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Insurance Fraud
Improving prevention, increasing detection and lowering the cost of fraud
25th March 2010, Le Méridien Piccadilly, London
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Conference Agenda
Thursday 25 March 2010, Le Méridien Piccadilly, London
Insurance Fraud
09:10
09:15
Chairman’s opening remarks
SESSION ONE: FRAUD IN THE UK: THE EVOLVING PICTURE
09:20
Examining trends in organised and opportunistic fraud
John Bell
Head of Claims, AON09:35
Analysing the implications of the recession on fraudulent activities
Scott Clayton
Claims Fraud & Investigations Manager, Zurich Financial Services
Scott Clayton
Claims Fraud & Investigations Manager, Zurich Financial Services
Biography
Scott Clayton manages Zurich’s Claims Investigation Unit, a 30-strong team of professionals, including field and telephone investigators, intelligence team, legal adviser and support staff. This specialist Unit is dedicated to protecting both the Customers’ and the Company’s interests, using a variety of tools and techniques to ensure that all suspicious activity is properly and thoroughly investigated.
During his 23 years with Zurich, Scott has dealt with claims across all lines of business and all distribution channels and, in a previous role, headed up the Complaints Team, managing the Company's relationship with the Financial Ombudsman Service. This involved making technical decisions, ensuring compliance with regulatory rules and protecting the Company's reputation and brand. No stranger to speaking at Industry events, Scott was previously a member of the ABI Complaint Steering Group and a co-author of the ABI's Complaint Handling Guide.
These days, as Claims Fraud & Investigations Manager at Zurich, Scott is responsible for the identification and investigation of all suspect claims across the General Business in the UK. He represents Zurich on the ABI Anti Fraud Committee and is a Board Member of the Insurance Fraud Bureau.
09:50
Questions
SESSION TWO: DEVELOPING YOUR FRAUD PREVENTION STRATEGY
10:00
Advisory session
10:10
Panel discussion: What does the optimum fraud prevention strategy look like?
• Understanding the scale of the challenge: overcoming problems with fraud measurement
• Organised v. opportunistic: choosing where to direct your spend
• How can return on investment for individual initiatives be measured?
• Is the industry focussing too heavily on detection and not enough on prevention?
• Assessing the risk of fraud from the 3rd party supply chain
• Examining the cost/benefit ratio: is there an acceptable level of fraud?
• Is there a focus on the organised fraud to the detriment of the fight against opportunistic fraud?
Further panellists to be confirmed
Scott Clayton
Claims Fraud & Investigations Manager, Zurich Financial Services
Scott Clayton
Claims Fraud & Investigations Manager, Zurich Financial Services
Biography
Scott Clayton manages Zurich’s Claims Investigation Unit, a 30-strong team of professionals, including field and telephone investigators, intelligence team, legal adviser and support staff. This specialist Unit is dedicated to protecting both the Customers’ and the Company’s interests, using a variety of tools and techniques to ensure that all suspicious activity is properly and thoroughly investigated.
During his 23 years with Zurich, Scott has dealt with claims across all lines of business and all distribution channels and, in a previous role, headed up the Complaints Team, managing the Company's relationship with the Financial Ombudsman Service. This involved making technical decisions, ensuring compliance with regulatory rules and protecting the Company's reputation and brand. No stranger to speaking at Industry events, Scott was previously a member of the ABI Complaint Steering Group and a co-author of the ABI's Complaint Handling Guide.
These days, as Claims Fraud & Investigations Manager at Zurich, Scott is responsible for the identification and investigation of all suspect claims across the General Business in the UK. He represents Zurich on the ABI Anti Fraud Committee and is a Board Member of the Insurance Fraud Bureau.
John Bell
Head of Claims, AON
Mihir Pandya
Claims and Fraud Manager, Allianz Insurance
Chris Andrew
Specialist Claims Services Manager, Chartis Insurance (formally AIG)10:40
Refreshments
SESSION THREE: COLLABORATION IN FRAUD PREVENTION: TAKING INDUSTRY INITIATIVES TO THE NEXT STAGE
11:10
Collaborating for success: harnessing the power of distributed knowledge
Steve Jackson
National Fraud Controller, Zurich Municipal
Steve Jackson
National Fraud Controller, Zurich Municipal
Biography
Steve Jackson is employed as National Fraud Controller with Zurich Insurance and is responsible for counter-fraud strategy within the public sector business. Formerly a police officer he was also a Special Investigator with two major loss adjusters. Steve has a passion for raising fraud awareness and is the current Chair of the North West Fraud Forum.
11:30
The next stage of collaboration: expanding the role of the IFB
Richard Davies
Board Member, Insurance Fraud Bureau11:50
Questions
SESSION FOUR: PREPARING THE ENTIRE ORGANISATION TO COMBAT FRAUD
12:00
Educating staff: the key to a successful fraud prevention strategy?
Julie Smith
Claims Director, Insure & Go
Julie Smith
Claims Director, Insure & Go
Biography
12:20
Advisory session
12:40
Questions
12:50
DEPARTMENTS IN CONVERSATION - Beyond the claims department: taking a holistic approach to fraud prevention
Stephen Barkhuizen
Financial Crime Manager, MMA Insurance
Nigel Bartram
Motor Underwriting Strategy Manager, Aviva13:10
Lunch
SESSION FIVE: WORKING GROUPS - FORMING INDUSTRY SOLUTIONS
In this session delegates will choose to participate in one of four working groups, each focussing on a key industry issue. Moderated by a leading expert, delegates will discuss the steps that need to take place for the industry to overcome these challenges. Discussions will start at 14.25 and last for 30 minutes.
TABLE ONE
The challenge of detecting and preventing fronting
• With the advent of online aggregators has fronting become too easy?
• How costly is fronting and should insurers address the issue more proactively before any claim is made?
TABLE TWO
Working towards a single collaborative data pool
• What technical and practical barriers remain before a single data pool can become reality and how can they be addressed?
• Designing a potential timeline for a single collaborative data pool
TABLE THREE
Benchmarking and measuring: what counts as successful?
• How can the success of an anti-fraud strategy be measured effectively?
• Comparing apples with apples? How can you compare fraud across insurers?
TABLE FOUR
Changing the public’s perception of fraud
• How can the perception that insurance fraud is a victimless crime be challenged?
• What could a future ‘anti-fraud’ campaign look like and who should take the lead in implementing it?
SESSION SIX: OPTIMISING EFFICIENCY IN FRAUD DETECTION: MINIMISING DISRUPTION TO GENUINE CLAIMANTS
14:55
Advisory session
15:15
Creating a customer friendly fraud prevention process
Chris Andrew
Specialist Claims Services Manager, Chartis Insurance (formally AIG)15:35
Combining technologies to produce a strong anti-fraud solution
Andrew Pagett
Fraud Controller, Fortis Insurance15:55
Questions
16:10
Refreshments
SESSION SEVEN: WORKING TOGETHER TO IMPROVE PROSECUTION RATES
16:40
From detection to prosecution: working with the police to secure a conviction
David Manley
Detective Inspector, City of London Police
David Manley
Detective Inspector, City of London Police
Biography
17:00
Questions
17:05
KEYNOTE CLOSING ADDRESS - Examining a future role for the ABI within a wider anti-fraud strategy
Kate Carr
Assistant Director, Markets and Regulation, Association of British Insurers
Kate Carr
Assistant Director, Markets and Regulation, Association of British Insurers
Biography
17:25
Chairman’s closing remarks and close of the conference
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