Fraud

Fraud

Company profile

Shift Technology delivers AI decisioning solutions to benefit the global insurance industry and its customers. Our products enable insurers to automate and optimize decisions from underwriting to claims, resulting in superior customer experiences, increased operational efficiency, and reduced costs. The future of insurance starts with Decisions Made Better.

 

 

 

 

Company profile

Verisk Analytics (Nasdaq:VRSK) is a leading source of information about property/casualty insurance risk. Drawing upon unique data assets and deep domain expertise to provide innovative solutions that are integrated into customer workflows. We help our customers serve their customers better by helping them improve their own quality, productivity and timeliness across their functions such as: product development, compliance, rating, marketing, underwriting, claims, fraud, loss control, portfolio balancing, risk transfer, analytics, economic forecasting, weather, CAT modeling and more. https://www.verisk.com/insurance/

Company profile

EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world’s leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 55,000 employees spanning six continents. For more information, visit www.exlservice.com

Claims Club 3: Fraud is over for another year

Wednesday 18 September, Bounce Shoreditch, London

08:3009:05

Registration and breakfast

08:30 - 09:00

09:0509:10

Welcome to the Claims Club

09:00 - 09:05

Jonathan Swift

Content Director

Insurance Age

Post and Insurance Age content director Jonathan Swift has written and commented about the insurance industry since 1998. He has appeared on television speaking about topics as diverse as the insurance implications of Michael Jackson's death to the consequences of consolidation on motor premiums; and is a past winner of the British Insurance Brokers' Association journalist of the year and Association of British Insurers general insurance trade journalist prizes.
Jonathan has chaired/ hosted over 100 insurance events from roundtables involving a small specially invited audience, to addressing over 2000 people at the British Insurance Awards at the Royal Albert Hall. He is listed as a top 50 insurtech influencer by Insurtech News and presently coordinates the All Party Parliamentary Group for Insurance and Financial Services.

09:1009:35

Setting the scene: Combatting fraud under a new government

09:05 - 09:50

With the Labour Party now in power, what does the changing guard at Number Ten mean for the insurance industry’s battle against fraud?

Mark Allen

Assistant director, head of fraud and financial crime

ABI

Mark has led ABI’s work on fraud and financial crime since June 2011. As a member of the General Insurance Fraud Committee, he informs and oversees the industry counter fraud strategy, working closely with the Insurance Fraud Bureau and the Insurance Fraud Enforcement Department. He leads industry lobbying and works closely with the government on the implementation UK counter fraud policy, including on the Fraud Strategy, and was previously a member of the government’s Insurance Fraud Taskforce.

Mark is also responsible for developing industry strategy on broader financial crime matters and is heavily involved in oversight of the government’s Economic Crime Plan. 

09:3510:05

How much progress has been made?

09:05 - 09:35

In this session we will focus on the progress the insurance sector has made in combating insurance fraud; looking at successes in both the motor, property and casualty spaces and asking where obvious gaps remain in terms of lesser heralded frauds and the industry promoting a unified front in the war against these criminals

Adele Sumner

Head of counter fraud and financial crime

RSA

Adele Sumner is the Head of Counter Fraud Strategy & Financial Crime at RSA Insurance UK. She has over twenty years of ‘hands on’ experience in counter fraud activity in the insurance sector, including leading RSA’s Fraud Intelligence Team where she developed techniques and  experience in the use of the internet, both to assist individual investigations and to obtain data that will enhance fraud detection models. She is widely acknowledged for her expertise in the practical deployment and use of technology to identify fraud and has been an important figure in various fraud technology programmes both in RSA and at an industry level.  In her current role she is responsible for developing strategies to tackle fraud and adopts a risk focused, intelligence led approach to combating the external threat fraud posed to RSA. In 2008 she obtained a Master Degree in Fraud Management from Teesside University.

Peter Ward

Head of claims counter fraud

Aviva

Pete is Head of Claims Counter Fraud at Aviva.  Pete has been at Aviva for 5 years prior to which he was a solicitor in private practice for 10 years, specialising in personal injury and counter fraud. 

10:0510:30

Coffee & Networking Break

09:35 - 09:55

10:3011:00

Catching the fraudsters of the future

09:55 - 10:25

In this session we will explore how fraudsters are trying to stay ahead of the insurance sector by using new technologies and methods to continue to reap illicit gains from the sector. As a  response we will look at what the industry is doing to combat these newer crimes and what data/tools might be available now/shortly to help insurers beat the fraudsters of the future.  

James Burge

Head of Counter Fraud

Allianz Insurance

James Burge is the head of counter fraud at Allianz Insurance.

For the last six years, he has been leading Allianz’s counter fraud strategy, managing teams of investigators and fraud specialists who detect and debunk organised scams and opportunistic fraud targeting the commercial insurer.

James started his career at Allianz as a motor underwriter more than 20 years ago, progressing to a manager of technical underwriting, before being promoted to head of counter fraud.

James Burge sits on the General Insurance Fraud Committee (GIFC) who represent the general insurance industry to identify new threats and provide oversight for the Insurance Fraud Bureau (IFB). He takes part in many industry events like Insurance Times’ Fraud Charter, and he is regularly interviewed for the BBC’s Claimed and Shamed programme.

Andy Nixon

Enterprise fraud lead

esure

Swarnava Ghosh

VP, insurance analytics, UK & Europe

EXL

Swarnava is a senior analytics leader at EXL with 14+ years of experience in global engagement management, analytics project execution, use case identification, data and analytics strategy development and risk management in insurance. He has extensive experience of setting up and running Analytics Centre Of Excellence at scale across UK, US, India and Philippines. Adept at interaction with CXO level stakeholders and partners to drive new business, expand accounts and establish brand profile.

Swarnava has worked extensively with UK insurers on Fraud Management and has helped deliver significant fraud savings through better use of external data including industry data sources like IFB and IFR, advanced analytics and digital solutions and AI and ML based fraud models.

Swarnava holds PG degree in management from IIM Ahmedabad and Masters  in management from ESCP Europe.

Marc Yeates

Customer success manager UK/I

Shift Technology

Marc Yeates is a seasoned professional with over 22 years of experience in the insurance industry. He holds a Bachelor of Science degree in Counter Fraud & Criminal Justice and has a rich background in both fraud prevention and investigation. For 12 years, Marc was a key figure at the Insurance Fraud Bureau (IFB), where he served as the Intelligence and Investigations Manager for 7 years, leading efforts to combat fraud across the sector.
Before his tenure at IFB, Marc gained extensive experience working in various claims, fraud, and intelligence teams at Zurich Insurance and Groupama Insurance. His expertise has been recognized across the industry, as he has actively represented the IFB on numerous industry working groups focused on tackling application fraud and internal fraud.
Outside of his professional career, Marc is an accomplished international house music DJ, bringing his passion for music to audiences around the globe in his spare time.

11:0011:05

Wrap-up of Claims Club 3

10:25 - 10:30

11:0512:00

Networking

10:30 - 11:00