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Insurance Post Podcast

How to spot a fraudulent claim

Season 1, Ep. 4
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Kajal Vakas, senior vertical manager for claims for the UK & Ireland at LexisNexis Risk Solutions, said her organisation took 150,000 of an insurer’s first party records and ran a check on email addresses to look for past links to fraud.


Vakas said that 1% of those records had a high-risk score, which showed they had been seen as being fraudulent when it came to previous claims.


Fraud indicators

She said: “Email address is a great indicator of potential risk of fraud that can also help us understand where there might be an account takeover, a synthetic identity, or fraud ring taking place or links to historic claims.”


During the podcast, Neil Grimes, claims director of Clear Group, Garry Slater, group director of investigations for Claims Consortium Group, and Sarah Durkin, head of counter fraud at Woodgate & Clark, explored the approaches taken by claims handlers, adjustors and law firms to identify fraud and secure a conviction.


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