Episode 5 Claimed and Shamed


Episode 5

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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 are catching the criminals red-handed.

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Just 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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The chilling story of a man involved in a nasty car accident.

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A serving prisoner's phoney claim is easy to unlock.

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It's not often that you're faced with evidence that's this clear

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that someone has entirely fabricated a claim.

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And it's a family affair, as an attempt at insurance fraud

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goes very wrong.

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The claimant in the other vehicle was, in fact, her sister-in-law.

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There are all sorts of different types of vehicles

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on Britain's roads,

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from monstrous haulier's trucks to super-sleek convertibles.

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But no matter what type of vehicle you drive,

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they all have one thing in common - they have to have insurance...

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..which companies like Allianz are more than happy to provide.

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Mihir Pandya heads up their special investigations unit

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and remembers a case involving a very unusual vehicle.

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The case first came to our attention when our policy holder,

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Barry Sandman, contacted our claims team in February 2014,

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where he reported he'd been in a collision with an ice cream van.

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An unfortunate accident.

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I bet Mr Sandman hadn't even wanted an ice cream

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on that wet winter's day.

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It didn't sound like too much damage

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had been caused to the ice cream van,

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so Mihir and his team were a bit shocked when the bill came in.

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We received an invoice

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for the repairs

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to the ice cream van, subsequently,

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from the purported owner,

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where it showed that the damage was in the region of £24,000.

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We had concerns almost immediately.

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Where normally we would expect company-headed paper,

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we would expect a little bit more detail,

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and whilst there were details of a company on the invoice,

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it didn't really seem that it was a professionally-created invoice.

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With concerns that this may be a false claim,

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Allianz decided to dig deeper.

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Because of the extent of the damage to the ice cream van,

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we instructed a motor engineer.

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And on inspecting the vehicle, he realised very quickly

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that he'd already inspected that ice cream van

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for another insurer previously, with the same damage.

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We contacted the other insurer.

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The claim that they'd received was identical

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to the one that we had on our books.

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More enquiries revealed that, in fact,

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the ice cream van had also been used

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for a third accident with the same damage.

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The insurance companies all swapped evidence and it was clear that they

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were all being targeted by the same ice cream van fraudster.

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Had the three claims been paid by the three insurance companies,

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that would have exceeded £100,000.

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Mihir was convinced he'd uncovered an attempt to defraud

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on a large scale.

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So, he contacted the City of London Police's

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dedicated Insurance Fraud Enforcement Department.

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Since they were set up in 2012,

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IFED have secured over 120 years-worth of custodial sentences

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for convicted insurance fraudsters.

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IFED took up the investigation and started to make their own enquiries.

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During this time, around April 2014,

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we were then, completely out of the blue,

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contacted by another individual,

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who told us that he'd been involved with an accident

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with Mr Sandman some months prior.

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We looked into this and it turned out that the date of this

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accident was the same day as Mr Sandman had taken

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a policy out with Allianz Insurance.

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It seemed very convenient that Mr Sandman had had an accident

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on the very same day he'd started a motor insurance policy.

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We contacted Mr Sandman,

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asked him why he never reported the incident to us,

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and he didn't really have an answer to that.

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He then provided details of the accident,

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saying it happened a couple of hours after he'd taken the policy out,

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but we knew that this was a lie.

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The person whose car was damaged provided us with photographs

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and images of the damage, which was time stamped,

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and it was clear that that accident, whilst we believed did happen,

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happened before the policy was incepted with us.

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Mr Sandman had been caught out.

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He had taken out his vehicle insurance cover

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just hours after causing an accident.

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Then, months later, in a separate incident with an innocent motorist,

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he had lied about colliding with an ice cream van.

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IFED arrested him and the case went to trial.

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In April 2016, Mr Sandman pleaded guilty to two counts -

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one count of conspiracy to defraud,

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which was in relation to the ice cream van,

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and another fraud by false representation,

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and that was for the second claim.

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Mr Sandman was given a 12-month custodial sentence,

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suspended for two years,

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and ordered to undertake 180 hours of unpaid labour.

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Allianz were satisfied that their policyholder, Mr Sandman,

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had been given his just deserts.

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However, for IFED, the mystery of the ice cream van still remained.

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The same van had appeared in three separate insurance claims,

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with three different insurance companies.

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Each time a claim was put in for the same damage to the van's side.

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The three alleged accidents had happened in random locations

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across the UK - one in Kent, one in Bristol and one in Burnley.

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IFED detective Paula Doyle has worked on the case

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since it was referred over from Allianz.

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What we actually thought was happening was

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there was an organised crime group behind this fraud.

