Episode 4 Claimed and Shamed


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Transcript


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TYRES SCREECH

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Insurance fraud in the UK has hit epidemic levels.

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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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That's the subject out the vehicle.

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..sophisticated data analysis techniques...

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TYRES SCREECH

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Police!

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

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Police! Don't move, stay where you are!

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

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Just don't lie to us.

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All those conmen,

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scammers and cheats on the fiddle are now caught in the act

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and Claimed and Shamed.

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A chancer is caught out when his fake documents don't fool the

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insurance company.

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Phone records prove pivotal when a man's stories simply don't tally.

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There was no evidence of any calls being made to a recovery garage...

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..on the evening of the alleged breakdown.

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And a bogus car crash story is rumbled when investigators turn to

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CCTV footage.

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At no time could we visually see the Fiesta or the

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Vauxhall Vectra ever entering the bowling alley's car park.

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Before going abroad, it's a good idea to take out travel insurance.

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It can be a life-saver if your flight is cancelled, you lose your

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wallet, or you need urgent medical attention.

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But insurance can be used incorrectly.

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Miles away from home,

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some con artists think they can get away with scamming their insurance

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company, believing their fraudulent claims are less likely to be scrutinised.

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That couldn't be further from the truth.

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While for most of us travel insurance is one of those things

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that we take out hoping that we won't ever need to use,

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there are some people out there who view these policies as a cash cow

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that they can milk again, and again, and again.

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Someone who knows all too well about this kind of unscrupulous behaviour

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is Simon Powell at insurance company Endsleigh.

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Back in 2014,

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they received a claim from a customer who said he'd been the

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victim of a crime while on holiday.

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It was for a bag that was stolen on a tuk-tuk,

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and it consisted of a laptop,

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various different clothing items and toiletries,

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which amounted to £1,600.

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Possibly the worst start to a holiday.

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Fortunately, Endsleigh's policyholder was covered for the

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loss, so he phoned to get the ball rolling with his claim.

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Ordinarily, claiming to be the victim of a three-wheeled bandit

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would raise eyebrows.

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But as this was Sri Lanka,

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where tuk-tuks are on the street in their thousands,

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it seemed perfectly plausible.

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From the information that had been provided, the claim appeared

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genuine, and actually, for this type of claim,

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you felt some sympathy for the customer.

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However, when Endsleigh received the claim form and supporting documents,

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that sympathy began to turn into suspicion.

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The customer provided documentation in the form of a police report,

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and also itinerary, in terms of the actual visit.

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But at this stage, they also added on £250 for a cash withdrawal,

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and additional clothing items which were worth over £600.

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Straight away, you're questioning in terms of why the customer didn't

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add the cash withdrawal and the additional clothing when they

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initially reported the claim to us.

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It's a fair comment.

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Forgetting a few pairs of socks or a T-shirt is one thing,

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but £250 in cash and another £600-worth of clothes just didn't add up.

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And that wasn't the only concern with the claim.

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When we looked in further detail and investigated the various

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documentation that had been supported,

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then it was clear that some of the documents had actually been doctored.

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There was a date stamp on a police report, that was clear, had been

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changed from 2012 to 2014.

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The date of the actual incident was confirmed as Wednesday the 26th,

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whereby there wasn't a Wednesday 26th in 2014.

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There was in 2012.

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So there were all kinds of inconsistencies in terms of the documentation

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that the customer provided us with.

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With those inconsistencies piling up,

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it was time to get some answers from the claimant himself.

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Oh.

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For Simon and his team,

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the customer's stunted and stuttering responses spoke volumes.

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Straight away, you could tell that the customer started to hesitate and

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some of the responses that they actually gave just didn't tie up

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with the actual incident circumstances that had been provided.

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With documents that appeared to be have been changed from 2012 to 2014,

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and £850-worth of items added to the claim,

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the insurance company thought they knew exactly what was going on.

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It appeared that potentially the customer had previously claimed for

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this, and had claimed in 2012,

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so what they were potentially looking to do was just lodge another

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claim, exactly the same as the one that they'd previously done,

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using the same evidence, the same police report, the same documentation -

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but doctor the documents to be able to support the fact that this claim

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happened in 2014 and not in 2012.

