
about his ordeal at all. | 0:18:32 | 0:18:35 | |
The i-Cog operator had been paying close attention to every word | 0:19:29 | 0:19:33 | |
of the account the claimant was giving. | 0:19:33 | 0:19:36 | |
They'd noticed one important inconsistency. | 0:19:36 | 0:19:39 | |
His mobile phone, that he said had gone missing, | 0:19:39 | 0:19:42 | |
mysteriously reappeared later on in the story. | 0:19:42 | 0:19:46 | |
When the handler informed the claimant that, in fact, | 0:20:41 | 0:20:44 | |
his account did not make any sense | 0:20:44 | 0:20:46 | |
he also agreed with her that it didn't. | 0:20:46 | 0:20:48 | |
That is highly concerning, | 0:20:48 | 0:20:50 | |
as to why the claimant would think his account didn't make any sense. | 0:20:50 | 0:20:54 | |
And that is why we also believe it was fabricated. | 0:20:54 | 0:20:56 | |
The i-Cog operator had given the caller every opportunity | 0:21:18 | 0:21:20 | |
to provide some concrete facts but there were none forthcoming. | 0:21:20 | 0:21:25 | |
For us, after leaving the conversation, | 0:21:25 | 0:21:28 | |
it was quite clear in our discussions that the claimant | 0:21:28 | 0:21:31 | |
may not have actually been involved in the collision at all. | 0:21:31 | 0:21:34 | |
Or, if he was, he may have been drinking alcohol | 0:21:34 | 0:21:37 | |
and, clearly, departed the scene for that reason. | 0:21:37 | 0:21:40 | |
The lack of detail provided by the caller meant that Kayleigh | 0:21:44 | 0:21:47 | |
and her team felt it necessary to recommend to the insurance | 0:21:47 | 0:21:50 | |
company to investigate further before paying out a penny. | 0:21:50 | 0:21:55 | |
The claim is now with the fraud department of the insurance | 0:21:55 | 0:21:58 | |
company and is being further investigated with the police. | 0:21:58 | 0:22:01 | |
For the team at i-Cog, | 0:22:01 | 0:22:03 | |
cases of potential insurance fraud are never a joke. | 0:22:03 | 0:22:06 | |
For some, the workplace can be a precarious environment. | 0:22:11 | 0:22:15 | |
If you're unlucky enough to have an accident that could have been | 0:22:15 | 0:22:18 | |
prevented by your employer, you can seek fair compensation. | 0:22:18 | 0:22:22 | |
However, this protection is sometimes exploited by those | 0:22:22 | 0:22:25 | |
who are prepared to exaggerate injuries | 0:22:25 | 0:22:27 | |
or even make them up in the hope of cashing in. | 0:22:27 | 0:22:31 | |
Unfortunately, no amount of health and safety | 0:22:32 | 0:22:35 | |
can make an environment completely risk-free. | 0:22:35 | 0:22:38 | |
Mihir Pandya is Allianz's counter-fraud manager | 0:22:38 | 0:22:42 | |
and an expert at sniffing out the bona fide claims from the bogus. | 0:22:42 | 0:22:46 | |
He was given one seemingly everyday case to investigate. | 0:22:46 | 0:22:50 | |
This claim first came to light when we received a claim for | 0:22:50 | 0:22:56 | |
personal injury from one of our customer's employees. | 0:22:56 | 0:22:59 | |
Our customer owned a petrol station. | 0:22:59 | 0:23:02 | |
The reserve that we had for the claim, | 0:23:02 | 0:23:05 | |
on receiving the circumstances, was set at £50,000. | 0:23:05 | 0:23:09 | |
That's a whopping claim total. | 0:23:09 | 0:23:12 | |
You'd expect the claimant to have suffered some serious injuries. | 0:23:12 | 0:23:15 | |
The employee alleged that he had injured his wrist | 0:23:15 | 0:23:20 | |
when moving a delivery of cartons which were covered in ice. | 0:23:20 | 0:23:24 | |
