Motor Claims

Fraud Management

Proactively Triaging to Tackle Fraudulent Claims

Working with industry bodies that include the Insurance Fraud Investigators Group (IFIG), as well as Action Fraud and the legal system, our teams at WNS Assistance follow proven processes to tackle insurance fraud head on.

Fast and effective identification of potential cases is key. Every claim reported to us is triaged through our automated process at First Notification of Loss, using regularly audited fraud-scoring criteria and supported by our deep domain expertise.

This proactive approach alerts our teams to high-scoring suspected cases of fraud, which are then quickly escalated and reviewed by trained professionals.

Fraud Management

A Personal & Collaborative Approach

Intelligence

Our fraud team gather intelligence about all cases and entities (both individual and corporate) that are flagged by our triaging for further investigation.

Rigorous searches are carried out on every entity flagged by our upfront triage, using multiple data sources (publicly available and subscription-based). This helps us compile an overall picture of the risk from a fraud point of view and assess the viability of carrying out detailed field investigations. Our system records outcomes of the searches and investigations, as well as the financial outcome, which is fed back into our overall reporting suite.

Investigation

Our in-house fraud team will coordinate a full investigation on all cases referred. This includes:

  • Face-to-face interviews
  • Forensic engineering
  • Locus Reports
  • Telemetry tracking (where available)
  • Network mapping (contact to contact)
  • Anchoring interrogatories

The team will ultimately provide recommendations regarding the viability of declinature and/or potential litigation on fraud cases investigated.

Collaboration

Taking a personal approach to every suspected case of insurance fraud, our in-house fraud management team works together with IFIG, the Insurance Fraud Enforcement Department (IFED), and the Insurance Fraud Bureau, thoroughly yet quickly investigating, reviewing and gathering key facts before initiating any action.

This collaborative approach supports the industry’s shared stance on countering fraud, delivering powerful data to help prevent future cases and to identify key patterns and trends.