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So, due to the inconsistencies on this particular claim,

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we not only declined the claim but we also added it on to the IFIG

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list, which is the Insurance Fraud Investigators Group...

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..and also onto our own database,

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and from this we were contacted by another insurer that confirmed that

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they'd got a duplicate case almost exactly the same.

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The phone call between Endsleigh and the other insurer the customer was

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also attempting to claim with, was the final nail in the coffin.

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It was crystal clear that this chancer had targeted both Endsleigh

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and the other company, but his sloppiness and greed were his undoing.

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However, as Simon explains,

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this could have been just the tip of the iceberg.

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This confirmed our concerns that this was a fraudulent claim, and

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that not only had they lodged a fraudulent claim with us,

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but they were also potentially lodging multiple fraudulent claims

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with other insurance companies.

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Hopefully, as a result of picking this one up and repudiating it,

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not only did we stop this claim, but also the other claim with the other

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insurance company, as well,

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so hopefully this customer will no longer be making fraudulent cases.

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A claimant involves his own unsuspecting father in a scam to

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maximise his gain.

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For me, this demonstrates that Niku was fuelled by greed...

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..and didn't care who suffered as a result.

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And in the USA,

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a fraudster's barbaric attempt to cheat the system results in a

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life-changing injury for his victim.

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The UK is home to the fourth-largest insurance industry in the world,

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behind America, Japan and China,

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paying out £40 million every day in motor and property claims alone.

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Most of us have standard types of insurance for our home,

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our car and for travelling abroad,

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but today you can take out a policy to protect yourself from almost anything -

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from an alien invasion, to an attack from the Loch Ness Monster.

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Some types of cover, like car insurance, are compulsory.

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Others, like caravan insurance, for example, aren't.

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But if you don't protect high-value items like this and they're stolen,

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you could be left high and dry.

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For more unusual items,

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you might need to contact a specialist company like Towergate.

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They insure items that others won't touch, from boats, to

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horses, to skydiving trips,

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and recently had a claim from a Mr Wright regarding the theft of his insured caravan.

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The customer told us that he was returning from his holiday and that

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he was taking his caravan back to where he kept it in storage.

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He then told us that, on the way to storage,

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he had actually broken down and had pulled in.

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He'd had a problem with his vehicle before and he knew what the

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problem was, and he felt that by pulling into a lay-by he could fix

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the problem and then take the caravan back to its storage place.

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Unable to repair his broken motor,

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Mr Wright phoned his breakdown service.

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A recovery vehicle was unavailable,

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so the policyholder left the vehicle, with the caravan attached to it,

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overnight. When the policyholder returned the following morning,

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the caravan had gone.

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Wow! That's a pretty big loss.

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Luckily, this gentleman had insured his prized possession.

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The full sum insured for the caravan was £30,000,

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plus there was unspecified contents cover as well.

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So, in all, it was a £35,000 claim.

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But as the initial call progressed, something didn't seem quite right.

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£35,000 is a significant caravan loss.

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However, the customer seemed very relaxed about this.

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The claims handler was also concerned that the customer was

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extremely interested in how much he would be paid, very early in the call.

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Towergate decided to refer the case to the policy underwriters, Allianz,

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to talk through their concerns.

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When claims come into Allianz,

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we make sure that we go through kind of a validation process.

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And during that process we have to carry out some standard investigations.

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The initial background check that was carried out in this case

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established that the individual concerned had a number of

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County Court judgments against their name.

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This indicated to us that there were some financial problems with the

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individual concerned, and therefore it's something that we

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wanted to have a look into in a bit more detail.

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Allianz also checked Mr Wright's mobile phone records for the day in

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question, expecting to find the call to the breakdown service.

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Unfortunately, there was no evidence of any calls being made to a

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recovery garage on the evening of the alleged breakdown, in order to

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try and secure the vehicle and the caravan into safe storage.

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With alarm bells ringing,

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Allianz decided to contact the dealer who sold the caravan to Mr Wright,

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to check it actually existed.

