Special Interest Group:

Anti Fraud

All claim professionals need to be alive to the issue of insurance fraud and the investigation of such claims requires appropriate knowledge and skills. The CILA Anti Fraud SIG committee brings together a group of experienced members whose core activity is the consideration and investigation of potentially fraudulent claims. In addition to providing CILA members with technical material on fraud matters, the group also actively contributes to insurance industry discussions and anti fraud initatives by sharing their extensive, first hand knowledge and experience of fraud investigation.

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SIG Committee

Chairman

Bobby Gracey - Molmax Solutions Ltd

Members

  • Christian Aplin - Cunningham Lindsey UK
  • Vagn Bevan - Woodgate & Clark
  • Neil Daniel - Crawford & Company
  • Neal Davies-Fletcher - Quadra Claims Services Ltd    
  • Ahmed Esat - Davies
  • John Freeman - QuestGates
  • Frank McGaffney - Agrical Ltd
  • Tim Richardson - McLarens
  • Garry Slater - Stream Claims Services
  • William Wilson - McLarens

Latest Updates

On Wednesday 1st and 8th March, Neal Davies-Fletcher delivered a 2-part webinar entitled ‘Fraud and Property Claims’ which was attended by over 100 CILA members worldwide. Both webinars covered fraud aspects of the CILA Advanced Diploma syllabus including:

  • What is fraud?
  • Claims investigation
  • Standard of proof
  • Investigation outcomes
  • Remedies available

Please find copies of both presentations below, as well as an Anti-Fraud paper written by Neal, to aid exam candidates with their revision.

Fraud and Property Claims Presentation (Part 1)

Fraud and Property Claims Presentation (Part 2)

Fraud and Property Claims Paper - Neal Davies-Fletcher

This report provides the results analysis of the Anti Fraud member survey 2013

The Data Protection Act 1998 (DPA) is based around eight principles of good information handling. These give everyone specific rights in relation to their own personal information and place obligations on those organisations that are responsible for processing it.

A criminal offence is created under section 56 of the DPA, commonly known as ‘enforced subject access’. This will occur where a person wishes and requests to see another individual’s criminal record, but chooses not to use the legally approved system.

 

Searching for CILA technical material or text books?

We are currently reviewing all of the technical material that we previously published on our old website. This is part of a project to create a new online technical library for CILA members which will be launched later in 2016.

If you are a member and want to access a specific piece of technical material (which you know was previously published on our old website), you can request this by emailing . Please provide as much information as possible to assist us in locating the item.

CILA text books can still be purchased from our publishers, Witherby. Simply visit their website at http://www.witherbyinsurance.com/categories/loss-adjusting.html

The text book, Property Insurance Law and Claims, can be purchased at a discounted price of £60 if you are a CILA member. Enter the promotional code, CILA60MEMBER. Those who are entered to sit a CILA exam may purchase this book at a further discounted price of £30. Please email with your full name and details of the CILA exam/s you have entered.