Case Study - Insurance Fraud Surveillance

| Author: Jon Wood [Member (F/1762)] | Filed under: Case Studies
Case Study - Insurance Fraud Surveillance

We were approached by an Australian insurance company to complete some surveillance in Macedonia. A Macedonian national had moved to Australia to live and work. After a short period of employment the subject had an accident at work which meant he was unfit to complete his contractual duties. This resulted in him being signed off sick for more than 2 years. He received a hefty 6 figure compensation pay out from his employer’s insurance company and an annual payment every year.

For several years the insurance company received medical reports clearly stating the subject was unfit for work. By this time he had moved back to Macedonia. The insurance company asked if we could go to Macedonia to observe his movements. We received a report from another high profile agency who had conducted some investigation work in the area of the subject’s address. Those investigators had concluded it was impossible to attempt any further surveillance due to how closely guarded and vigilant the local community was. This was in fact true and compounded by it being a small military town with significant Army presence.

Despite these obstacles we attended the area with a team of operatives and completed 6 days continuous surveillance. In a short space of time we located the subject who appeared to be very fit, with no signs of suffering from a debilitating back complaint. Furthermore we were able to make discreet local enquiries. Using the Internet and translation software, we found out he owned a restaurant in the town.

By understanding local laws and restrictions, our trace and background agents were able to secure evidence from company records in Macedonia that confirmed the subject to be the restaurateur. Our surveillance operatives waited patiently at the restaurant to obtain video footage of the subject. Not only was he observed playing an active role in the restaurant, but also taking in deliveries. He was observed unloading cages off a lorry, at the same time carrying a small child.

We captured the footage and presented it to our client. It was just what they needed to stop the continuing fraud of this employee. Needless to say the client was impressed with our work which resulted in the cessation of pay outs to the subject!

Article submitted by Full Member (F/1762) Jon Wood, Director at Williams & Wood Investigation Services Ltd. For further information see wandwis.com or email: info@wandwis.com 

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