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Whilst they confirmed that the sale was genuine,

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they also confirmed that, due to nonpayment of financials,

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they'd actually issued a High Court summons against the policyholder for recovery of outstanding finance.

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So, as a result of these enquiries,

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we established that the policyholder had in fact County Court judgments

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close to £10,000 that were against their name,

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and £1,700 of which related to the caravan in question.

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It was all starting to make wheelie good sense.

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Allianz then made contact with the caravan site Mr Wright said he'd

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visited the weekend before the alleged theft.

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The purpose of contacting the site was to validate the policyholder's

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story that he was actually on site over that weekend.

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To our surprise, what we actually established was that,

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whilst they had the caravan on site over that weekend,

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at no point did the policyholder actually attend site.

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But what they found out next was astonishing.

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The real surprise was when they went on to say that they still actually

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had the caravan on site,

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and it actually had never left that site over the weekend.

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And at this point, we realised that the caravan was still in the

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possession of the policyholder.

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So the theft had been staged to claim the insurance money.

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Discussion was taken with Towergate

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to report the matter to the police for further action.

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Mr Wright was arrested, and quickly admitted he had made up the

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circumstances of the claim

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in an attempt to get the money to pay off his debts.

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At court, the policyholder pleaded guilty to insurance fraud.

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The policyholder was then sentenced to six months' imprisonment,

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which was suspended for 12 months...

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..on the order that he was to wear an electronic tag between the hours

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of 8am and 8pm every day.

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It was a great result for both Towergate and Allianz,

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who'd worked hard to ensure this fraudster got what he deserved.

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In circumstances like this,

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people may feel that insurance fraud is a quick win,

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an easy way to make money, and

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perhaps don't understand the severity of the punishment attached to the crime.

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It's therefore great in these circumstances when a severe sentence is handed down.

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This really helps us, as an insurance

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industry, showcase the implications

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of what insurance fraud looks like to individuals, and therefore

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hopefully deter people from bringing claims of this nature in the future.

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Sometimes people will go to astonishing lengths to commit

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carefully planned fraud,

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but what's even more shocking is when they involve innocent friends

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or their own family members, all in pursuit of making a few quid.

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We're all told how important it is to give accurate details when

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filling out forms for an insurance policy.

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But what if those details were deliberately changed after they'd

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been submitted to an insurance broker,

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reducing the premium, but completely invalidating the policy?

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When insurance companies uncover suspect claims,

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they're passed on to the Insurance Fraud Bureau, or IFB.

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Jason Potter is head of investigations there

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and was contacted by a motor insurer who thought they had a bogus claim.

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An alert was received within the Insurance Fraud Bureau that a

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suspicious accident had been received by the insurer,

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and they would like us to assess whether that linked to any other

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incidents that we were aware of.

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The IFB investigated the case and found that someone posing as an

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insurance broker was taking out policies on behalf of his clients.

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Unbeknown to them,

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he was then changing their details in order to get cheaper cover,

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therefore completely invalidating the insurance.

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This is known as ghost broking.

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The usual scam would be to approach the individual,

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gather their information and then take money for that service.

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This can range from £100 to £1,000.

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They'll then engage with a legitimate insurer, in order to

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facilitate cover. However, what they will do is change the information

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that the individual gave them in the first instance to fictitious

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information, in order to reduce the overall cost of the insurance.

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The ghost broker will go on his way and the victim will go out onto the

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road and drive as if they are insured,

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when in fact there's no cover in force.

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So, let me get this straight.

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Step one - get details from innocent members of the public.

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Step two - charge a brokerage fee to take out the policies on their behalf.

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Step three, manipulate the details to get cheaper cover.

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Got it.

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The man behind this particular scam was Hojat Niku,

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but he wasn't just acting as a ghost broker -

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he was also approaching insurers directly and making fictitious

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claims against the policies he'd taken out.

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The spectrum of claims that Niku was trying to make, involved personal

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injury, vehicle damage, storage...

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..and hire costs.

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Ultimately, what he wanted to do was maximise his financial benefit out of this scam.

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Overall, Niku's claims affected 25 different insurance companies and

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countless innocent victims.

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The people that Niku targeted were largely from a Turkish and Iranian

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background. They were not fully familiar with the UK insurance industry.

