Case Studies

05/03/2012

Inside fraud job costs ING millions

ING insurance and banking group has lost about 20.5 million euros from a massive fraud committed by 42-year old senior female accountant, Rajina Subramaniam, over five years. Subramaniam has been sentenced to seven years in prison. Read more 

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Inside fraud job costs ING millions
22/02/2012

Orange County insurance agent accused of $100M fraud scheme

Investigators say Mark Resnick and two insurance agents from New York, Michael Binday and James Kergil, recruited elderly people to buy life insurance policies in what prosecutors are calling a $100 million insurance fraud scheme. If convicted, they each face up to 80 years in prison. Read more

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Orange County insurance agent accused of $100M fraud scheme
22/09/2010

Rio tourists get community service for travel fraud

In August 2009, two British women, both aged 23, were sentenced in a Rio de Janeiro court to community service after being arrested on charges of committing travel insurance fraud whilst backpacking through Brazil and reporting a bogus robbery.  The two women were detained in an overcrowded prison, ...

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Rio tourists get community service for travel fraud
16/09/2010

Mother & son accused of fake death scam

In September 2009 a Sydney man, aged 28, and his mother were accused of faking the son's death and attempting to claim $240,000 in superannuation and life insurance money.  The man's mother informed the life insurer and a superannuation provider of her son's death by drowning in Ecuador in April 200...

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Mother & son accused of fake death scam
02/09/2010

Surgeon fined $10,000, suspended jail

An orthopaedic surgeon, who was director of the company that employed him, lodged a workers' compensation claim for neck and arm injuries sustained whilst working. His claim for incapacity was accepted and he began receiving weekly compensation payments.  For approximately four years the surgeon con...

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Surgeon fined $10,000, suspended jail
02/09/2010

Alleged Sharks fraudster faces jail

Clint Elford, 27, of Goulburn, NSW, was arrested in June 2009 for making a false insurance claim on a life policy with American International Assurance Company (Australia) Ltd. He had received a $525,000 payout and spent it all. His spree included a donation of $30,000 to the Cronulla Sharks RSL Clu...

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Alleged Sharks fraudster faces jail
02/09/2010

Death claim didn't hold water

John Darwin, a former teacher and prison officer, paddled out to sea from Hartlepool, England early on Thursday 21 March 2002. He was reported missing later that day when he didn't turn up for work. An extensive — and expensive — sea and air search failed to find him, recovering only his wrecked can...

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Death claim didn't hold water
02/09/2010

Woman jailed for workers' comp fraud

A Melbourne woman was jailed for falsely claiming more than $40,000 in worker's compensation payments, during 2004. The woman, 58, admitted to getting more than $36,000 by claiming that a back injury stopped her from working for almost two years, despite working at her husband's legal business. She ...

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Woman jailed for workers' comp fraud
02/09/2010

Man fined, worked second job on compo

During 2008, a West Hoxton, NSW man was fined $2400 and ordered to repay $15,589 after he was found to have continued working while receiving workers' compensation payments. Between February and November 2005, the man claimed his money by presenting medical certificates to his workers' compensation ...

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Man fined, worked second job on compo
14/08/2010

Fraudster netted $7600 in false travel claims

A man from country Victoria injured his lower back at work during 2000, while employed as a meat packer. His workers compensation claim was accepted, along with paid travel expenses for him to drive to the nearest chemist to obtain his pain medication. WorkSafe Victoria later discovered that the man...

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Fraudster netted $7600 in false travel claims
28/07/2010

Man jailed for false injury claims

A Victorian man declared he had injured his lower back while working as a scaffolding labourer. He claimed he was unable to do any work due to his injury.Some months later he was seen working as a crowd controller at a hotel. Subsequent investigations revealed the man had worked almost 60 shifts ove...

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Man jailed for false injury claims
28/07/2010

False info leads to fine, pay back compo

A Victorian woman, working as a financial controller and earning an annual income of $85,000, claimed to have slipped at work, causing a shoulder injury. Her claim was accepted and she began receiving about $1050 a week in compensation. The woman provided regular declarations assuring that she was n...

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False info leads to fine, pay back compo
13/07/2010

Bragger sparks national Insurance Fraud Hotline

The idea of the national Insurance Fraud Hotline came about in early 2009 when Anthony Callaghan, formerly with the NSW Police Force and now Principal of his own professional investigations company, received a phone call from a member of the public located in Eumundi, Queensland. This person had ove...

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Bragger sparks national Insurance Fraud Hotline
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