Fraud investigation case study in perspective of Insurance claims. Methods that has been utilized to determine the fraud elements in cases are enlightened in this presentation through real life case studies.

1. Engineering Fraud
Investigation
Date : 20 March 2023
By : Ts G Sujenthiran Eng Tech
Vice President of Engineering
(Mechanical/Marine):
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2. Qualifications & Certifications
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Diploma in Marine Engineering - 2009
CoC Class III Motor – 2009
CoC Class II Motor - 2012
Registered Engineering Technologist - 2022
Professional Technologist - 2022 MSc Project Management - 2021

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Expertise
• 8 years Marine
Engineer (Oil
Terminal, Crude Oil
Tanker &
Shipbuilding)
• 3 Years as Chief
Engineer for
Township, Theme
Park and Hotel
construction projects
• 3 Years + in Forensic
Engineering

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Case Study AGI Statistics
AGENDA

5. Ceramic Membrane Filter
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6. Customized Filter System
• Fire on July
2021
• Power outage
• Redundant
system
• Alleged to have
clogged the filter
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7. Hypotheses
•Clogged due to
redundancy?
•Or?
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Document Analysis

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Ceramic Detail

10. Claim Value
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11. Macro Analysis
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Micro Analysis

13. Electrical & Electronic Assessment

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Market Research

15. Discussion
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• Macro analysis = no clog
• Micro analysis = no clog
• Electronic items = restored (no cost)
• Design operating capacity = 0 – 14 pH
• Filter price range = USD 80 to 130 per piece

16. Conclusion
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Failure Mechanism Failure Mode Root Cause of Failure
CLOG
REDUNDANCY ?
FRAUD!!!

17. Common
Causes
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1. Human
2. Human
3. Human
: Operations
: Maintenance
: Incompetence

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0
5
10
15
20
25
30
35
40
2001200220032004200520062007200820092010201120122013201420152016201720182019202020212022
AGI Root Cause Statistics: 2001-2022
Operations Maintenance Incompetence Fraud Manufacturing Others

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0
5
10
15
20
25
30
35
40
2001200220032004200520062007200820092010201120122013201420152016201720182019202020212022
AGI Root Cause Statistics: 2001-2022
Operations Maintenance Incompetence Fraud Manufacturing Others

20. Q&A
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21. Global Solution to:
Fire, Explosion & Implosion Investigation
Vehicle Accident Reconstruction
Mechanical, Electrical and Electronic Failures Investigation
Complex Engineering Loss Investigation
Metallurgical Analysis
Questioned Documents & Handwriting Examination
Damage Assessment & Disaster Restoration
Infrared Thermography
Covid-19 Sterilization
3D Imaging
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