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Therefore, the majority of these individuals would have assumed that

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Niku was acting in their best interests,

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and providing them with legitimate insurance cover, to enable them to

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use the roads. If they had been stopped by the police...

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..they would have been prosecuted for no insurance.

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They would have received a heavy fine and points on their licence.

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Worst of all, Mr Niku was so greedy he even took out a claim against a

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policy belonging to one of his own family members.

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In one instance,

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he stooped so low as to try and

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instigate a claim on his father's policy.

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For me, this demonstrates that Niku was fuelled by greed

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and didn't care who suffered as a result of his necessity...

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..to instigate fraudulent claims.

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But when he phoned the insurance company, pretending to be his

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father, he hit a stumbling block.

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Unfortunately for Niku,

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the insurer's security questions caught him out.

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On three separate occasions,

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he couldn't answer a simple question as to what his father's date of

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birth was. In the end, the insurer simply asked him, "How old are you?"

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and he even got that wrong.

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Jason and his team fed the information they'd gathered to the City of London Police.

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The extent of the claims that we sent to Ifed were valued at around £140,000,

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which they then focused upon, in order to take forward to prosecution.

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The case proceeded to trial and Niku pleaded guilty.

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As a result, he received 21 months' imprisonment.

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That was suspended for two years.

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From our perspective, that was a good result.

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It justified the hard work that the Insurance Fraud Bureau, Ifed

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and the insurance industry had put into this case.

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Jason has one final piece of advice to anyone looking to take out a car insurance policy.

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To ensure that you are liaising with a legitimate source of insurance...

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..please check that brokers are registered with the FCA,

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use price comparison websites, or, if going direct to an insurer,

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make sure that they are members of the Motor Insurers Bureau.

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Every year, there are around 180,000 accidents on Britain's roads resulting in injury.

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But sometimes you don't even have to be on the road to experience a car

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crash, as about two thirds of us have had our vehicle damaged in a car park.

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When accidents happen,

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insurance policies are there to protect both parties.

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Sadly, some people see them as an opportunity to make money.

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But often their stories are ill-conceived and badly executed,

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and eventually they do get found out.

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Direct Line recently dealt with a case where, initially, everything

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seemed to be above board.

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Mr Jiwarski claimed that on the 27th of April, 2016,

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he was reversing out of a parking bay at the bowling alley in Derby,

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and, in doing so, he collided with a Vauxhall Vectra...

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..which contained three occupants.

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Mr Jiwarski reported minor damage to his vehicle, and the other party,

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the Dosang family, said minor damage had been done to theirs.

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Having received versions of events from both Mr Jiwarski and the Dosang family,

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the events appeared to tally very closely with each other.

0:25:380:25:42

Nothing was untoward.

0:25:420:25:44

Both parties were also claiming for injury.

0:25:440:25:48

In this type of low-speed accident, minor bruising would be pushing it,

0:25:480:25:52

but all four occupants were claiming for soft tissue damage,

0:25:520:25:56

akin to a much higher-speed accident.

0:25:560:25:58

Soft tissue injuries, in a situation such as this

0:25:590:26:03

where you've got a vehicle reversing steadily out of a parking space into

0:26:030:26:10

what would be a slow-moving vehicle driving around a car park...

0:26:100:26:14

..it would be unrealistic to expect any persons to sustain the level of

0:26:160:26:22

soft tissue injuries that was being portrayed.

0:26:220:26:25

In total, the claims added up to just over £29,000,

0:26:250:26:29

but Direct Line weren't exactly bowled over by the individual

0:26:290:26:33

stories, and had no intention of paying out just yet.

0:26:330:26:37

With those concerns in mind, the first phase is to refer this claim,

0:26:370:26:42

for further validation, to our counter-fraud department.

0:26:420:26:46

Their examination revealed that the damages to both vehicles were not

0:26:480:26:53

consistent with what was being reported on the claims form,

0:26:530:26:59

so if we were to reconstruct the accident and put the vehicles back

0:26:590:27:03

in situ, as outlined in the claim, then the damage would not correlate.

0:27:030:27:08

With the ball in their court, the next step was to contact the bowling

0:27:090:27:13

alley where the accident took place.