His version of the events was that whilst moving the delivery of | 0:23:24 | 0:23:29 | |
cartons, the cartons slipped, he tried to catch the cartons, | 0:23:29 | 0:23:33 | |
and being covered in ice, that's when they injured his wrist. | 0:23:33 | 0:23:36 | |
It sounded like an unfortunate accident, | 0:23:36 | 0:23:39 | |
but the claimant also proved to be rather slippery. | 0:23:39 | 0:23:42 | |
It became apparent really early on that this was actually quite | 0:23:42 | 0:23:47 | |
an amateurish attempt at committing fraud. | 0:23:47 | 0:23:50 | |
We only had to contact the employers and they were able to give us | 0:23:50 | 0:23:54 | |
information that completely contradicted | 0:23:54 | 0:23:57 | |
the employee's version of events. | 0:23:57 | 0:23:59 | |
He must've been suffering with brain freeze well, | 0:23:59 | 0:24:02 | |
as the claimants timings were a little off. | 0:24:02 | 0:24:05 | |
The information that the employer provided us was that the employee | 0:24:05 | 0:24:11 | |
didn't start his shift till 11pm. | 0:24:11 | 0:24:15 | |
And delivery would have been made in the afternoon and would have | 0:24:15 | 0:24:19 | |
been dealt with in the afternoon by another employee. | 0:24:19 | 0:24:23 | |
Yeah, the claimant really should have picked a day | 0:24:23 | 0:24:26 | |
he was actually working, just to make his story more convincing. | 0:24:26 | 0:24:30 | |
In our opinion, there was no way that the employee suffered the | 0:24:30 | 0:24:33 | |
injury that he was claiming for. | 0:24:33 | 0:24:35 | |
It was very clear from the information that we had that | 0:24:35 | 0:24:39 | |
this injury just didn't occur. | 0:24:39 | 0:24:41 | |
Yet the claimant continued to insist that the injury had occurred | 0:24:41 | 0:24:47 | |
and he decided to take us to court. | 0:24:47 | 0:24:50 | |
A very bold, some might say foolish move by the claimant, | 0:24:50 | 0:24:54 | |
given the evidence against him. | 0:24:54 | 0:24:56 | |
But Allianz were willing to go all the way. | 0:24:56 | 0:24:59 | |
We were very surprised that he took this course of action, | 0:24:59 | 0:25:02 | |
but, in our minds, we were confident that we would win this in court. | 0:25:02 | 0:25:08 | |
During the court hearing, | 0:25:10 | 0:25:11 | |
we were able to present to the court the number of inconsistencies, | 0:25:11 | 0:25:16 | |
the information and the evidence that we had. | 0:25:16 | 0:25:20 | |
And, halfway through the hearing, | 0:25:20 | 0:25:22 | |
the claimant suddenly decided that he needed an interpreter. | 0:25:22 | 0:25:27 | |
Which, for us, was the first time that we discovered that | 0:25:27 | 0:25:31 | |
he had issues with speaking English. | 0:25:31 | 0:25:35 | |
The claimant had previously managed to communicate perfectly well. | 0:25:35 | 0:25:40 | |
His sudden loss of the lingo was rather convenient. | 0:25:40 | 0:25:44 | |
The claimant didn't fare at all well during the hearing | 0:25:44 | 0:25:48 | |
and his credibility was seriously undermined. | 0:25:48 | 0:25:52 | |
For example, he had put forward details of a witness that had | 0:25:52 | 0:25:56 | |
apparently seen the accident occur and he didn't turn up. | 0:25:56 | 0:26:00 | |
And also, the employer had very, very good records | 0:26:00 | 0:26:04 | |
with regards to the day in question, | 0:26:04 | 0:26:06 | |
which also undermined the claimant's version of events. | 0:26:06 | 0:26:10 | |
But the claimant's silence wouldn't help his cause. | 0:26:10 | 0:26:14 | |