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Clearly, a lot of people are concerned, because it's happened

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over a large geographical area and, clearly, very organised individuals.

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There was one fact IFED were 100% sure about -

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there was only ever one ice cream van.

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It was the same colour, the damage was the same,

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it had the same stock inside,

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it even had the same mileage on the speedometer.

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The fact that the mileage was the same demonstrates

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that these people are transporting a van,

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probably on the back of a pick-up truck...

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..without it ever having been driven.

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But the ice cream van did have different number plates on it

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each time a claim was put in.

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It's easy to trace an owner, once you have a number plate.

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Or, at least, it should be.

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We found out that they were in fake names, at different addresses.

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They weren't insured, so we couldn't trace the individuals.

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At this point in their investigation,

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IFED turned their attention back to Mr Sandman.

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He'd obviously been, somehow, persuaded by the gang to say

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he'd crashed his car into the ice cream van.

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He must know the owners and be able to identify them.

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They questioned him at the station, and the interview was recorded.

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They were clearly not going to get any lead from Mr Sandman.

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For whatever reason, perhaps fear,

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he wasn't about to give the police information

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about the ice cream van gang.

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IFED had hit a wall in their investigation.

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The gang had been clever, but not that clever.

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They'd only been paid by one insurance company

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for the damage to the ice cream van

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before the link was made and fraud identified.

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The other two companies never paid a penny.

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I'd say that the fraud was quite well-planned.

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Perhaps not the best thought-out fraud, however,

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because I think these fraudsters forgot

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if you've got a bright pink ice cream van

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with a hole in the side,

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somebody somewhere is going to recognise it.

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For IFED, the case of the ice cream van gang is far from frozen.

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The hunt for the criminals continues

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and they'll stop at nothing to see them behind bars.

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A man's expensive tastes leads to his undoing.

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He must've had a lot of room service. That's all I'll say.

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And an insurance company cries foul, when a footballer attempts to score

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with a claim.

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He also played against a rival during that four-week period,

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in which he scored a goal.

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When insurance fraud is committed against large, private companies,

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it's important there are systems in place to detect it and stamp it out.

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Otherwise, it's ultimately the customers that pay the price.

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However, when a fraudulent attack is made on a state-run system,

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it's arguably even more important that it's discovered

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and stopped before any money is paid out

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to avoid a situation where taxpayers -

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that's you and I - are funding fraud.

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Foston Hall in Derbyshire is a women's only prison.

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Joanne Riley, a litigation specialist at the prison,

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recalls a case where one of the prisoners

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put in a personal injury claim.

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The initial claim was for an accident

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that she alleged happened in her cell on D Wing.

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She alleged that she was moving a cupboard with a cellmate

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and, whilst moving the cupboard,

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the uneven floor made the cupboard fall and it injured her face.

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Her alleged injuries were quite minor. It was nothing

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that required any hospitalisation or any time to see a doctor.

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Even so, prisons have a responsibility

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for the wellbeing of their prisoners

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and, with an uneven floor being cited as the cause of the accident,

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Foston Hall could well have been liable.

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As with all such claims,

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they began to investigate thoroughly before paying out.

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There didn't seem to be any reason why there would be any problem.

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It was only, in further investigation,

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when I looked to see if there was any reports

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that the floor was uneven that I discovered there was nothing

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logged anywhere with the maintenance

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department to say there had been any problems at any time with

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the flooring on the D Wing room that she was located in.

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By now, the prison's solicitors had officially started legal proceedings

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against Foston Hall.

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However, suspicious that the claim wasn't entirely genuine,

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Joanne encouraged her supervisor, Carl Davis, to investigate further.

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Carl's first port of call was to examine a book called a wing diary.

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It is used by staff to record

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everything that happens at the prison.

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And it immediately revealed an inconsistency.

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The claimant had reported to staff she'd received injuries

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on the 24th of October.

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The staff had reported that to our healthcare department,

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and they had made notes in the wing diary, to that effect.

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When we received notification from the claimant's solicitors,

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the claimant's solicitors were alleging that the incident

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actually took place on the 31st of October.

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That gave us some concern.

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It wasn't looking good for the prisoner's claim.

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However, nothing could have prepared Carl and his team

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for what they found next.

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At Foston Hall, all phone calls made by the prisoners are recorded.

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So, staff at the prison looked through the transcript

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from the phone calls this prisoner had made. And one stood out.

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It was to her father,

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and they immediately passed on their findings to Carl.

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The claimant was clearly heard to state that she had not received

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the injuries as a result of an accident moving furniture,

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but she had received the injuries, as a result of a fight

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with another prisoner.