0:27:130:27:16

Fortunately, we were able to view CCTV

0:27:160:27:19

footage of their external car park.

0:27:190:27:23

We've gone back to the time and date in question, and here we are

0:27:230:27:27

looking at the location of the alleged accident,

0:27:270:27:31

and I am waiting to see a Ford Fiesta reverse out of the parking

0:27:310:27:35

bay and into a Vauxhall Vectra.

0:27:350:27:38

They waited...

0:27:390:27:40

..and waited...

0:27:410:27:42

..and waited.

0:27:440:27:45

There is no Ford Fiesta or Vauxhall

0:27:460:27:49

Vectra at the location on the specific time and date.

0:27:490:27:54

It is not there.

0:27:550:27:57

Maybe they'd got the day right but hadn't remembered the

0:27:570:27:59

time of the accident correctly.

0:27:590:28:01

We examined the CCTV further,

0:28:010:28:04

several hours either side of the time and date in question,

0:28:040:28:08

and at no time could we visually see

0:28:080:28:12

the Fiesta or the Vauxhall Vectra ever

0:28:120:28:15

entering the bowling alley's car park.

0:28:150:28:18

So we know neither party visited the car park,

0:28:190:28:23

but did they even go bowling?

0:28:230:28:25

This particular alley operates on a pre-booked basis only,

0:28:260:28:31

so Direct Line asked to see the records for that day.

0:28:310:28:34

Upon inspection, neither Mr Jiwarski nor the Dosang family

0:28:350:28:41

had pre-booked any bowling facilities for the day in question of the accident,

0:28:410:28:47

which means the whole thing is a sham, it's a lie,

0:28:470:28:51

the accident never took place,

0:28:510:28:53

the vehicles were never on site,

0:28:530:28:54

and neither the Dosangs or Jiwarski visited that location.

0:28:540:28:59

It was a classic case of, "Three strikes and you're out..."

0:28:590:29:03

..and a blatant attempt to defraud Direct Line.

0:29:030:29:06

The evidence was handed to Staffordshire Police, who conducted an investigation.

0:29:060:29:10

They arrested all four of the claimants and subsequently charged

0:29:110:29:17

them with conspiracy to defraud.

0:29:170:29:20

They then appeared at Stafford Crown Court and received custodial sentences.

0:29:200:29:24

Both drivers received, in terms of imprisonment, one of ten months, one of nine months.

0:29:260:29:31

The passengers, albeit a lesser part, received four months apiece, albeit suspended.

0:29:310:29:37

Clearly this sends a significant message to those who would seek to

0:29:420:29:47

commit insurance fraud at whatever level.

0:29:470:29:50

It is not a victimless crime and you

0:29:500:29:54

will receive custodial prison sentences,

0:29:540:29:58

and your lives will be changed forever.

0:29:580:30:02

Still to come -

0:30:060:30:08

a conniving couple attempt to profit from an audacious bus scam.

0:30:080:30:12

So you know that an impact has taken place,

0:30:140:30:16

but it wasn't a case of the bus hitting the car in the rear.

0:30:160:30:19

Now, we all like to be in control of our own finances,

0:30:240:30:27

even if we're not very good at it sometimes.

0:30:270:30:30

But if we become ill and are unable to cope,

0:30:300:30:33

friends and family often step in to help out.

0:30:330:30:36

These are the people we trust the most,

0:30:360:30:39

so they'd seem like the perfect candidates for the job.

0:30:390:30:42

Unfortunately, some fraudsters will abuse this trust, to make money.

0:30:420:30:47

And if you think it's bad in the UK,

0:30:490:30:51

the lengths some fraudsters go to on the other side of the Atlantic is simply incredible.

0:30:510:30:57

In America, the cost of insurance fraud is estimated to be over 40 billion a year.

0:30:580:31:04

That's more than 30 times that of the UK.

0:31:040:31:07

In Sumter County, South Carolina,

0:31:130:31:15

David Player and Michael Weaver had a long-standing friendship.

0:31:150:31:19

Weaver had learning difficulties, so Player would often care for him.