Ultimately, the claimant lost this in court. | 0:26:14 | 0:26:17 | |
And not only were we not required | 0:26:17 | 0:26:20 | |
to pay anything towards the alleged injury, | 0:26:20 | 0:26:23 | |
the claimant himself was ordered to pay over 12,000 back in costs. | 0:26:23 | 0:26:28 | |
So, instead of receiving a tidy pay-out he didn't deserve, the | 0:26:29 | 0:26:32 | |
claimant received a large bill of court costs and a slap on the wrist. | 0:26:32 | 0:26:36 | |
This was a very cynical and opportunistic attempt by the claimant. | 0:26:37 | 0:26:42 | |
But the fact that we wouldn't roll over and we were prepared to | 0:26:42 | 0:26:45 | |
go all the way into court to deal with this really does demonstrate | 0:26:45 | 0:26:50 | |
that we will protect our honest policyholders | 0:26:50 | 0:26:53 | |
by making sure we do not pay out fraudulent claims. | 0:26:53 | 0:26:56 | |
Coming up... | 0:27:03 | 0:27:04 | |
Some revealing CCTV footage proves to be comedy gold. | 0:27:04 | 0:27:08 | |
He's pacing around. He's very agitated. | 0:27:09 | 0:27:12 | |
I watched this back at triple speed | 0:27:12 | 0:27:14 | |
and I could hear the Benny Hill music playing in the background. | 0:27:14 | 0:27:17 | |
Now, if you drive, then you have to have car insurance. | 0:27:21 | 0:27:25 | |
it is simply not an option. | 0:27:25 | 0:27:27 | |
And if you're unlucky enough to have an accident that is undisputedly | 0:27:27 | 0:27:30 | |
your fault, it becomes clear why car insurance is so essential. | 0:27:30 | 0:27:34 | |
Especially if you've caused a lot of damage to another car | 0:27:34 | 0:27:38 | |
and, even worse, caused injuries to other people. | 0:27:38 | 0:27:41 | |
This exact scenario happened to a man who'd had his car insured with esure. | 0:27:42 | 0:27:47 | |
For argument's sake, let's call him Mr A. | 0:27:47 | 0:27:51 | |
Mr A had driven into the back of someone at a set of traffic lights | 0:27:51 | 0:27:54 | |
and conscientiously called his insurers to report the accident. | 0:27:54 | 0:27:58 | |
The case was referred to a specialist insurance law firm, | 0:28:19 | 0:28:22 | |
Horwich Farrelly. | 0:28:22 | 0:28:23 | |
On the face of it, this was a run-of-the-mill road traffic | 0:28:23 | 0:28:27 | |
accident that esure see all too frequently. | 0:28:27 | 0:28:30 | |
The policyholder of esure was wholly at fault. | 0:28:30 | 0:28:33 | |
That policyholder freely admitted liability. | 0:28:33 | 0:28:36 | |
A seemingly honest customer, | 0:28:38 | 0:28:40 | |
but then it's hard to make out an accident isn't your fault | 0:28:40 | 0:28:43 | |
when you've driven into a stationary vehicle. | 0:28:43 | 0:28:46 | |
Unfortunately for Mr A, the car he'd crashed into was full of people. | 0:28:46 | 0:28:51 | |
There were four people in the other car and all of them claimed | 0:29:06 | 0:29:10 | |
to have been injured and wanted compensation. | 0:29:10 | 0:29:13 | |
The first request to come in was from the driver. | 0:29:13 | 0:29:16 | |
This was a claim for personal injury, | 0:29:16 | 0:29:18 | |
valued at approximately £4,000, | 0:29:18 | 0:29:22 | |
as well as a claim for vehicle damage in the sum of 4,250. | 0:29:22 | 0:29:26 | |
This wasn't an unusually high amount for such a crash, | 0:29:26 | 0:29:30 | |
but something Mr A had said on that initial phone call | 0:29:30 | 0:29:33 | |
had immediately raised suspicions. | 0:29:33 | 0:29:35 | |
Esure felt it was highly unlikely for a crash like this | 0:29:42 | 0:29:45 | |
to have been reported just minutes after impact. | 0:29:45 | 0:29:48 | |
Surely the five people involved would have got out, | 0:29:48 | 0:29:51 | |
exchanged details, made sure no-one was seriously injured | 0:29:51 | 0:29:54 | |
and pulled in somewhere safe before making a call. | 0:29:54 | 0:29:57 | |
They decided to investigate Mr A further | 0:29:57 | 0:30:00 | |
and were shocked at their findings. | 0:30:00 | 0:30:03 | |
Just two weeks earlier, he had put in | 0:30:03 | 0:30:05 | |
a claim for another accident that he also said was his fault. | 0:30:05 | 0:30:09 | |
Whilst this claim was being investigated, | 0:30:12 | 0:30:14 | |
a third and further claim was intimated against esure, | 0:30:14 | 0:30:18 | |
with the policyholder once again freely admitting fault. | 0:30:18 | 0:30:22 | |
So, Mr A had been in three accidents that he admitted | 0:30:22 | 0:30:26 | |
were his fault in the space of just eight weeks. | 0:30:26 | 0:30:30 | |
And all had injured several people. | 0:30:30 | 0:30:32 | |
Either he was a terrible driver | 0:30:32 | 0:30:34 | |
or something more sinister was going on. | 0:30:34 | 0:30:37 | |
Esure carefully monitored Mr A for nearly a year, | 0:30:37 | 0:30:40 | |
and in that time, he was involved in a total of five claims. | 0:30:40 | 0:30:45 | |
It was simply inconceivable that one individual could be so unlucky | 0:30:45 | 0:30:50 | |
to be involved in five separate road traffic accidents in ten months. | 0:30:50 | 0:30:55 | |
So what was going on? | 0:30:55 | 0:30:57 | |
Well, Ronan and his team had a good idea. | 0:30:57 | 0:31:01 | |
The policyholder had been offering inducements | 0:31:01 | 0:31:03 | |
to stage road traffic accidents. | 0:31:03 | 0:31:06 | |
He had accepted a policy with esure and had staged a number of | 0:31:06 | 0:31:10 | |
different road traffic accidents | 0:31:10 | 0:31:12 | |
as well as another with a different insurer. | 0:31:12 | 0:31:15 | |
So, with five separate collisions in ten months, | 0:31:15 | 0:31:18 | |
esure and Horwich Farrelly suspected that Mr A had been paying people | 0:31:18 | 0:31:22 | |
to take part in deliberate car accidents. | 0:31:22 | 0:31:25 | |
In this case, they think Mr A paid the other driver to agree to | 0:31:25 | 0:31:29 | |
being crashed into so that he could put in a claim for thousands from | 0:31:29 | 0:31:32 | |
Mr A's insurance company. | 0:31:32 | 0:31:34 | |
It was believed that if esure had paid out, | 0:31:34 | 0:31:37 | |
Mr A would get a large cut. | 0:31:37 | 0:31:40 | |
Esure refused to pay out the £8,250, but the driver, perhaps under | 0:31:40 | 0:31:46 | |
pressure from Mr A, was insistent, and he took esure to court. | 0:31:46 | 0:31:51 | |
The driver of the vehicle Mr A had crashed into | 0:31:51 | 0:31:54 | |
found himself in front of a judge. | 0:31:54 | 0:31:57 | |
At trial, the claimant was cross-examined thoroughly by a barrister. | 0:31:57 | 0:32:01 | |
His evidence was completely undermined and began to unravel. | 0:32:01 | 0:32:06 | |
The claimant gave evidence as to his route on the day of the accident. | 0:32:06 | 0:32:10 | |
He had suggested he was going from a shopping centre to his own house. | 0:32:10 | 0:32:13 | |
The judge, knowing the area well, was able to identify, | 0:32:13 | 0:32:17 | |
after hearing our evidence, | 0:32:17 | 0:32:19 | |
that this route was extremely unlikely and would have taken | 0:32:19 | 0:32:22 | |
the claimant away from the route that he should have been travelling. | 0:32:22 | 0:32:26 | |
There were other inconsistencies | 0:32:26 | 0:32:28 | |
in the driver's account of the accident. | 0:32:28 | 0:32:30 | |
And, for the judge, the case was clear-cut. | 0:32:30 | 0:32:33 | |
The judge found that this claim was fundamentally dishonest, | 0:32:33 | 0:32:37 | |
that the claimant changed his case to suit his needs, | 0:32:37 | 0:32:41 | |
and the case was riddled with inconsistencies. | 0:32:41 | 0:32:45 | |
There was no way that the judge believed any aspects of the claim | 0:32:45 | 0:32:49 | |
that was pursued. | 0:32:49 | 0:32:51 | |
The driver of the car didn't receive a penny | 0:32:51 | 0:32:54 | |
of the £8,250 he was claiming. | 0:32:54 | 0:32:57 | |
But the judge went further, | 0:32:57 | 0:32:59 | |
ordering him to pay £13,000 to esure | 0:32:59 | 0:33:02 | |
to cover their costs. | 0:33:02 | 0:33:04 | |
In my view, this is the worst type of fraud. | 0:33:04 | 0:33:07 | |
This is not opportunistic, but completely staged and planned | 0:33:07 | 0:33:13 | |
road traffic accident fraud, something that has been | 0:33:13 | 0:33:17 | |
a blight of the insurance industry for many years. | 0:33:17 | 0:33:20 | |
OK, let's return to North London now, where Ifed are continuing | 0:33:24 | 0:33:28 | |
to search the home of Rehman and Shagufta Khan, | 0:33:28 | 0:33:31 | |
who are suspected of making no less than 245 fraudulent health insurance claims. | 0:33:31 | 0:33:37 | |
So far, officers have seized several items, including laptops and | 0:33:37 | 0:33:41 | |
memory sticks, which could all be key in proving the Khans' guilt. | 0:33:41 | 0:33:44 | |
Crucially, they also found a rubber stamp that they believe | 0:33:44 | 0:33:48 | |
was being used by the Khans to make their fake invoices look real. | 0:33:48 | 0:33:52 | |
We have a "paid" one. | 0:33:53 | 0:33:55 | |
-Can have that. You got a bag with you? -Yeah. | 0:33:55 | 0:33:59 | |
So I'm going to seize them as evidence of the offence. | 0:33:59 | 0:34:02 | |
The operation's gone well. | 0:34:02 | 0:34:04 | |
But there's still more work to be done, as the team that raided | 0:34:04 | 0:34:07 | |
the other property made an interesting discovery that | 0:34:07 | 0:34:10 | |
needs to be investigated. | 0:34:10 | 0:34:11 | |
We've found details of a safety deposit box here. | 0:34:11 | 0:34:15 | |
The Khans are being taken to the police station for questioning. | 0:34:16 | 0:34:20 | |
After obtaining a warrant, | 0:34:20 | 0:34:22 | |
another team head off to check out the deposit box. | 0:34:22 | 0:34:25 | |
Traditionally, items of high value are stored in these boxes, | 0:34:28 | 0:34:31 | |
so the Ifed team are keen to discover exactly what's inside. | 0:34:31 | 0:34:36 | |
It would appear that we've got items of jewellery. | 0:34:36 | 0:34:40 | |
Little ingots here, look. Fine gold, 10g. Ten-gram ingots, look. | 0:34:41 | 0:34:45 | |
We will be seizing all of this. | 0:34:45 | 0:34:47 | |
The box is packed full of items which look to be very valuable | 0:34:47 | 0:34:51 | |
and could be vital evidence in the investigation against Mr and Mrs Khan. | 0:34:51 | 0:34:56 | |
This haul could be worth a fortune. | 0:34:56 | 0:34:59 | |
Until we get that appraised, | 0:34:59 | 0:35:00 | |
we're not going to know exactly what the value of that is. | 0:35:00 | 0:35:03 | |
But it will be very interesting because, obviously, | 0:35:03 | 0:35:05 | |
they're going to have to account for those items. | 0:35:05 | 0:35:09 | |
And they're going to have to prove to us that those items were obtained | 0:35:09 | 0:35:12 | |
legitimately and not as the result of any criminal activity. | 0:35:12 | 0:35:15 | |
Unfortunately, the Khans were unwilling to assist the police | 0:35:15 | 0:35:18 | |
in their investigations, as Simon Styles recalls. | 0:35:18 | 0:35:21 | |
Both Mr and Mrs Khan were arrested and taken to | 0:35:23 | 0:35:25 | |
a local police station, where they were later interviewed. | 0:35:25 | 0:35:28 | |
They gave various different accounts of it, | 0:35:28 | 0:35:31 | |
but no admissions relating to what they had actually done. | 0:35:31 | 0:35:34 | |
Apart from setting up adjustment policies and making claims. | 0:35:34 | 0:35:38 | |
But they were in denial and, unfortunately, | 0:35:38 | 0:35:41 | |
it meant that we were doing a lot more work than we needed to do. | 0:35:41 | 0:35:45 | |
Two years later, and it's the day Simon Styles and his team | 0:35:47 | 0:35:51 | |
have been waiting for - the Khans are at the Old Bailey. | 0:35:51 | 0:35:54 | |
To get to today, the day of sentencing, | 0:35:54 | 0:35:57 | |
has meant that a lot of hard work has been undertaken by Ifed. | 0:35:57 | 0:36:01 | |
These individuals were arrested in January, 2014, | 0:36:01 | 0:36:04 | |
so it's taken over two years to get where we are. | 0:36:04 | 0:36:08 | |
The investigation was much bigger and lengthier due to | 0:36:08 | 0:36:12 | |
Shagufta and Rehmen Khan saying "no comment" | 0:36:12 | 0:36:14 | |
in two interviews that took place post-arrest. | 0:36:14 | 0:36:17 | |
There was 25 individual companies that had to be spoken to | 0:36:18 | 0:36:23 | |
and statements taken from them. | 0:36:23 | 0:36:25 | |
I looked at maybe ten or 11 bank accounts belonging to the | 0:36:25 | 0:36:28 | |
Khan family to see where the money had gone to. | 0:36:28 | 0:36:31 | |
So it was an extensive investigation | 0:36:31 | 0:36:32 | |
and a lot of painstaking work went into it. | 0:36:32 | 0:36:36 | |
But this hard work paid off. | 0:36:36 | 0:36:39 | |
The haul of jewellery found in the safety deposit box | 0:36:39 | 0:36:42 | |
proved to be a red herring. | 0:36:42 | 0:36:44 | |
However, the evidence the team found during the raids and the | 0:36:44 | 0:36:47 | |
strength of the case Ifed put together against Rehman and Shagufta Khan was overwhelming, | 0:36:47 | 0:36:52 | |
and the couple did eventually admit their guilt. | 0:36:52 | 0:36:55 | |
I've just come out from the Central Criminal Court, Court 2, | 0:36:55 | 0:36:59 | |
where Rehman and Shagufta Khan | 0:36:59 | 0:37:02 | |
were given 12 months' prison sentence. | 0:37:02 | 0:37:04 | |
The judge said because of the length of time that they'd actually | 0:37:04 | 0:37:08 | |
committed these offences, which was over ten-year period, | 0:37:08 | 0:37:11 | |
and nearly £19,000 they stole, the judge said he had no choice | 0:37:11 | 0:37:15 | |
but to give them a period of imprisonment. | 0:37:15 | 0:37:17 | |
There's one final bizarre twist to this tale. | 0:37:17 | 0:37:21 | |
The Khans obviously thought that if they were to pay most of the money back, | 0:37:21 | 0:37:25 | |
the judge would go easy on them. | 0:37:25 | 0:37:26 | |
He didn't. | 0:37:26 | 0:37:27 | |
But the couple had already handed Simon a large wad of cash. | 0:37:27 | 0:37:31 | |
It is very, very unusual. | 0:37:31 | 0:37:33 | |
I've never seen that before and never heard of it happening. | 0:37:33 | 0:37:35 | |
It's £15,000. I'm leaving here now to bank it and that goes back to the victim of crime. | 0:37:35 | 0:37:40 | |
And that is great news. | 0:37:40 | 0:37:42 | |
An excellent result. | 0:37:42 | 0:37:45 | |
Simplyhealth will be getting most of their money back and the | 0:37:45 | 0:37:49 | |
fraudsters who stole £18,500 from them over ten years are behind bars. | 0:37:49 | 0:37:56 | |
Now, I consider myself to be pretty relaxed behind the wheel, | 0:38:04 | 0:38:07 | |
but even I can feel the rage start to bubble... | 0:38:07 | 0:38:11 | |
when I see roadworks approaching - | 0:38:11 | 0:38:13 | |
the inevitable lane closures, temporary lights that take an age | 0:38:13 | 0:38:16 | |
to change, and worst of all, traffic jams. | 0:38:16 | 0:38:20 | |
But imagine if, while stuck in roadworks traffic, | 0:38:20 | 0:38:22 | |
you were hit by a ten-tonne bus. | 0:38:22 | 0:38:25 | |
Lee Ingram works as a claims team manager for FirstGroup. | 0:38:28 | 0:38:32 | |
With a fleet of over 6,300 buses | 0:38:32 | 0:38:35 | |
driving around 40 UK cities, | 0:38:35 | 0:38:37 | |
there's bound to be the odd accident. | 0:38:37 | 0:38:40 | |
And it is Lee's job to manage the claims that come in. | 0:38:40 | 0:38:43 | |
He recalls a case involving an accident which took place at | 0:38:43 | 0:38:46 | |
some dreaded roadworks. | 0:38:46 | 0:38:49 | |
The claimant in this case is saying that as they were stationary, | 0:38:49 | 0:38:52 | |
waiting to merge in at roadworks, we've gone past them | 0:38:52 | 0:38:55 | |
and collided with their stationary vehicle. | 0:38:55 | 0:38:58 | |
So, essentially, we've changed lanes into their car. | 0:38:58 | 0:39:00 | |
A clear-cut case, then. | 0:39:00 | 0:39:02 | |
If the car was stationary, then the bus driver must be at fault. | 0:39:02 | 0:39:06 | |
FirstGroup would have to pay out. | 0:39:06 | 0:39:09 | |
When the repair invoice actually came in, | 0:39:09 | 0:39:10 | |
we're looking at a really minor scuff to the car - | 0:39:10 | 0:39:14 | |
slight damage to a wheel trim. | 0:39:14 | 0:39:16 | |
And the bus, the cost of possibly polishing out a scuff on the | 0:39:16 | 0:39:21 | |
paintwork and £4 for a new bottle of white spirit. | 0:39:21 | 0:39:24 | |
The repair costs were so low to both vehicles that even | 0:39:24 | 0:39:28 | |
a bottle of white spirit had been listed. | 0:39:28 | 0:39:31 | |
So imagine Lee's shock when the people in the car | 0:39:31 | 0:39:34 | |
said they'd been badly injured. | 0:39:34 | 0:39:35 | |
Something about the claim smelt a bit off. | 0:39:35 | 0:39:38 | |
Despite what would appear to be a fairly innocuous collision, | 0:39:38 | 0:39:42 | |
we still received a claim in the value of around about £10,000, | 0:39:42 | 0:39:47 | |
which would have been for the injuries themselves | 0:39:47 | 0:39:50 | |
and solicitors' fees. | 0:39:50 | 0:39:51 | |
You may be wondering how they got to such | 0:39:52 | 0:39:54 | |
a large amount of money for such a tiny collision. | 0:39:54 | 0:39:57 | |
Well, it was because the car driver and passenger were claiming | 0:39:57 | 0:40:01 | |
they had suffered whiplash injuries, | 0:40:01 | 0:40:03 | |
bad back and neck pains from the impact of the bus. | 0:40:03 | 0:40:07 | |
Lee wasn't entirely convinced, | 0:40:07 | 0:40:09 | |
and with nearly every one of his buses fitted with CCTV, | 0:40:09 | 0:40:13 | |
he knew he could take a look at the footage to help him | 0:40:13 | 0:40:15 | |
understand exactly what had happened. | 0:40:15 | 0:40:19 | |
When we look at the CCTV, we're expecting to see | 0:40:19 | 0:40:22 | |