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During that telephone call,

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the claimant conspired with her father

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to ask the father to contact his solicitors, on her behalf,

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so she could commence making a claim

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against the prison service for injuries,

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which clearly had not happened in the way she was describing.

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They had the proof they needed,

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that this inmate had made up

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the whole story of how she'd got her injuries.

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They gathered together all the evidence they found

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and handed it over to the GLD, the government's legal department.

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Henry Ripley, a deputy director at GLD,

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knew he had a strong case on his hands.

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So, the telephone recording revealed

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that she'd been in a fight with a prisoner,

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that she had sustained injuries

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and, ultimately, that she was looking to pin those injuries

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on the prison

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by bringing a claim that really had no basis whatsoever,

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simply in the hope of securing some compensation.

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It's not often that you are faced with evidence that is this clear,

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that someone has entirely fabricated a claim,

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so our reaction was one of surprise.

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Ultimately, we took the decision very quickly this had to be evidence

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which would firmly back up our position

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and enable us to defend the claim.

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And therefore, the step we took next was to alert

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the claimant's solicitors to this crucial piece of evidence,

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with a view to this claim proceeding no further.

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What happened next came as no surprise.

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As a result of the evidence we put to the claimant's solicitors,

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she took the right decision.

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She didn't proceed with her claim and, as a result,

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the public purse was saved from paying compensation

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on a wrongful basis.

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The last thing taxpayers want to see -

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public money spent on compensating

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prisoners for claims that aren't justified.

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And so this provides a really positive message

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to the wider public that such claims are being taken seriously,

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investigated properly and action taken, where dubious claims

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are being brought.

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Now, unlike most other types of insurance,

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car insurance isn't optional.

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If you're driving on UK roads, the law says you've got to have it.

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If you are caught without car insurance,

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you can be banned from driving,

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fined and even have your car seized and crushed.

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Ouch.

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So, I would say it makes sense to buy car insurance.

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LV supply motor policies to drivers up and down the country.

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Simon Rylands is their crimes prevention manager,

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so is always on the lookout for fraudulent activity.

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He recalls a case which at first glance appeared to be totally legit.

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Our customer contacted us to report she'd been involved in a accident

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where she pulled out of a side road and hit the side of another vehicle.

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LV's customer took responsibility for this nasty accident,

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which resulted in both cars being written off.

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LV quickly paid out £2,500 to their customer for her car.

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But more demands for money soon arrived.

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We also received a claim from the other driver

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for the total loss value of his vehicle.

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Hire costs, personal injury claim and some other expenses.

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Total value of his claim was around £8,500.

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And we also had a claim from a passenger in his vehicle,

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which was valued at around £5,000.

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So, a total of £16,000 worth of claims.

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A not unreasonable sum, considering the extent of the accident.

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However, a routine investigation raised a red flag.

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Our systems indicated to us that a company that featured on the claim,

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they'd been involved in a previous suspect claim with LV.

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At that point, we wanted to look into it a bit further

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and see if there was anything suspicious about this claim.

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They received statements from all three people involved

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in the accident -

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their own customer, plus the driver and passenger of the car she hit.

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We discovered there were inconsistencies between statements.

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Our customer said the other driver drove away from the scene,

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whereas he told us that his vehicle required recovery from the scene.

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We'd really expect our customer to be able to remember

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whether the other car did drive away from the scene,

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or whether, in fact, a recovery truck came.

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However, one thing that everybody did agree was that LV's policyholder

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was a complete stranger

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to the two people in the car she collided into.

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Simon and his team proved this to be a lie.

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Our customer was connected to the address for the passenger

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in the other vehicle by the fact

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that her mother lived at this address, also.

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This suggested there was a clear family link

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between our customer and the passenger in the other vehicle.

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LV went back to their customer with the evidence that proved that one

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of the people she had crashed into

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just happened to live with her own mother.

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Although she wouldn't provide a formal statement to us,

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the claimant in the other vehicle was in fact her sister-in-law.

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You'd think LV's customer might have remembered sooner that one

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of the people she crashed into was a member of her own family.

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LV had heard enough.

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In view of our suspicions about the claim,

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we made no payments to the third-party driver.

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So, his solicitors then issued legal proceedings.

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That would mean that his solicitors will be taking the case to trial

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and a judge would hear all the evidence.

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Perhaps the driver thought that LV would back down and just pay out,

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rather than face expensive legal costs.

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But they didn't and the case went to court.

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The outcome of the trial was that the judge was entirely satisfied

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that the claim was fraudulent.

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And that the accident didn't happen, but if it did, that it was staged.

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The judge dismissed the claim and he ordered the claimant to repay LV

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£53,000 in costs.

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These three people clearly knew each other and were even related.

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With a fine of over 50 grand to pay,

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I bet the next family meal was an interesting one, to say the least.

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An evil woman puts a 1 million price tag on her husband's life.

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Travelling to far-flung corners of the world is now more possible

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than ever, whether you're heading for the plains of the Serengeti

0:21:200:21:23

or the lava fields of Iceland.

0:21:230:21:25

But, of course, your dream holiday you'd been looking forward to

0:21:250:21:29

can quickly become one you would much rather forget,

0:21:290:21:32

if you have an accident or are the victim of a crime.

0:21:320:21:35

You can never be prepared for every eventuality,

0:21:380:21:41

but companies like CEGA provide travel insurance,

0:21:410:21:43

to help out if something awful does happen whilst you're overseas.

0:21:430:21:47

Simon Cook, head of special investigations,

0:21:470:21:50

remembers a particularly horrific ordeal

0:21:500:21:52

involving a man who was visiting Tanzania.

0:21:520:21:56

The customer contacted our medical emergency helpline,

0:21:560:22:01

to tell us he had been involved in an armed robbery, unfortunately.

0:22:010:22:04

He had also told us that he had his personal possessions stolen

0:22:040:22:07

in the robbery.

0:22:070:22:08

It must be one of the most frightening things imaginable,

0:22:080:22:12

to be held up at gunpoint. And, what's more,

0:22:120:22:15

the armed robber had physically assaulted the man.

0:22:150:22:17

It sounded like a very violent attack,

0:22:190:22:21

because the customer was an in-patient in hospital

0:22:210:22:24

for two weeks, so he must have been badly injured.

0:22:240:22:27

The man was claiming £1,000 for his stolen possessions

0:22:330:22:37

and £6,000 for his hospital bills.

0:22:370:22:40

Simon and his team are experts in international medical provision and,

0:22:400:22:44

to them, this seemed expensive for a Tanzanian hospital.

0:22:440:22:48

They waited for the paperwork to arrive.

0:22:480:22:51

The customer only provided three documents for a two-week stay

0:22:510:22:55

in hospital. This just seems a little unusual.

0:22:550:22:58

You would expect to see a lot more documents than that.

0:22:580:23:01

They decided to investigate further and, as standard procedure,

0:23:020:23:06

they contacted the man, to ask him to sign a form,

0:23:060:23:08

giving them permission to examine his claim in more detail.

0:23:080:23:12

The customer duly signed the form, but we were concerned to note that,

0:23:120:23:17

when he sent the form back to us, he stated in writing that he had now

0:23:170:23:20

appointed a solicitor to deal with this matter.

0:23:200:23:23

It is very unusual for a customer making a genuine claim

0:23:230:23:27

to make threats of legal action.

0:23:270:23:30

At this point, we were even more concerned with the claim

0:23:300:23:33

that was presented to us.

0:23:330:23:35

When Simon and his team have doubts over a customer's claim,

0:23:360:23:39

they will conduct a full investigation.

0:23:390:23:42

And distance is no barrier.

0:23:420:23:44

Due to our concerns with the claim, we decided to appoint

0:23:440:23:47

our on-the-ground investigator in Tanzania,

0:23:470:23:51

just to ensure that the claim presented was, in fact,

0:23:510:23:53

valid and covered by the terms and conditions of the policy.

0:23:530:23:56

Yeah, they've got on-the-ground agents everywhere.

0:23:580:24:01

And this one wasted no time.

0:24:010:24:02

He headed straight to the hospital,

0:24:020:24:04

where the customer had been laid up for two weeks.

0:24:040:24:07

The first thing that he noted was that the hospital doesn't deal

0:24:090:24:13

in US dollars, which was the currency that the customer

0:24:130:24:16

had claimed he'd paid the hospital in.

0:24:160:24:17

Further investigations with the hospital staff revealed that

0:24:190:24:22

the customer's name was not listed anywhere in their official records

0:24:220:24:26

and that he hadn't actually been treated there.

0:24:260:24:29

So, he'd never even been inside the hospital.

0:24:290:24:33

The agent was going great guns.

0:24:330:24:35

Next, he headed to a hotel where the customer had stayed

0:24:350:24:38

and later submitted the bill to CEGA, as part of his claim.

0:24:380:24:42

We established that the hotel charge a maximum of 35 per night,

0:24:420:24:47

which was obviously concerning for us because the customer

0:24:470:24:50

had paid 135 per night.

0:24:500:24:52

He must have had a lot of room service -

0:24:530:24:56

that's all I would say on that.

0:24:560:24:57

However, it did seem that, at least, this time,

0:24:570:25:00

the customer had connections with the hotel.

0:25:000:25:04

When we questioned the hotel manager,

0:25:040:25:06

we actually established that he was good friends with our customer,

0:25:060:25:10

but he then proceeded to tell us that the customer had provided us

0:25:100:25:14

with a fraudulent invoice and he didn't actually stay at the hotel.

0:25:140:25:17

Who needs friends(?)

0:25:170:25:19

I bet that particular friend is off the Christmas card list.

0:25:190:25:23

The Tanzania agent had one final place to go.

0:25:240:25:26

We then proceeded to visit the police station.

0:25:270:25:30

We spoke to one of the officers there who immediately told us that

0:25:300:25:33

the crime reference number provided on the report wasn't in the same

0:25:330:25:37

format as their genuine crime numbers.

0:25:370:25:39

Further to this, the police officer that we spoke with said the person

0:25:390:25:43

allegedly who signed the police report didn't, in fact, work at

0:25:430:25:47

the police station and they don't even have a lieutenant as a rank

0:25:470:25:50

within that station.

0:25:500:25:52

As far as CEGA was concerned, it was case closed.

0:25:520:25:56

Armed with the evidence that we have obtained through

0:25:570:26:00

our overseas investigation, we contacted the customer by telephone,

0:26:000:26:04

to give him the opportunity to be open and honest with us

0:26:040:26:08

about the actual claim.

0:26:080:26:09

Unsurprisingly, the customer said he had nothing further to add

0:26:090:26:14

to the situation and he was making a genuine claim.

0:26:140:26:16

However, the on-the-ground work done by their agent had provided

0:26:160:26:21

irrefutable proof to the contrary.

0:26:210:26:23

It was entirely evident from our investigation that the claim

0:26:250:26:28

was completely fraudulent.

0:26:280:26:30

We weren't satisfied that any aspect of it was genuine.

0:26:300:26:32

As far as we are concerned, the armed robbery simply didn't occur.

0:26:320:26:37

Simon and his team stuck to their guns and refused to pay out a penny.

0:26:370:26:41

They never heard from their customer again.

0:26:410:26:44

Now, on this show, we look at lots of examples

0:26:530:26:56

of people committing insurance fraud.

0:26:560:26:58

With individual claims, more often than not,

0:26:580:27:00

there is some truth behind the incident.

0:27:000:27:02

Say, a bag was stolen, but the contents are a little exaggerated.

0:27:020:27:06

Or an accident at work did happen, but the employee

0:27:060:27:09

wasn't as badly hurt as he maintained.

0:27:090:27:12

It's all fraud and it is all illegal,

0:27:120:27:13

but at least there was some grains of truth to the story.

0:27:130:27:17

Well, the next case we're going to look at involved lies so blatant,

0:27:170:27:21

and told without a care for the consequences,

0:27:210:27:24

that one of the highest legal offices in the land

0:27:240:27:26

felt it necessary to intervene.

0:27:260:27:29

Richard Hiscocks works at Aviva, as their Director of Casualty Claims.

0:27:300:27:34

Back in October 2013,

0:27:340:27:36

a member of the team received a call to say that one of their

0:27:360:27:39

policyholders had caused a minor accident.

0:27:390:27:41

So, we first became aware of this case when our insured

0:27:430:27:47

had reversed into the claimant in a fast-food restaurant

0:27:470:27:51

drive-through. They'd overshot the place where you speak your order

0:27:510:27:54

into the microphone, reversed up gently and nudged the car behind,

0:27:540:27:59

which was driven by Gary Burnett, the claimant,

0:27:590:28:01

who then claimed that he had shoulder and neck injuries,

0:28:010:28:05

which prevented him from fulfilling his normal life.

0:28:050:28:08

Gary Burnett was claiming £2,000 for his whiplash injuries,

0:28:080:28:12

but, from the word go, his story of the accident at the drive-through

0:28:120:28:16

left a bad taste in the mouth.

0:28:160:28:19

We were immediately suspicious because this is what we call

0:28:200:28:23

a low-speed impact. Our customer had told us that the speed at which

0:28:230:28:28

he was reversing was very slight. The vehicle damage supported that

0:28:280:28:31

and, actually, it is most unusual to get injury when the speed

0:28:310:28:34

of the impact is so slight.

0:28:340:28:36

They had photos from their insured driver that showed how little damage

0:28:360:28:40

there was to either vehicle.

0:28:400:28:43

We decided that, in the light of this evidence,

0:28:430:28:45

the claim was spurious and we have a duty, in that case,

0:28:450:28:49

to defend our customers. And, so, we decided we weren't going to pay

0:28:490:28:53

this claim. He then proceeded to litigate against us,

0:28:530:28:57

which meant the claim went to trial, for him to prove that he was injured

0:28:570:29:01

and that we should have been paying him compensation.

0:29:010:29:04

Aviva enlisted their solicitors, Horwich Farrelly,

0:29:040:29:07

to fight the litigation against them.

0:29:070:29:09

David Scott represented them.

0:29:090:29:11

So, when Horwich Farrelly got the case,

0:29:110:29:14

we looked at the evidence presented by the insured driver,

0:29:140:29:18

which were some very good photographs taken at the scene,

0:29:180:29:21

which show virtually no damage to either of the cars.

0:29:210:29:23

We also spoke in detail to the insured driver,

0:29:230:29:25

who told us that this was a very, very minor accident.

0:29:250:29:29

He reversed back a small distance into very, very minor contact with

0:29:290:29:33

the front of the claimant's car. So, based on that, we decided

0:29:330:29:36

to investigate this further,

0:29:360:29:37

as we believed it to be a potentially dishonest claim.

0:29:370:29:41

Gary Burnett made his living as a window cleaner

0:29:410:29:44

and also played football semi-professionally.

0:29:440:29:47

He maintained that his injuries were affecting his ability

0:29:470:29:50

to earn a living.

0:29:500:29:51

The claimant had told his medical expert

0:29:520:29:54

that the whiplash injuries were pretty severe.

0:29:540:29:57

So they caused him to have time off work as a window cleaner

0:29:570:30:00

and they also stopped him from playing football.

0:30:000:30:03

He went on to say, in an official legal statement,

0:30:030:30:05

that he hadn't been able to train or play for a whole month.

0:30:050:30:09

But, unfortunately, for Burnett, a social media search revealed

0:30:090:30:12

that this was a total lie.

0:30:120:30:15

The Twitter account of the claimant was one that was publicly available

0:30:150:30:19

and showed the claimant had played football during this

0:30:190:30:23

four-week period that he said he couldn't play at all.

0:30:230:30:26

# Here we go, here we go, here we go

0:30:260:30:28

# Here we go, here we go Here we go-o... #

0:30:280:30:30

It showed he played against Kendal Town the day after the accident.

0:30:300:30:34

# Here we go, here we go! #

0:30:340:30:36

He'd also played against a rival during that four-week period,

0:30:360:30:40

in which he had scored a goal.

0:30:400:30:41

# Here we go, here we go, here we go

0:30:410:30:43

# Here we go, here we go, here we go

0:30:430:30:45

# Here we go, here we go! #

0:30:450:30:47

He was very proud of his achievements.

0:30:470:30:51

Those tweets were to be a game changer.

0:30:540:30:57

FULL-TIME WHISTLE

0:30:570:30:59

They proved undisputedly what Aviva and Horwich Farrelly

0:30:590:31:04

had suspected all along. Gary Burnett had, in no way,

0:31:040:31:08

been injured as a result of the collision at the drive-through.

0:31:080:31:11

Once we'd completed our investigations,

0:31:140:31:16

we served all of this evidence on the claimant's solicitors.

0:31:160:31:20

On receiving that, the claimant abandoned his claim.

0:31:200:31:23

He discontinued his claim completely and wanted to walk away.

0:31:230:31:26

We reviewed the case with Aviva and we were happy we had enough evidence

0:31:260:31:30

that - in fact, significant evidence - to show this was

0:31:300:31:33

a dishonest claim, so we decided to take it on and take this case

0:31:330:31:35

to a County Court, to present the case to a district judge,

0:31:350:31:39

to find that this claim was fundamentally dishonest.

0:31:390:31:41

Gary Burnett wasn't going to be able to simply walk away from this.

0:31:410:31:46

On the day of the court hearing, perhaps knowing he was beaten,

0:31:460:31:50

Burnett decided not to attend.

0:31:500:31:53

The fact that the claimant didn't turn up to the initial civil hearing

0:31:530:31:59

probably did hinder his defence to it,

0:31:590:32:03

but the judge was satisfied that, based on the evidence presented,

0:32:030:32:07

that there was more than enough to find that the claim

0:32:070:32:10

was fundamentally dishonest. The outcome of the civil case

0:32:100:32:13

was that the claim was abandoned completely by Mr Burnett

0:32:130:32:17

and he was ordered to repay Aviva's legal costs of £11,000.

0:32:170:32:20

Burnett didn't receive a penny of the £2,000 he had claimed

0:32:220:32:24

from Aviva in compensation.

0:32:240:32:27

And he now faces an £11,000 bill.

0:32:270:32:30

It was 1-0 to Aviva,

0:32:300:32:33

but this match wasn't over.

0:32:330:32:36

The civil judge, in a bold move, decided to refer this case up to

0:32:360:32:40

the Attorney General's Office.

0:32:400:32:42

The Attorney General is the main legal adviser to the government.

0:32:420:32:47

They, along with the Solicitor General,

0:32:470:32:49

work to ensure the justice system is properly served

0:32:490:32:52

and the public interest looked after.

0:32:520:32:54

Within the last 12 months, we have taken in the region

0:32:560:33:01

of 400 cases to trial and this is the first one of those 400 cases

0:33:010:33:05

that was referred to the Attorney General.

0:33:050:33:08

This was a fact that it was such a brazen lie by the claimant to say,

0:33:080:33:12

not only to the medical expert, but also to Aviva,

0:33:120:33:14

also to the court, as well, that he was unable to play football.

0:33:140:33:16

It was a very, very serious lie. The court thought it was serious

0:33:160:33:20

enough to refer that on to the Attorney General,

0:33:200:33:23

-to consider prosecution.

-The Attorney General's Office

0:33:230:33:26

decided that Gary Burnett was guilty of contempt of court -

0:33:260:33:29

a criminal offence.

0:33:290:33:31

Contempt of court is where someone disrespects court proceedings

0:33:310:33:35

and makes a trial unfair by their actions.

0:33:350:33:37

Gary Burnett had told one too many lies.

0:33:370:33:40

Our Solicitor General, Robert Buckland QC, explains.

0:33:400:33:44

Well, it was very serious. The court that dealt with

0:33:440:33:48

the contempt case made him subject to a four-month sentence

0:33:480:33:52

of imprisonment, suspended for a year.

0:33:520:33:54

Because the court viewed it as essential to send a clear message

0:33:540:33:59

to the public at large that this sort of deliberate, systematic

0:33:590:34:06

dishonesty, that was fundamental to the case that he brought

0:34:060:34:09

in the County Court, will not be tolerated,

0:34:090:34:12

because it undermines the integrity of the civil justice system.

0:34:120:34:16

Burnett's blatant attempt to defraud Aviva had left him with a hefty bill

0:34:160:34:21

to pay and now a permanent criminal record.

0:34:210:34:24

This footballer's case had been used to illustrate how committed

0:34:240:34:28

the justice system is to tackling insurance fraud.

0:34:280:34:31

The system of insurance and the costs of insurance premiums

0:34:310:34:36

and the rising cost of premiums, if people make false claims,

0:34:360:34:40

is clearly a matter of public interest.

0:34:400:34:43

And, as a guardian of the public interest,

0:34:430:34:45

I think it is incumbent upon this office to get involved,

0:34:450:34:48

where we see such serious cases.

0:34:480:34:50

For Aviva's solicitors, Horwich Farrelly, this was a landmark case,

0:34:530:34:56

which they believe will act as a strong deterrent.

0:34:560:34:59

We are very satisfied with the outcome of the case.

0:35:010:35:03

Mr Burnett presented what was clearly a dishonest claim

0:35:030:35:06

from the outset. This is the first of its kind,

0:35:060:35:08

where the Attorney General has not only taken on the case,

0:35:080:35:11

but successfully prosecuted the claimant for contempt of court

0:35:110:35:14

and for insurance fraud.

0:35:140:35:15

It shows that the insurance industry now has the backing

0:35:150:35:19

of the government and has the backing of people like

0:35:190:35:22

the Attorney General in prosecuting dishonest claimants,

0:35:220:35:25

regardless of the value of the claim.

0:35:250:35:28

It is extraordinary the lengths serious fraudsters will go

0:35:330:35:38

for financial gain. Most draw the line at causing actual physical harm

0:35:380:35:42

to others, in order to make a buck. The key word there is "most"

0:35:420:35:46

because there are some who will, literally, stop at nothing

0:35:460:35:49

to line their own pockets.

0:35:490:35:51

North Port is an affluent residential district in Florida.

0:35:540:35:58

It was home to Janine Jones and her husband, Matthew Riley Smith.

0:35:580:36:02

Janine, who was once a corrections officer at the local county jail,

0:36:020:36:06

was now up to no good herself.

0:36:060:36:08

She and Matthew had a profitable, but totally illegal, scam going on.

0:36:100:36:14

They were renting out abandoned and foreclosed homes

0:36:140:36:18

to unsuspecting tenants across North Port.

0:36:180:36:21

The scheme was making them rich. Rich beyond their wildest dreams.

0:36:210:36:25

But there was a problem. Someone had got wind of what they were doing -

0:36:270:36:31

a handyman who worked for them, called John Chamberlain.