0:31:200:31:24

To any outsider, Player was the perfect companion for Weaver,

0:31:250:31:29

and the two had a strong bond.

0:31:290:31:32

Player was also friends with another man, Gerald Harding,

0:31:320:31:35

and the three of them tended to hang out together.

0:31:350:31:38

In May 2008,

0:31:390:31:41

Player and Harding rushed Weaver to the emergency room at a local

0:31:410:31:44

medical centre in Sumter.

0:31:440:31:46

They told the nurse that Weaver had been helping to trim trees on

0:31:500:31:53

Player's property, when his left forearm had been completely severed.

0:31:530:31:57

It turned out they'd been using a pole saw to chop off branches,

0:31:590:32:03

while Weaver pulled them aside to stop them getting caught up.

0:32:030:32:07

The saw had suddenly slipped at the wrong moment,

0:32:080:32:12

cutting Weaver's hand off.

0:32:120:32:15

It appeared to be an unfortunate accident,

0:32:150:32:18

but one that would change Weaver's life forever.

0:32:180:32:21

When the emergency room nurse examined the injury, she noticed the

0:32:240:32:28

cut itself was surprisingly clean,

0:32:280:32:30

with little damage to the surrounding tissue,

0:32:300:32:33

as would be expected with a saw accident.

0:32:330:32:35

Doctors later attempted to reattach Weaver's hand.

0:32:380:32:41

But the operation was sadly unsuccessful,

0:32:440:32:46

and it had to be amputated.

0:32:460:32:48

Luckily, Player had taken out insurance policies on behalf of his

0:32:520:32:56

vulnerable friend, Weaver, for whom he had power of attorney.

0:32:560:33:00

These consisted of multiple accidental death

0:33:000:33:03

and dismemberment policies...

0:33:030:33:04

..as well as a 400,000 liability policy on his own property.

0:33:070:33:12

The insurance company quickly settled the claim on his property

0:33:150:33:18

for 375,000, and began processing the claims for Weaver.

0:33:180:33:23

Player received payment without any problem at all, and claimed he

0:33:260:33:30

placed the money into accounts largely for the benefit of Weaver.

0:33:300:33:33

Altogether, he received over 671,000 -

0:33:330:33:38

around £540,000.

0:33:380:33:43

So, a hefty pay-out,

0:33:430:33:45

but seemingly well-deserved for a life-changing injury.

0:33:450:33:49

But what happened next was to throw everything into disrepute.

0:33:490:33:53

The following year, Player and his wife went through a divorce.

0:33:550:33:59

While clearing out the house, she discovered a briefcase belonging to

0:33:590:34:03

her estranged husband.

0:34:030:34:04

It contained around 30 credit cards, all in Weaver's name...

0:34:060:34:10

..as well as the details of the accidental death and dismemberment

0:34:110:34:15

policies Player had taken out on his behalf.

0:34:150:34:17

Some named Player as the beneficiary.

0:34:200:34:23

The ex-wife handed the evidence over to her attorney,

0:34:230:34:27

who then passed it on to the FBI.

0:34:270:34:31

It wasn't until the FBI began their investigations that they discovered

0:34:310:34:34

Player had indeed been playing the system and had taken out the credit cards in Weaver's name.

0:34:340:34:41

The vulnerable Weaver had unknowingly become a victim of his friend's scam.

0:34:410:34:46

When interviewed, Weaver denied all knowledge of the accounts.

0:34:480:34:52

He also denied giving Player permission to open accounts in the first place.

0:34:520:34:56

The investigator discovered that Player had used the money from the claims to buy a house for his son,

0:34:580:35:04

to build on his own existing property,

0:35:040:35:06

and to even purchase a car for his friend, Harding.

0:35:060:35:09

Little, if any, of the proceeds had been spent on Weaver.

0:35:090:35:13

Harding was brought in for interview and when confronted with his

0:35:150:35:18

original statement, he refuted it.

0:35:180:35:20

Harding claimed he'd been part of a scam led by Player to make

0:35:210:35:25

fraudulent insurance claims based on the amputation of Weaver's hand.

0:35:250:35:29

He told investigators how they'd tied Weaver's arm to a branch and

0:35:300:35:34

deliberately cut off his hand with a pole saw.

