Background:
A manager employed by the Insured, a professional services practice in the UK, stole funds from two bank accounts containing the firm’s client funds. The Insured had the benefit of a professional indemnity policy, including mitigation cover, but did not have commercial crime insurance. Accordingly, only misappropriated funds owed to the firm’s clients potentially fell within the scope of the policy and there was no cover for loss of the Insured’s own funds.
We liaised closely with the Insured from the outset to understand their procedures for recording and managing client funds. Combining this information with our forensic analysis of the Insured’s bank accounts and internal records, we were able to quantify the loss in line with policy requirements at £1m.
Our investigations:
In the first instance, we conducted a thorough analysis of the Insured’s bank statements to confirm the amount stolen from the client account. We then reconciled the client account balance against the firm’s client records and data to confirm the amount owed to clients.
However, quantifying the loss was more complex than initially anticipated. This is because we ascertained that the fraudster had also deliberately diverted some client funds into an office account before misappropriating those funds too. To identify which misappropriations were from client funds and which were from the Insured’s funds, we performed a forensic analysis of the transactions in the account. This included a reconciliation of the bank statements against internal records and client receipts.
We established that the fraud went undetected because the fraudster manipulated the client and office account bank statements so that they appeared to agree to internal records. When the fraudster presented the manipulated bank statements to the Insured’s accountant, no concerns were raised because the figures matched.
Risk features:
Several factors contributed to the success of the fraud:
Solutions: