8:30 Registration and Morning Coffee
9:00 Chair’s Opening Address
Simon Arundel
Compliance and Fraud Manager, Claims
Ecclesiastical, UK
OVERALL INSURANCE FRAUD STRATEGY AND DATA MINING
9:10 Keynote Address
Insurance Fraud – the UK Landscape
- The need to manage fraud
- How well are UK insurance companies doing?
- Treating customers fairly
- Key opportunities and challenges
Richard Davies
Group Fraud Risk Manager
AXA, UK
09.50 Insurance Fraud Detection: Data Mining Best
Practice for Improved Detection at An Early Stage
- Capitalising on the fact that prevention is driven in the end by an ability to understand where real risks are located
- Data quality / legacy systems
- How to take a balanced point of view that takes into account the ethical foundation of fighting fraud
- Interpreting and applying the data protection rules
- Are we looking for the truth or the lie?
- How to match the data: Data forensic tools and the crucial role they play in the detection of fraud
Steve Jackson
National Fraud Controller
Zurich Insurance, UK
10.30 Morning Coffee
10.50 Fraud and Abuse Indicators: Red Flags for Claims
- Pitfalls in unusual claims
- Common issues in adjudicating claims for various life company products
- Claims review process
- Investigative approach: Knowing when to take investigation to the next level
- Underlying caution in accepting claim documentation: Know your locale
- Challenges to investigating claims within geographic regions or individual countries
- Political climate
- Legal and regulatory barriers to investigating claims
- Privacy regulations
- Availability of and confidence in official documents
Eadie Churchill
Assistant Vice President, Claims
ALICO, AIG Group, USA
11.30 How to Achieve Superior Fraud Detection with the Help of Technology
- Boosting the performance of fraud models
- How to react faster to new threats
- New detection approaches
- Exploring new technologies
Mike Gordon
Client Services, Vice President
Fair Isaac Corporation
INVESTIGATION AND FRAUD RISK MANAGEMENT
12.10 Internal Fraud: A Practical Approach to Establishing an Internal Investigation Unit
- Internal fraud: Is it really an issue we should deal with?
- The strategic approach to dealing with internal fraud
- The practical approach to establishing an internal investigation unit
- Using computer forensics: Finding the “hidden secrets”
- Where are we now 3 years later?
Tom Engly
Chief Security Officer
TrygVesta Insurance, Denmark
12.50 Lunch
13.50 Improving the Reporting of Fraud for Increased
Protection in the Future
- To which level of detail should fraud reporting be done?
- Should it be done at the group level?
- Should losses be reported?
- What do you gain from reporting?
- Should the final report be published in its entirety?
Alda Correia
Responsible for the Special Investigation Unit
Liberty Seguros, Portugal
14.30 Afternoon Tea
14.50 Combating Insurance Fraud in an Island Environment
- Internal and external threats
- The credibility of claimants: The key issue
- Techniques for identifying fraud and case studies
- Practical difficulties of local surveillance
- Local anti-fraud initiatives
Matthew von Brockdorff
Deputy Managing Director
Atlas Insurance PCC Limited, Malta
15.30 Fraud and Online Insurance
- The different types of exposure
- Technology brings new opportunities and new threats
- We all have to deal with fraud, so how to do that better than competition
- Acceptance and claims processing
- Investigation and cross border data sharing
Ewout van Zonneveld
Chief Operations Officer
Ineas, The Netherlands
16.10 Chair’s Closing Remarks and Close Of Day One