Insurance Fraud
Marketforce and the IEA’s 3rd Annual Conference: Discuss holistic anti-fraud strategies at the UK’s premier event
27th March 2012, One Whitehall Place, London
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Conference Agenda
Print ProgrammeTuesday 27 March 2012, One Whitehall Place, London
Insurance Fraud
Introduction to the IEA
Chairman’s opening remarks

Rosalind Wright CB QC
Chairman, Fraud Advisory PanelKeynote Opening Address: Fraud as a board level issue - Integrating anti-fraud strategy across the business details
- Is tackling fraud receiving more focus in a tight margin environment?
- The advantages of embedding anti-fraud strategy across every part of the company
- Does taking an even tougher approach to fraud give insurers a competitive advantage?

Mark Cliff
Managing Director, Fortis Insurance
Mark Cliff
Managing Director, Fortis Insurance
Biography
Mark Cliff joined Fortis Insurance Limited as the Managing Director on 13th October 2008, building on the successful and award-winning general insurance business in the UK and focusing on optimising its position in the market as a leading provider of customer-focused insurance solutions. Mark is responsible for leading the development of Fortis’ core competencies in underwriting and claims management, across the Gloucester and Eastleigh offices, with a continued commitment to distributing via Fortis’ extensive broker network, intermediaries and affinity partners.
Mark joined from AXA Insurance, where he held the position of Markets, Managing Director, with responsibility for all distribution channels, commercial branch operations, as well as customer service and marketing.
Mark has a very strong track record within the Insurance industry with previous senior management roles at Royal and SunAlliance, and Royal Insurance. He had a wealth of knowledge of our market as well as active contribution to the industry, through the Association of British Insurers and was chairman of Polaris, and a member of the Motor Insurer Bureau board.
Questions
Session One: Understanding fraud today and tomorrow
Examining the trends: an update on the industry’s biggest fraud challenges details
- To what extent is fraud on the up? Is the industry just better at detecting it?
- Fraud before, during and after policy inception
- Beyond crash for cash: what’s next for organised fraud?
- Socially acceptable: why insurance continues to be seen as an investment

Leonard Brimson
European Head of Fraud, Zurich Insurance GroupPanel Discussion: Understanding the fraudster details
- How can insurers get inside the head of their opponents and why is this important?
- Application fraud to exaggerated claims: why do otherwise law-abiding people commit fraud?
- How do organised fraudsters weigh up the risk of getting caught?
- How is technology being deployed to paint a clearer picture of a fraudster?
Questions from the audience invited throughout
- From underwriting to claims: how can a better understanding be incorporated into an anti-fraud strategy?

Leonard Brimson
European Head of Fraud, Zurich Insurance Group
Steve Phillips
Head of Fraud Services, Legal & General Insurance
Steve Phillips
Head of Fraud Services, Legal & General Insurance
Biography
Steve joined Legal & General in 2004. He is a MIIA qualified Auditor with over 20 years experience in a range of Financial Services firms. During his career with
Legal & General Steve has worked in Operational Risk, Business Continuity and is now Head of Fraud Services for their insurance business.
Steve started his career with NatWest Bank in the late 1980's working in a number of branches across the West Midlands. He undertook a variety of customer facing roles and then moved into personal and business lending. In the mid 1990's Steve moved to NatWest Mortgage Services in Birmingham to manage a team of Mortgage Underwriters. He subsequently took up as position as Operational Risk Manager overseeing corporate governance.
Steve also worked with Active Resources as a Project Manager and Wesleyan Assurance Society as an Internal Auditor, before joining Legal & General.
Steve is married with three children and lives near Wolverhampton. He spends much
of his spare time supporting his children with their evening and weekend activities. Outside of this Steve is a big sports fan and in particular follows the fortunes of Wolverhampton Wanderers.

Dr Tomas Chamorro Premuzic
Psychologist, Goldsmiths, University of LondonRefreshments
Session Two: Prevention rather than cure
Closing the loopholes: what role can underwriting play? details
- How does underwriting fit into a bigger anti-fraud strategy?
- The early bird catches the fraudster: the case for dealing with fraud at the beginning
- Examining the effectiveness of policy wording in preventing application fraud