0:35:340:35:37

Harding claimed the scheme had been designed by Player for his own

0:35:390:35:42

financial benefit, and, together with Weaver,

0:35:420:35:46

had been enticed into it with the promise of a monetary reward.

0:35:460:35:49

Four years after the incident, the

0:35:530:35:55

FBI had all the evidence they needed.

0:35:550:35:58

Player was finally found guilty of fraud and sentenced to 14 years in prison.

0:35:580:36:04

He was also ordered to pay back the...

0:36:040:36:09

Harding pleaded guilty to fraud and received a three-year sentence for his role.

0:36:110:36:18

In this cruel and heartless case,

0:36:180:36:20

a man unable to fully care for himself put all his trust in a close friend.

0:36:200:36:24

But what his friend did was to abuse this trust beyond belief,

0:36:250:36:29

not only by inflicting a debilitating injury on him, but also

0:36:290:36:34

by stealing the compensation money that had been intended for Weaver.

0:36:340:36:38

It just goes to show that sometimes it's the people you least expect

0:36:390:36:43

and those who you have the closest bond with

0:36:430:36:46

that can end up being your worst enemies.

0:36:460:36:49

Fraudsters will try anything to make a quick bit of cash, from damaging

0:36:540:36:58

their own property to causing physical harm to themselves.

0:36:580:37:02

There are around 130,000 fraudulent claims made every year.

0:37:020:37:07

Incredibly, £2 billion-worth is believed to go undetected.

0:37:070:37:13

But insurance companies are finding more and more ways of disproving

0:37:170:37:21

fraudulent claims, largely thanks to improvements in technology.

0:37:210:37:25

CCTV footage has rumbled many a fraudster,

0:37:260:37:30

providing vital evidence in claims that may otherwise have been accepted.

0:37:300:37:34

It's something which Lee Ingram at FirstGroup is all too familiar with.

0:37:350:37:39

We received a claim following an incident that occurred between one

0:37:420:37:45

of our buses and a car that had been stationary at a set of traffic lights.

0:37:450:37:49

They were alleging that we'd hit them in the rear whilst they were stationary.

0:37:490:37:53

The injuries ranged from soft tissue injuries to the shoulders,

0:37:530:37:57

neck and back,

0:37:570:37:59

through to some minor chest injuries.

0:37:590:38:02

They're typically indicative of

0:38:020:38:04

the sort of injuries you would see from this type of rear-end collision.

0:38:040:38:08

All told, this claim would have been worth around about £15,000,

0:38:080:38:11

including the personal injury, damage to the vehicle and

0:38:110:38:14

legal costs.

0:38:140:38:16

It seemed like a pretty straightforward case.

0:38:160:38:19

Rear-end collisions are fairly common, so no eyebrows were raised.

0:38:190:38:22

Lee and his team set about investigating the claim by getting

0:38:240:38:27

statements from both the bus and car drivers.

0:38:270:38:29

The only problem was, they didn't quite match up.

0:38:310:38:35

In this case,

0:38:350:38:37

the driver's report differed slightly from the allegations being

0:38:370:38:41

made by the claimant, so we thought, "This is one that we need to have a bit of a deeper look at."

0:38:410:38:47

Luckily, they had the perfect tool at their disposal.

0:38:470:38:51

The easiest way of clearing up any differences in opinion or disputes

0:38:510:38:56

is to have a look at the CCTV footage,

0:38:560:38:58

so we quickly downloaded that and we had a look at it,

0:38:580:39:02

to see what it was going to show us.

0:39:020:39:04

All FirstGroup buses are fitted with onboard CCTV cameras,

0:39:040:39:08

which come in very handy when stories simply don't match.

0:39:080:39:13

So the claim has been put in,

0:39:130:39:14

alleging that we've struck a vehicle in the rear at traffic lights,

0:39:140:39:19

and we can see the vehicles approaching the traffic lights here,

0:39:190:39:22

so what I'm expecting to see is the car coming to the lights, stopping,

0:39:220:39:26

and then the bus not stopping, and just striking the car in the rear.

