Insurance Fraud: Clyde & Co Find Way to Dismiss Potentially Bogus Claims

Clyde & Co’s specialist fraud team has pioneered a new process with the insurance industry which capitalises on the previously little-utilised Section 57 of the Criminal Justice Act to ensure exaggerated personal injury claims are dismissed before coming to trial.

The firm has successfully used the process to have 18 cases dismissed or discontinued in 2017/18, generating savings of £2.2m, excluding recoveries from dishonest claimants which totalled a further £80,000. The time taken to manage these litigated large loss cases was reduced to 12 months.

Commenting on the success of the project, lead partner Damian Rourke said:

“Exaggerated casualty claims threaten the efficient running of a sustainable insurance market. Our goal is to help insurers force claims to be pleaded accurately and thereby reduce leakage, which drives up costs for insurers, and ultimately insureds.”

Under Section 57 of the Criminal Justice Act, where dishonest exaggeration is proved, the claimant can lose not only the exaggerated elements of the claim but also the genuine elements and any entitlement to costs. The claimant is also required to pay the defendant’s costs. The statute was specifically enacted to deal with claimants that exaggerate injuries and ensure that claims are brought accurately.

Rourke comments:

“Our process map and the additional tools we have developed to supplement it form an extraordinarily powerful weapon against high value, exaggerated claims. We’re very much looking forward to playing our part in helping develop the industry’s strategic response to the problem of exaggerated/dishonest claims.”

“We have had very good buy in from one of our key clients and are now looking forward to rolling this out to the rest of the industry.”

The key aims of Clyde & Co’s project are to:

  • Use our specially developed tools to bring forward a ‘paper trial’ to enable adjudication before the actual trial window even opens
  • Reduce cycle time by interrupting the litigation timetable
  • Enable partner insurers to identify target claims promptly
  • Ensure fraudulent PI claims are dismissed or struck out in their entirety
About alastair walker 12572 Articles
20 years experience as a journalist and magazine editor. I'm your contact for press releases, events, news and commercial opportunities at Insurance-Edge.Net

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