Greenwoods Solicitors

Insurance liability fraud comes in many different shapes and sizes, from household and travel insurance to employer and public liability claims. Fraudulent claims are made by both insureds and third parties.  Some are highly organised with a large total value, many are petty and opportunistic. They all, however, have a detrimental impact on the insurer’s bottom line.

Greenwoods’ Counter Fraud Group has the experience, knowledge and tools to detect, identify and repudiate fraudulent claims. These range from relatively minor but nonetheless important cases such as overstated travel claims and contrived slips and trips by employees and members of the public, to major large scale, high value commercial scams. We work closely with the Commercial and Motor Fraud teams.

In whatever context fraud arises, the first step is to identify it.

Early and thorough investigation is essential and usually includes detailed witness statements and analysis of key documents. We have a formidable array of counter fraud tools, based on our market leading range of database products, Minotaur. This enables accurate and comprehensive data-matching and incident-profiling as well as the detection of emerging patterns in claims and the identification of any previously suspect entities.

Once fraud is identified on a claim or an account, it needs to be managed appropriately. With first-party claims, this may mean working closely with the insured to address adverse behaviours or declining to renew. With third-party claims, it might mean repudiating the claim in its entirety, or only paying those elements considered to be bona fide. It may be appropriate to rescind policy indemnity and, if financially viable, to seek recovery.