0:39:260:39:30

But on closer inspection, the camera's painted a very different picture.

0:39:300:39:35

What we actually see is something completely different.

0:39:350:39:38

The bus does pull up behind the car and it stops.

0:39:380:39:41

They're both there for a little bit,

0:39:410:39:44

neither vehicle moving.

0:39:440:39:45

And then, slowly, very slowly,

0:39:450:39:47

almost imperceptibly,

0:39:470:39:49

you see the claimant's vehicle

0:39:490:39:51

start to roll backwards.

0:39:510:39:53

You can actually see a slight bump occur...

0:39:530:39:56

..so you know that an impact has taken place, but it wasn't a case of

0:39:570:40:02

the bus hitting the car in the rear.

0:40:020:40:04

From this camera angle, we can see the bus is at a standstill.

0:40:040:40:08

And if you look to the right, here comes the car rolling into the bus.

0:40:080:40:12

Let's check another angle.

0:40:140:40:15

Yeah, no mistake.

0:40:180:40:19

It's the car that hits the bus.

0:40:190:40:21

At this point, the footage itself lays waste to any potential

0:40:220:40:27

allegations that have been made by the claimant.

0:40:270:40:30

There's just no way that it follows the circumstances they've described.

0:40:300:40:34

So, the initial claim was rejected.

0:40:350:40:38

But this chancer wasn't prepared to give up easily.

0:40:380:40:41

When we went back to the claimant and told them what the CCTV was

0:40:410:40:45

showing, they said that the driver of the bus was looking at some

0:40:450:40:48

paperwork immediately before the collision.

0:40:480:40:51

Now, looking at the CCTV footage,

0:40:510:40:54

no way was the driver looking at any paperwork before this incident happened.

0:40:540:41:00

This is just, really, a sad attempt to try and discredit the

0:41:000:41:04

driver and to muddy the waters of what actually caused the accident to happen.

0:41:040:41:09

So first of all,

0:41:090:41:11

they claimed the bus hit them while they were stationary,

0:41:110:41:14

then we find out it wasn't the bus that hit the car,

0:41:140:41:17

but the other way around, and then

0:41:170:41:19

they try and blame the accident on

0:41:190:41:20

the bus driver, saying he was looking at paperwork

0:41:200:41:23

when the incident happened...

0:41:230:41:26

None of which is true.

0:41:260:41:27

It could have ended there,

0:41:280:41:30

but it seems this couple were hell-bent on winning the case and

0:41:300:41:34

had one more trick up their sleeves.

0:41:340:41:36

They also said that the road was flat, so they couldn't have rolled back.

0:41:360:41:40

Now, looking at the footage and the evidence that we had,

0:41:400:41:44

we can quite clearly show that the bus was stationary,

0:41:440:41:48

so the only real cause of the collision was the car rolling back into the bus.

0:41:480:41:53

With nothing else around the bus actually moving,

0:41:530:41:57

the CCTV footage had once again come up trumps.

0:41:570:42:01

We turned down the claim again,

0:42:020:42:04

saying that we didn't accept that the road was flat.

0:42:040:42:08

We were quite happy that the bus was stationary at all times and it was

0:42:080:42:11

their vehicle that had rolled back into the bus and not the other way round.

0:42:110:42:15

It seems this couple had finally run out of options, and had been

0:42:150:42:19

left without a leg to stand on.

0:42:190:42:21

For Lee, it was another dodgy claim put to bed.

0:42:210:42:25

Whenever we get claims that are presented to us and we have

0:42:250:42:28

sufficient evidence to suggest that the claim is anything other than

0:42:280:42:32

genuine, we will always fight these claims.

0:42:320:42:36

There's no way we're going to just pay out on a claim when we've got

0:42:360:42:40

evidence to suggest that this person is not being completely honest.

0:42:400:42:44

Insurance fraud in this country costs all of us money, but the days

0:42:480:42:52

of no-questions-asked pay-outs are numbered.

0:42:520:42:55

Insurers are using ever-more sophisticated technology to identify,

0:42:550:42:59

track and prosecute fraudsters, and courts are using new powers to put

0:42:590:43:04

these criminals behind bars.

0:43:040:43:07

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