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Public Liability

Public liability insurance is designed to protect the insured person, business or organisation against claims for expenses relating to accident or loss around their home or business premises.

The opportunities to commit public liability insurance fraud are numerous and can include:

    • False claims for injuries relating to falls (commonly known as 'slip and fall accidents') or other incidents where it may not be difficult to exaggerate the consequences and put in unreasonably large claims for damages, injury or inconvenience 
    • False claims made for stress caused by such events as lift malfunction 
    • False claims made out of vindictiveness where the claimant refuses to take responsibility for the consequences of their actions
    • False claims for property damage
    • False claims against hospitality venues for 'food poisoning' and other hard-to-confirm incidents 
    • False claims for swimming pool and sports facility/gym injuries


These kinds of fraudulent claims try to assign blame to the insured person, organisation or venue and the amounts sought in compensation can be immense, often out of proportion to the injuries allegedly suffered.


Travel Insurance

People buy travel insurance for peace of mind and protection when things go wrong, especially while travelling overseas. Travellers often experience emergencies, illness and medical costs, lost luggage, cancellations and many other traumatic or inconvenient events.  While many people benefit from this kind of insurance in genuine circumstances, some people might use it as an opportunity to gain a payout by making a dishonest claim. 

Travel insurance frauds include:

    • Claiming for luggage, property, passports or currency, allegedly stolen by a person or persons unknown
    • Attempting to exaggerate the extent of an actual loss by adding extra items to the claim, or inflating the value of the items lost, or completely falsifying a loss


As with all insurance fraud, the pocket it ultimately hits is yours.

If you have information that you believe in good faith is insurance fraud, report it NOW!

Types of Fraud

Workers Comp

This can include employees falsely receiving benefits such as time off work, by faking injuries, exaggerating legitimate ones, claiming for pre-existing injuries or those sustained that have no relation to the workplace.

Motor Vehicle

This type of fraud takes many forms, including claiming theft in order to obtain money for an unsaleable car, or to cover up 'drink driving' accidents; staging car accidents; or vehicle arson.

Property

Goods that are unsaleable due to their poor condition, quality or lack of market demand, may also be fraudulently 'lost' or 'destroyed'. In the case of buildings and plant equipment, arson is often involved.

Arson

Insurance arson typically involves the intentional burning of insured property in order to destroy it and claim its insured value, especially when this is greater than the item's saleable value.

Life

A typical example of life insurance fraud might be a person claiming a monthly benefit - while working another job on the quiet. More extreme examples include elaborately faking deaths and disappearances for the fraudster and any accomplices to secure the payout.

Health

Fraudulent acts include healthcare or medical professionals billing for services not performed, claiming higher than actual costs, participating in the treatment of 'patients' brought in as a result of staged accidents, or carrying out unnecessary procedures.

Other

People might claim falsely for injuries relating to falls (called 'slip and fall' accidents) or other incidents where the consequences can be exaggerated.