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…
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 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…
Claims handlers are often the first line of defence in identifying potential fraud, yet many operate without clear visibility into what happens after a referral is submitted. Decisions are made based on experience, instinct, and…
Investment in fraud detection across UK insurers has increased steadily, with firms deploying advanced tools to identify suspicious activity earlier in the claims lifecycle. Detection rates have improved, and referral volumes continue to rise as…
Insurance fraud in 2026 is becoming harder to investigate as generative AI reshapes how false claims are built and presented. UK insurers are already seeing claims supported by identities, documents, and evidence that appear internally…
Insurance leaders are entering a phase where fraud behavior feels sharper, more coordinated, and harder to isolate within traditional systems, which makes this discussion timely and practical. Claims teams already feel the pressure as insurance…