David Williams
Chair CII Underwriting Faculty, MD Claims & Underwriting, AXA
David Williams
Chair CII Underwriting Faculty, MD Claims & Underwriting, AXA
Biography
David has over 20 Years experience in General Insurance, roles including Chief Commercial Underwriter at one of AXA’s largest branches, Reinsurance Manager, Casualty Insurance Manager, before moving to claims in 2003.
He was heavily involved in the government and ABI responses to the ‘Liability Crisis’ in his previous role as Casualty Manager, and continues his lobbying work as the insurance industry looks to remove unnecessary costs and delay from the current adversarial compensation process.
David is a non Executive Director of AXA Assistance UK, a Board Member of the CII / CILA Faculty of Claims, and was a Director of Thatcham, the Insurance Industry Motor Vehicle Research Institute for four years.
He is a member of the AXA Group Claims Board and has represented the UK on Asbestos, Health, Pollution and Fraud issues. He speaks regularly at conferences and other events in the UK and Europe on a variety of subjects including most recently improving customer satisfaction, flooding and climate change.
David has also appeared on BBC Breakfast TV, BBC and Channel 4 News, as well as Radio 4’s ‘Today’ Programme, being interviewed on topics varying from Compensation Culture to Business Crime.
David originally hails from Bristol but now lives in Suffolk with his wife Catherine and 2 young sons Evan & Ryan.
Changing public perceptions of fraud details
- A victimless crime? Examining the public’s understanding of fraud
- What role can public relations campaigns play in tackling fraud?
- How has a pro-active approach changed perceptions so far and what more can be done?

Phil Bird
Interim Director, Insurance Fraud Bureau
Phil Bird
Interim Director, Insurance Fraud Bureau
Biography
Phil Bird was appointed as the Head of Customer Services at MIB in 2011. Phil's key responsibilities include service delivery and customer-facing activities in the Claims area.
Phil has an extensive background in the insurance industry. Having started his career working for Guardian Royal Exchange in the London Market focusing on the underwriting of property insurance, he went on to develop a provincial broker operation for commercial lines business at Royal London and manage their underwriting team in 1989.
In 1996, Phil joined Guardian Direct as Household Underwriting Manager and, following the merger with AXA, became Household Underwriting Manager for all distribution lines.
From the role of Head of Product Development at AXA, Phil joined Groupama Insurances in 2004 as Underwriting Director. He became Director of Claims in October 2008 where he managed large teams of operational and technical staff across three claims centres and Groupama's head office.
As Head of Customer Services and a member of the Executive Management Team, Phil has overall responsibility for the delivery of claims handling services, recovery and anti-fraud work at the Bureau.
A graduate in Economics, Phil is also an Associate of the Chartered Insurance Institute.
Phil will take over as IFB Director on a six month secondment starting from 1 February 2012.
Questions
Session Three: Counteracting application fraud - applying pressure at point of sale
Case study: Cheats not welcome! Creating a successful online deterrent details
- Using online tracking to reject fraudulent applications
- Dealing with the opportunistic fraudster: what’s an appropriate response?
- Honesty is the best policy: rewarding truthful customers

Martyn Holman
Head of UK Broking, Brightside Group
Martyn Holman
Head of UK Broking, Brightside Group
Biography
Born and educated in Southampton, Martyn's first job was as a Trainee Underwriter with Cornhill Insurance. There, he was inspired by the success of the Company's Business Relationship Managers to pursue his career path in Insurer Relationships.
Since then, he's gained over thirty years industry experience, having held senior positions with Marsh, Zenith and Fortis before joining Group Direct and establishing One Business Insurance Solutions in November 2002. Martyn is now responsible for Brightside's placement strategy and relationships with the Insurers and Underwriters for all businesses across the Group.
Over the years Martyn has become an expert in the broking sector, recognising instinctively what will work and what won't. He puts this success down to his ability to understand both client and insurer needs, and having the ability to marry the two in a way that each recognises the added value in the deal.
Martyn is a firm believer that today, brokers can't be in the market without taking responsibility for the underwriting outcome and that by ensuring accurate risks are delivered to the Insurer, consumers will benefit from better rates.
Outside of the Insurance industry, Martyn is a keen golfer, often combining his love of golf with his annual holidays. He also proudly remains loyal to his roots as an avid Southampton Football Club supporter.
Questions
Lunch hosted by Tata Consultancy Services
Panel Discussion: Taking a proactive approach to tackling application fraud details
- What are the latest innovations in application fraud detection?
- How can insurers make better use of the data they’ve got to detect application fraud?
- How can insurers effectively track potential fraudsters online?
- What’s an appropriate response to suspected application fraud?
- How can insurers make their online distribution channels less susceptible to fraud?
- What’s the best way to influence the customer and encourage the right behaviour?
- Joining the dots: how can aggregators and insurers work better together?

