Advised a leading health cash plan insurance provider with over 270,000 members with respect to devising their counter fraud and counter bribery policies. The requirements of the client were initially considered by meeting with key stake holders within the business, understanding the risks in relation to their operations and thereafter preparing counter fraud and bribery policies fit for purpose to enable their defence of financial crime to be better placed.
Further advice was provided with respect to dealing with fraudulent claims and resisting such claims by providing a bespoke service relating to assessing the merits of claims that were suspected to be fraudulent in nature. This helped the clients identify and resist several fraudulent claims thereafter.
