Fraud AGS Risk Solutions is part of the Premex Group and the ExamWorks Group of companies. Premex Group is a specialist outsource organisation offering a diverse range of products and services to the insurance and legal sectors since 1996. It employs over 450 people and delivers a range of complementary services at different points in the claims process. ExamWorks is the leading global independent medical examinations provider headquartered in Atlanta, Georgia. Listed on the New York Stock Exchange, ExamWorks has developed a robust global strategy focused on customer service, effective business processing and efficient use of technology. AGSSolutions Risk Solutions AGS Risk Head Office: Leeds Head Office: Leeds UKUK (0)845 1990 +44+44 (0)845 094094 1990 www.agsrisksolutions.com www.agsrisksolutions.com Fraud in the private sector, and in particular the insurance industry, continues to increase with the ABI estimating that it adds an extra £50 to the annual insurance bill of every UK policyholder. In 2011, insurers uncovered 139,000 dishonest claims worth nearly £1bn across all products. AGS Fraud “ Undetected fraudulent claims are estimated to total £2.1bn a year AGS Fraud’s investigations are deployed using the National Intelligence Model (NIM), a framework providing strategic and tactical direction to support informed decision-making. The value and benefit of the NIM is in protecting innocent policyholders, while dismissing the preconception that fraud can be victimless. Further, the NIM supports the ongoing fight against serious organised crime and promotes the wellbeing of our economy. Our Service AGS prides itself on providing a comprehensive investigative product. With access to a national and international resource of skilled, experienced and professional investigators, we are able to provide a multi-disciplined approach to fraud investigation. Praised by clients for being proactive and persistent, it is our commitment to achieving real results in every single case that sets us apart from the rest. AGS Fraud’s field resource is also supported by highly skilled insurance and intelligence professionals with access to a marketleading and comprehensive suite of data sets and desktop tools. This drives both the reactive and proactive approach to fraud identification and investigation, and provides significant data when reviewing investigation outcomes. As part of our approach, AGS is sensitive to client requirements and is flexible in providing in various formats of evidence collection whether through the art of statement taking; audio recording of interviews, surveillance, desktop research or an amalgamation of tools including forensic vehicle and key examination as well as cognitive and investigative interviews over the telephone. Expect more from the AGS Fraud team. We don’t just take statements. We engage with the task at hand, we investigate and we deliver results. Our experienced staff will diligently follow all lines of enquiry that arise, so that we can bring investigations to a conclusion with support from all available evidence. 2 Products Delivery In the insurance claims market AGS Fraud supports clients both in the UK and abroad for the following lines of business: • • • • • • • • • • • • • Motor (staged/contrived/induced) accident Motor theft Domestic and commercial property EL/PL Pet Travel Creditor Health Life insurance claims Through our intelligence-led approach and access to a wealth of fraud-related intelligence and data sets we often identify fraud rings and other conspiracies through detailed analysis from cross product and client instructions. At this point such investigations are referred to AGS Risk Solutions Special Investigations Unit for review and after consultation with relevant stakeholders, put in place more specific strategies and tactics in an effort to combat the fraud. • • • • • A fully managed and accountable investigation service Use of skilled professionals Bespoke partnership approach Subject research and profiling along with skilled intelligence analysis Provision of court compliant statements and interview processes Use of a suite of investigation products including covert tactics, forensic vehicle and key examination Regular audited investigation review and access to our Case Management System Bespoke investigation report Ethical evidence collection This gives the client comfort in the knowledge that cases are not looked at in isolation, but with a mind to industry exposure. 3 Services Benefits AGS services are flexible to the needs of the particular incident or product set under enquiry, however, our standard fraud investigation package includes: • • • • • • • • • Review of instruction and investigation requirements along with interview planning Obtaining appropriate CPR compliant statements relating to the incident Intelligence research and findings, prior to interviews and following investigation Completion of relevant mandates (DVLA/privacy notice) Checking proof of identity and obtaining a photograph of subject Collection of relevant exhibits, and all evidence gathering in a compliant and ethical manner Liaison with relevant agencies (police) A full investigation report (bespoke to client requirements) Pricing and Contact We offer bespoke and volume discounts for our clients; however our standard fraud investigation packages begin from £295. AGS Risk Solutions Head Office: Leeds UK +44 (0)845 094 1990 www.agsrisksolutions.com Please do not hesitate to contact a member of the team for a tailored quote or to arrange an initial consultation so that we can discuss your specific requirements. • • • Supports counter-fraud continuum and enables you to mitigate current and future losses Ensures that intelligence, information and evidence collection is managed effectively, and in both a lawful and ethical manner Identifies all areas of investigation and financial crime by careful examination of the facts A clear focus and ongoing prioritisation of investigative requirements delivers savings along with significant Return on Investment Mark Wilcox Managing Director [email protected] Andy Atha Head of Operations [email protected] Mark Rimmer Head of intelligence [email protected] 4
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