Matt Gilham
Head of Financial Crime, eSure Insurance
Matt Gilham
Head of Financial Crime, eSure Insurance
Biography
Matt Gilham is the Head of Financial Crime for esure Insurance with overall responsibility for design and delivery of counter fraud and financial crime strategy and management of operational fraud investigation, money laundering, analysis and intelligence teams. He has over 20 years experience in the field of fraud risk management including ten years working in the insurance and banking sectors.

Andy Goldby
Personal Lines Pricing & Underwriting, Director, Direct Line Group
Ellie Soley
Senior Product Development Manager, Data, Moneysupermarket .com
Ellie Soley
Senior Product Development Manager, Data, Moneysupermarket .com
Biography
Ellie Soley has been working in Price Comparison for a number of years, beginning her career in Comparethemarket.com as Senior Relationship Manager. Ellie has now embarked on a career with Moneysupermarket.com as Head of Pricing. The role focusses on using the vast amount of customer data generated by MSM to drive insights which help to shape and optimise customer propositions.
Taking a new approach to mitigating fraud, managing claims and improving customer experience details
- What opportunities has the rapid growth of social and instrumental sources of data provided?
- Enhancing insight across the customer experience: the importance of leveraging unstructured data
- Why the use of text analytics complements and enhances existing methods of fraud analysis
- Optimising methods and technologies to better identify and predict fraud
- Improving claims processes: how can an analytic portfolio approach help?

Kevin Mulcahy
Head of Business Analytics Solutions, TATA Consultancy Services
Kevin Mulcahy
Head of Business Analytics Solutions, TATA Consultancy Services
Biography
Mr. Mulcahy is Head of Business Analytics Solutions for TATA Consultancy Services (TCS). In this role, he is leading the use of business analytics across industries and business functions to drive better outcomes in the areas of improving revenue, reducing cost and managing risk. His leadership experience spans more than 25 years in the planning, marketing, sales and delivery of B2B solutions and services for large enterprises, SMBs and startups.
Prior to joining TCS, Mr. Mulcahy was Director of Global Integrated Marketing at CA Technologies where he led the design, development and enablement of integrated marketing programs and campaigns, across product and service portfolios, for worldwide execution. Product areas included Cloud Computing, IT Service Management and Security.
He collaborated with multiple stakeholders including product marketing, field marketing, brand marketing, demand generation, sales and external partners to ensure consistent, strategic messaging and targeting, and maximize marketing effectiveness.
Prior to joining CA Technologies, Mr. Mulcahy was Vice President of Marketing at enherent Corp., where he led the development and marketing of advanced analytic solutions. This leadership role included all aspects of business development and delivery from use case design through solution architecture, partner management and implementation.
Prior to joining enherent Corp., Mr. Mulcahy was Managing Director – Marketing and Business Development at Aelera Corporation. Initially, he led product management of an integrated, social computing and advanced analytics platform for enabling regional economic development. The platform integrated open source and Web 2.0 technologies to facilitate community collaboration across businesses, universities, colleges, governments and citizens. As the product moved from alpha to beta, Mr Mulcahy then led the marketing and business development of the platform to public and private sector customers.
Prior to joining Aelera Corp., Mr. Mulcahy was Vice President at Fujitsu Consulting where he provided leadership in a number of areas including Global Solution Marketing, Strategic Services, Business Development and Practice Management. He led organization and business transformation as the company transitioned business models to provide emerging technologies and industry-based solutions in the areas of mobility, Customer Relationship Management, Enterprise Content Management, Business Intelligence and Enterprise Integration. Mr. Mulcahy organized and facilitated the Strategic Services Council, which set global strategy to sharpen market focus and leverage global experience and intellectual assets.
Prior to joining Fujistu Consulting, Mr. Mulcahy held roles at ADT Security Systems and Standard & Poor’s.
Using analytics to effectively tackle fraud details
- Effectively implementing and using anti-fraud analytics from application to claim
- Finding the right solution: considering the cost of tailoring a bespoke analytics system
- The case for common standards across the industry for recording and sharing information

Steve Jackson
Head of Fraud, Equity Group
Steve Jackson
Head of Fraud, Equity Group
Biography
Following more than 20 years service as a police officer, Steve has spent 12 years working in counter-fraud. After almost 5 years as a Special Investigator he joined Zurich Insurance as the National Fraud Controller with responsibility for counter-fraud strategy in the Public Sector business and Liability Claims.
In his last two years at Zurich Insurance, Steve played a key role in the implementation of analytics technology to combat Claims Fraud. He joined Equity Insurance in September 2011 and has overall responsibility for counter-fraud activity across all aspects of the business including claims and underwriting.
Questions
Session Four: Catching fraudsters: new directions for detection and prosecution
The Insurance Fraud Register: beating fraud together details
This year sees the insurance industry gearing up their fight on fraud with the launch of the new Insurance Fraud Register. In allowing insurers to share information on known cheats, this database marks an important step forwards for collaboration in the industry.
- Closing the door to fraud: how the Register will catch fraudsters at POS
- How will the industry meet the data quality challenge?
- Future collaboration: what’s next?

