Defensible Fraud Investigations: Building an Audit Trail That Holds Up
A repudiation is only as defensible as the trail behind it. What a fraud investigation audit trail must capture, and how SIUs keep it without the admin.
A repudiation is only as defensible as the trail behind it. What a fraud investigation audit trail must capture, and how SIUs keep it without the admin.
When Sedgwick reported £41 million in fraud savings across 2025, representing an 11 per cent year-on-year uplift, that result reflects a well-run counter-fraud operation doing its job consistently across a full year. The ABI’s November…
The crash for cash fraud that most SIU teams were originally built to catch look quite different to the ones arriving in investigation queues today. Organised rings have moved well away from the obvious staged…
Every counter-fraud operation runs on data. Detection models are fed data to identify suspicious patterns. Investigators draw on data to build their cases. Management information reports data to leadership as the evidence base for operational…
When a motor fraud referral lands in an SIU investigation queue, the instinct is to work it as a case. Review the claimant’s details, check the accident circumstances, look for indicators that do not add…
There is a question worth asking about how most insurance fraud investigations actually run day to day. An investigator receives a referral, opens the case, and then does something that has become so routine it…
The number that most commonly leads a counter-fraud MI report is the referral count. How many cases came through last month, how that compares to the same period last year, and what the year-to-date total…
The ABI’s November 2025 fraud report had a headline figure that most people in the industry already expected: fraudulent claims above £1 billion for another year running. But there is a number inside that report…
98,400 fraud claims detected across the UK in 2024. Up 12% on the year before. £1.16 billion in fraudulent claims identified, according to the ABI’s November 2025 report. By any measure, detection is working. So why is…
Fraud investigators are expected to analyse evidence, review inconsistencies, and make informed decisions quickly, yet a significant part of their working day is often spent writing reports instead of progressing investigations. Across UK insurance, documentation…