a bus striking into the side of a stationary car, causing it to move. | 0:40:22 | 0:40:27 | |
For someone to have whiplash injuries, there will have had | 0:40:29 | 0:40:31 | |
to have been a moment of impact between the two vehicles. | 0:40:31 | 0:40:34 | |
So, Lee was on the hunt for the footage which showed this. | 0:40:34 | 0:40:38 | |
Here comes the bus now. | 0:40:38 | 0:40:39 | |
I mean, it's just going to brush the wing of this vehicle. | 0:40:39 | 0:40:43 | |
Now, look for movement in the vehicle, because if you can see it, | 0:40:43 | 0:40:47 | |
can you let me know? Because I can't see that vehicle move. | 0:40:47 | 0:40:51 | |
So I don't think it happens. | 0:40:51 | 0:40:53 | |
And if there's no movement in that car, | 0:40:53 | 0:40:54 | |
then I don't know how either of those people are injured. | 0:40:54 | 0:40:57 | |
But there was something else seen in the footage | 0:40:57 | 0:41:00 | |
that turned the injury claim into one big joke. | 0:41:00 | 0:41:03 | |
If you watch this man closely, | 0:41:03 | 0:41:05 | |
he has put in a claim for soft tissue injuries | 0:41:05 | 0:41:08 | |
to his shoulders and his neck. | 0:41:08 | 0:41:11 | |
And yet, he doesn't stop sort of flapping and gesticulating. | 0:41:11 | 0:41:16 | |
He's moving, he's pacing around. He's very agitated. | 0:41:16 | 0:41:20 | |
I watched this back at triple speed and I could hear the Benny Hill | 0:41:20 | 0:41:24 | |
music playing in the background. | 0:41:24 | 0:41:25 | |
THE BENNY HILL SHOW THEME PLAYS | 0:41:25 | 0:41:28 | |
No wonder he's injured. I was exhausted just watching him. | 0:41:36 | 0:41:40 | |
Not only did the CCTV show that it was unlikely that the driver and | 0:41:40 | 0:41:44 | |
passenger had suffered any serious injuries, it also went further | 0:41:44 | 0:41:48 | |
to show that, actually, the bus driver didn't do anything wrong. | 0:41:48 | 0:41:52 | |
Throughout this claim, the third party's solicitors were alleging | 0:41:52 | 0:41:55 | |
that we'd changed lanes into their client's stationary vehicle. | 0:41:55 | 0:41:59 | |
When we look back at the CCTV footage, we can clearly see | 0:41:59 | 0:42:03 | |
that the bus has just continued on its straight course. | 0:42:03 | 0:42:06 | |
But, due to the position of the roadworks, | 0:42:06 | 0:42:09 | |
the vehicles do actually come together. | 0:42:09 | 0:42:12 | |
But there's certainly no sudden veering from the direction | 0:42:12 | 0:42:15 | |
the bus was travelling in. | 0:42:15 | 0:42:16 | |
The footage had brought the entire claim to a grinding halt. | 0:42:16 | 0:42:20 | |
We had already received a claim for the repairs to the car | 0:42:20 | 0:42:24 | |
from their insurers. | 0:42:24 | 0:42:26 | |
Once we'd seen the CCTV footage, we sent it on to them, told them | 0:42:26 | 0:42:30 | |
what it showed, and we promptly received a reimbursing cheque | 0:42:30 | 0:42:34 | |
for the bottle of white spirit and the damage caused to our bus. | 0:42:34 | 0:42:39 | |
He even got the money back for the turps, | 0:42:39 | 0:42:43 | |
which must have boosted Lee's spirits no end. | 0:42:43 | 0:42:46 | |
From people chancing their luck by exaggerating their injuries to | 0:42:49 | 0:42:53 | |
organised criminal gangs, insurance fraud hits all of us in the pocket. | 0:42:53 | 0:42:58 | |
But, instead of getting away with it, | 0:42:58 | 0:43:01 | |
more and more of these fraudsters are being claimed and shamed. | 0:43:01 | 0:43:05 |