Fraud & Intelligence

Fraud & Intelligence

We are specialised in investigating and quantifying fraud for insurers and employers, providing an independent, professional, and quick response upon discovery or suspicion of fraud.

Our extensive experience in this arena, allows us to quickly identify whether fraud has occurred, nature of fraud, quantification of loss, and (where available) steps to assess and quantify indemnity.

While every fraud claim is different, we can assist in all aspects of the investigation, including:

  • Initial review of circumstantial facts surrounding suspected loss.
  • where appropriate cooperation with Insurer/broker/Insured/Police.
  • Assistance in the review and investigation of loss to establish the total loss suffered.
  • Confirmation of how fraud occurred and review of quantum.
  • Establish quantification of loss with supporting evidence.
  • Review of methods in place and how fraud was concealed.
  • Assistance with advice as regards recovery and provision of information to police and/or other regulatory bodies.
  • Review of how Insured will mitigate similar losses moving forward.
  • Secondment of specialist fraud consultants for review/guidance in relation to handling suspicious claims.
  • Preparation and submission of claim report to Insured/Insurer for coverage review.

We are specialised in investigating and quantifying fraud for insurers and employers, providing an independent, professional, and quick response upon discovery or suspicion of fraud.

Our extensive experience in this arena, allows us to quickly identify whether fraud has occurred, nature of fraud, quantification of loss, and (where available) steps to assess and quantify indemnity.

While every fraud claim is different, we can assist in all aspects of the investigation, including:

  • Initial review of circumstantial facts surrounding suspected loss.
  • where appropriate cooperation with Insurer/broker/Insured/Police.
  • Assistance in the review and investigation of loss to establish the total loss suffered.
  • Confirmation of how fraud occurred and review of quantum.
  • Establish quantification of loss with supporting evidence.
  • Review of methods in place and how fraud was concealed.
  • Assistance with advice as regards recovery and provision of information to police and/or other regulatory bodies.
  • Review of how Insured will mitigate similar losses moving forward.
  • Secondment of specialist fraud consultants for review/guidance in relation to handling suspicious claims.
  • Preparation and submission of claim report to Insured/Insurer for coverage review.