Insurance
Claims Handling: Exiting Claims Early
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We help organisations deliver results by offering a first class and cost effective claims handling service, on both a delegated and non-delegated authority basis, backed by the expertise and resources of a global insurance law firm.
We understand the importance for claims departments to provide the best claims service possible whilst continuing to retain and attract new business in a competitive and measured marketplace.
We do not take a “one size fits all” approach. We work with a range of clients to deliver a service that is built around advancing claims to their optimum resolution point in the most efficient process and in as short a lifecycle as possible. We have unrivalled ability to handle pre and post litigated claims in significant volumes at short notice.
Our professional and financial lines practice has a long established, leading reputation in the UK and across the globe. In the UK, our team which works across our regional hubs has multiple claims handling contracts across a number of the major and emerging professions. Around the globe, we offer claims handling services across a wide spectrum of professionals, extending as well to cyber and media liability.
The breadth and depth of our expertise enables us to provide a quality, flexible cost claims handling offering. We are able to leverage off our leading expertise in complex insurance disputes where necessary.
Initial policy coverage investigations, advice and triaging for a broad book of non injury placed insurance policies
Acting in relation to a claim by an employee in a local grocery business against his employers’ directors after he was seriously injured falling down a lift shaft. Inadequate insurance was in place for the injuries sustained.
Acting on a delegated authority basis on a portfolio of TMT (Technology, Media and Telecommunications) cases including into small claims and fast track court proceedings
Acting on a delegated authority basis in relation to a varied book of solicitors pre-litigation professional negligence cases
Acting for a large number of insurers who offer all or any of professional indemnity, property liability and public liability insurance on a general retainer as well as delegated authority basis in relation to defending over 2,500 retro-fit cavity wall insulation cases including pre-litigation
Claims handling a book of outsourced pre-litigated and litigated cases against surveyors and valuers
We successfully applied for the committal of three Defendants for contempt of court. The application was made following their attempts to bring a fraudulent insurance claim, in relation to a staged road traffic accident. The first and third Defendants filed witness statements refuting our client’s allegations of fraudulent behaviour. All Defendants received custodial sentences, this ruling has important ramifications for those involved in fraudulent claims.
We acted for an insurer on a large motor fraud operation. The operation focused on 367 third parties claiming against 136 fraudulently incepted policies and was complex given it involved suspected staged accidents where often individuals did not exist. The strategies resulted in savings of 3.4 million for the insurer client. Additionally, following over 500 individuals being under investigation; payments were made on just 4 claims in total (97.55% success rate).
The claimant, attempted to claim over £55,000 for injury in a road traffic accident, he claimed that injuries to his foot meant he could neither stand nor walk for long periods. His appearance on Sky TV’s Soccer AM for scoring a goal from the halfway line, was one of the pieces of evidence we presented to the Court to prove the claimant was exaggerating the extent of his injuries. He agreed to a court order to withdraw his insurance claim and pay £5,000 costs.
Representing a large local authority on a sensitive employee-led fraud ring. We ensured that reputational damage was avoided whilst achieving maximum repudiation and an IFED referral.
Acting for several large clients in the Preston area dealing with, what was deemed to be, the first industry-wide EL/PL fraud ring. We assisted our client by liaising with the IFB and delivered a 100% repudiation rate for all intimated claims.
We pursued contempt of court actions against three individuals who had brought claims against a top 10 UK motor insurer following a staged road traffic accident, part of a larger fraud ring investigation. While the claims had not proceeded to trial meaning the three individuals hadn't lied under oath, we pursued contempt proceedings and they each received prison sentences of between 4 and 6 months.
We acted for a large public liability insurer following a genuine accident. The claimant alleged serious physical and psychological injuries, with his claim for damages and costs in excess of GBP 40,000. Our investigation uncovered that he was lifting heavy weights and we obtained video of him on one of the world’s highest waterslides. At trial, the claim was dismissed and the claimant was ordered to pay GBP 14,000 in costs.
Following a genuine accident at work, our insurer client contacted us as they were concerned about the extent and impact of the injuries. This claim was handled using our Project Martello strategy for exaggerated claims. Our investigation uncovered that the Claimant was much more active than he was admitting. The Court ordered that the GBP 260,000 claim be discontinued and the claimant to pay GBP 5,000 to the Defendant.
Acting on behalf of a global insurer defending a staged tripping claim brought against a supermarket. After defending the original GBP 60,000 claim to a successful conclusion at trial, we then pursued a private prosecution against the claimant - who received a 21 month suspended jail sentence for her part in the scam.
Partner
Claims Manager