0:36:310:36:34

And he was threatening to expose them.

0:36:340:36:37

Janine needed a way to make sure John kept quiet

0:36:380:36:41

and decided that the only way to shut him up for good

0:36:410:36:44

was to hire a hit man.

0:36:440:36:46

But Janine didn't stop there.

0:36:460:36:48

She also decided she'd had enough of sharing her ill-gotten gains

0:36:480:36:52

with husband Matthew and she decided she would

0:36:520:36:55

have him executed, as well.

0:36:550:36:57

Janine took out a life insurance policy worth 1 million

0:36:590:37:03

on Matthew and prepared to meet with the hit man.

0:37:030:37:06

The meeting was facilitated by a middle woman,

0:37:080:37:11

who'd organised it to take place in a car.

0:37:110:37:14

Incredibly, what you're seeing is the actual footage

0:37:170:37:20

-from that first meeting.

-Hello.

-How you doing?

-How are you?

0:37:200:37:24

To start off, Janine shows the hit man a photo of her first

0:37:250:37:29

intended victim, John.

0:37:290:37:31

She appears to have no remorse about the fact she's about to have

0:37:530:37:57

someone's father killed.

0:37:570:37:58

The conversation turns to her husband, Matthew.

0:38:010:38:03

Janine is keen to stress that Matthew might be a trickier target.

0:38:230:38:27

On a dark version of a neighbourhood tour,

0:38:430:38:46

Janine points out where her first target, John, lives.

0:38:460:38:49

The talk soon gets serious.

0:39:100:39:12

And, extraordinarily, she tells the hit man how she would like

0:39:120:39:15

the first murder to happen.

0:39:150:39:17

Just a warning, this does make for disturbing viewing.

0:39:170:39:20

The hit man next asks her how she wants her husband's murder

0:39:570:40:00

to happen.

0:40:000:40:02

There seemed no end to Janine's maliciousness.

0:40:280:40:31

She had now suggested ways of killing two men -

0:40:310:40:35

one her own husband - without showing the slightest emotion.

0:40:350:40:38

In John's case, her motive was to stop him talking to the police

0:40:400:40:42

about her illegal property scam.

0:40:420:40:44

And, in her husband's case,

0:40:440:40:46

it was to get a 1 million pay-out from his life insurance.

0:40:460:40:51

This was an evil, greedy woman.

0:40:510:40:53

However, unbeknownst to Janine,

0:40:560:40:58

the middle woman who had organised the meeting

0:40:580:41:00

had, in reality, sold her out to the police.

0:41:000:41:03

So, Janine had just revealed her wicked plan not to a hit man,

0:41:040:41:08

but to an undercover cop.

0:41:080:41:09

The middle woman, who was helping the police, arranged to meet her

0:41:130:41:16

just once more, under the guise of wanting to finalise

0:41:160:41:18

all the details of the first murder.

0:41:180:41:21

This time, they met in a local diner.

0:41:220:41:25

As Janine calmly ate her meal,

0:41:250:41:27

no-one could have imagined what was being discussed.

0:41:270:41:30

Fortunately, for her employee John and her husband Matthew,

0:41:400:41:43

this was as far as Janine's hideous plan got.

0:41:430:41:46

Waiting outside the diner were several police officers,

0:41:460:41:51

who immediately arrested her.

0:41:510:41:53

In June 2014,

0:41:550:41:57

Janine Jones was sentenced to life in prison,

0:41:570:41:59

for trying to get two men killed.

0:41:590:42:02

But there was a menacing twist.

0:42:040:42:06

A few years earlier, Janine's first husband Max

0:42:060:42:10

had died under mysterious circumstances.

0:42:100:42:12

And it had to be more than a coincidence that, when he died,

0:42:120:42:16

Janine received a life insurance pay-out for, you guessed it,

0:42:160:42:20

1 million.

0:42:200:42:22

Max's family and the police believe that Janine had a hand in his death.

0:42:230:42:27

But it's hard to prove, as Janine had Max's body

0:42:270:42:30

quickly cremated after he died.

0:42:300:42:33

Whether it's exaggerating real injuries,

0:42:390:42:41

totally making up a story for a dodgy claim,

0:42:410:42:44

or masterminding insurance fraud on an industrial scale,

0:42:440:42:48

insurers are coming down hard on the people who think they can make

0:42:480:42:51

a quick buck with their scams and cons.

0:42:510:42:54

But the fraudsters need to think again, as more of them than

0:42:540:42:57

ever before have been caught in the act,

0:42:570:43:00

and claimed and shamed.

0:43:000:43:01

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