Richard Davies
Group Fraud Manager, AXA Group
Richard Davies
Group Fraud Manager, AXA Group
Biography
Richard is a career investigator, leading investigations in the Investments, Life, General and Healthcare insurance sectors. He is currently employed by AXA UK as their Group Fraud Risk Manager, working with senior management to identify and scale fraud risks, lead the resolution of complex fraud events, and build strategic prevention and detection controls.
Richard sits on the academic board of the Centre for Counter Fraud Studies at the University of Portsmouth. He is a vocal champion of collaborative approaches to manage financial crime and was heavily involved in the definition and formation of the Insurance Fraud Bureau concept. On behalf of the ABI Financial Crime Committee he is now leading the development of the Insurance Fraud Register project.
Refreshments
Fighting false claims - effective claims fraud detection details
- What are the current trends in claims fraud and what does the future look like?
- How can the industry counteract rises in fraudulent and exaggerated claims?
- Striking the right balance: testing for fraud without testing the honest customer's patience
- The human factor: balancing technology with people-driven fraud detection

Scott Clayton
Claims Fraud & Investigations Manager, Zurich Insurance Group
Scott Clayton
Claims Fraud & Investigations Manager, Zurich Insurance Group
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.
How can Telematics help insurance companies reduce fraudulent claims? details
- Crash Management services
- Whiplash and acceleration, causality
- The Italian case
- Juridical sentences
- Scientific bibliography

Marco Amendolagine
Head of Telematics Fraud Prevention Services, Octo Telematics
Marco Amendolagine
Head of Telematics Fraud Prevention Services, Octo Telematics
Biography
Marco Amendolagine, graduate in Automotive Engineering, has worked in Octo Telematics since 2007. Currently head of Head of Telematics Fraud Prevention Services, he had cover different rule: head of crash management and relationships with European Insurance Claims Department, responsible for elaboration of processes oriented to the improvement of the crash survey service, predict-fraud management, responsible for installers network and help desk. In previews experiences he work in automotive field and was a Dynamic retreader at the civil and penal Court
Questions
Interview: The impact of the new insurance fraud police unit details
Insurers are investing £8.2m to fund a specialist police unit to tackle insurance fraud across the UK. Three months into operations, now is an ideal opportunity to assess the impact and strategic aims of this new unit of 35 specialist fraud detectives and police support staff.
- How can insurers access the services offered by the new unit?
- Increased conviction or reduced fraud? - What are the expected results for the industry?
- Which cases will be prioritised?
- How will the unit ensure all insurers’ fraud cases are given equal weighting?

DSI Bob Wishart
Head, Insurance Fraud Enforcement Dept, City of London Police
DSI Bob Wishart
Head, Insurance Fraud Enforcement Dept, City of London Police
Biography
Detective Superintendent Bob Wishart
Bob joined the City of London Police in February 1984. He is a career detective and experienced Senior Investigating Officer with operational experience ranging from murder investigations through to serious public disorder and complex financial crimes. He also has extensive experience in the management of covert policing operations.
Bob's career reflects the primacy of the City of London Police in the investigation of economic crime. Having initially been posted to Operation Dash, the collapse of Johnson Mathey Bank in 1988, he has at various stages in his career specialised in cheque and payment card crime; complex commercial fraud, money laundering investigation and asset recovery.
Bob has extensive experience of working with foreign law enforcement agencies. He has been involved in several successful investigations with European agencies and US Law Enforcement agencies including US Postal Inspection Service, US Secret Service, DEA, HSI and FBI.
Between 2002 and 2004 he was seconded to work on a joint US/UK Government initiative based in Miami. Working with the FBI, Bob investigated money laundering, fraud and government corruption in the eastern Caribbean states (notably the UK Overseas Territories) and received a number of letters of commendation for his work.
As Head of Operations at the Economic Crime Directorate, Bob now has responsibility for enforcement and prevention activity. Currently the focus of his fraud work centres around investment fraud, intellectual property crime, Share sale fraud (boiler room fraud), organised mortgage fraud, insurance fraud and payment card crime as well as targeting in excess of 140 diverse organised crime groups known to be concerned in non fiscal criminality.
Questions
Chairman’s closing remarks and end of conference
Drinks reception hosted by Marketforce
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