Maladies professionnelles et réclamations de legs

Des expert·e·s de premier ordre vous offrant des conseils techniques de qualité

Chaque année, notre équipe consacrée aux maladies professionnelles et aux réclamations de legs traite des milliers de dossiers. Nous sommes des partenaires de confiance pour d’importantes compagnies générales d’assurance, compagnies d’assurance spécialisée et de protection pour actes antérieurs, ainsi que pour des entreprises autoassurées, des multinationales avec une couverture captive et des entités du secteur public. Notre présence mondiale nous habilite à surveiller les tendances et les développements en matière de risques émergents pour nos clients et à leur proposer des solutions transfrontalières.

En plus des questions individuelles avant et après les litiges, nous traitons les réclamations à règlement rapide et celles à règlement prolongé, les litiges de groupe et les projets de litige stratégiques. Qui plus est, nous donnons des conseils sur le traitement des polices, les consultations gouvernementales et les coûts. 

Notre expertise se focalise sur l’exposition à de l’amiante et à des substances chimiques et biologiques, sur l’intoxication au monoxyde de carbone, ainsi que sur le développement de troubles ou de problèmes de santé comme l’asthme, les maladies pulmonaires, respiratoires et auto-immunes, les blessures au dos, le cancer, le syndrome du canal carpien, les maladies pulmonaires obstructives chroniques, les dermatites, la maladie des vibrations, la pneumoconiose, les affections des membres supérieurs, le stress lié au travail, et la perte d’audition causée par des bruits forts. Nous gérons en outre les actions collectives relatives à la responsabilité du fabricant et un nombre significatif de réclamations pour le développement de problèmes de santé en raison d’actes antérieurs.

Nous stratégies novatrices nous permettent de réduire les dépenses d’indemnisation au moment de traiter des réclamations à règlement rapide et à règlement prolongé. En voici quelques exemples :

  • Notre programme « payez et soyez payé » pour le traitement des réclamations liées au mésothéliome.

  • Notre initiative sur l’épaississement pleural diffus causé par l’amiantose. 

  • Notre approche stratégique en matière d’immunothérapie.

Grâce à notre service dirigé par les associé·e·s, la qualité est assurée avec notre expertise technique, notre gestion personnalisée de dossiers et notre communication d’information. Les associé·e·s de notre réseau mondial offrent des conseils sur le droit comparé, les litiges et les risques et les problèmes émergents. 

En tant que dirigeant·e·s éclairé·e·s, nous collaborons étroitement avec des entités de l’industrie pour façonner le paysage des polices inhérentes aux legs et aux maladies latentes. Nous gardons nos clients au fait des plus récents développements sur le marché pour les préparer aux changements qui influenceront leurs affaires. Enfin, nous travaillons régulièrement avec des clients pour élaborer des stratégies qui favorisent la gestion de risques anticipés, tels que ceux liés aux réclamations potentielles découlant de la pandémie de COVID-19, ainsi que des stratégies dynamiques axées sur la connaissance de la concurrence.

Formidable. Ils sont excellents sur le plan technique et comprennent nos besoins et nos aspirations. Ils offrent une approche adaptée qui fonctionne bien pour nous.

Chambers and Partners, 2022

Notre travail en matière de maladies professionnelles et de réclamations de legs

  • Tout
  • Royaume-Uni et Europe
  • Fraud screening processes uncovers large motor fraud ring

    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).

    Royaume-Uni

    Fraudulent claims result in custodial sentences

    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. 

    Royaume-Uni

    Own goal by non-league footballer as TV appearance defeats dishonest claim

    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.

    Royaume-Uni

    Employee-led fraud ring

    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.

    Royaume-Uni

    Exaggerated claim undone by investigation

    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.

    Royaume-Uni

    Exaggeration costs claimant dearly

    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.

    Royaume-Uni

    First industry-wide EL/PL fraud ring

    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.

    Royaume-Uni

    First private prosecution for public liability claim

    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.

    Royaume-Uni

    Motor Fraudsters jailed for contempt of court

    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.

    Royaume-Uni
  • Fraudulent claims result in custodial sentences

    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. 

    Royaume-Uni

    Fraud screening processes uncovers large motor fraud ring

    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).

    Royaume-Uni

    Own goal by non-league footballer as TV appearance defeats dishonest claim

    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.

    Royaume-Uni

    Employee-led fraud ring

    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.

    Royaume-Uni

    First industry-wide EL/PL fraud ring

    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.

    Royaume-Uni

    Motor Fraudsters jailed for contempt of court

    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.

    Royaume-Uni

    Exaggerated claim undone by investigation

    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.

    Royaume-Uni

    Exaggeration costs claimant dearly

    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.

    Royaume-Uni

    First private prosecution for public liability claim

    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.

    Royaume-Uni

Notre équipe consacrée aux maladies professionnelles et aux réclamations de legs

Chris Fletcher
Chris Fletcher

Partner

David Tait
David Tait

Partner

Toni Ashby
Toni Ashby

Partner

Duncan Batchelor
Duncan Batchelor

Partner

Jason Bleasdale
Jason Bleasdale

Partner

Harry Boyle
Harry Boyle

Partner

Clinton Cameron
Clinton Cameron

Partner

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