Insurance Fraud: A 28-hour chase to nab a person with seven names!

A bizarre tale of Bajaj Allianz’s efforts to catch a fraudster depicts the difficulties during the chase. The story ends with a twist of finding that the offender was actually trying to defraud 11 other insurers. He had seven PAN cards and seven names

A long chase to nab an offender would be a normal course of work for a policeman, but it sounds strange for an employee of Bajaj Allianz General Insurance. This is precisely what happened with Sandeep Sarpande, assistant manager—corporate legal, who joined two policemen, from the Vimantal Police Station in Pune, and embarked on an arduous journey to nab the offender. They started at around 5am on a sunny morning for Mumbai, where the offender was residing. While the constables were tuned to the FM radio blaring in the vehicle, Sandeep was reminiscing as to how the crook could do everything so perfectly!


The crook had a Bajaj Allianz health policy and lodged a claim for reimbursement of his hospital expenses, where he was admitted for fever. When the Health Administration Team (HAT) claim team received the documents, they were a bit surprised at the claim amount of Rs55,000 for a simple fever! They scrutinised the claim documents and found that everything was perfect!


The inconsistency of the huge amount and a perfect documentation set the alarm bells ringing. The scrutiniser referred the case to their in-house fraud control team at HAT. The team investigated and checked with the hospital to ascertain the treatment costs and the medical protocol. To their astonishment, they found that the claimant was not admitted in that hospital though the documents provided were from the hospital.


After a thorough investigation, the hospital gave it in writing that the claimant was never admitted nor was given any consultation. When they probed a bit more, they came to the conclusion that the claim documents were forged. They confronted the offender on phone and he said that the documents were genuine. It was then decided by the legal team that an FIR be lodged at a police station against the claimant. Once the FIR was lodged at Vimantal police station in Pune, the next step was to arrest the offender and take it to the logical conclusion.


The vehicle suddenly came to a halt and jolted Sandeep. He realised that they had reached Bhayander, a distant suburb of Mumbai. As per the policy records the offender was residing in Bhayander. When they reached the flat they found it locked. They checked with their neighbour and were shocked to hear that nobody stayed in the flat by the claimant's name.


The police team then asked as to who owned the flat and the neighbour promptly provided the owner's contact details and the address where he stayed. Luckily, it was not far away but a 10km drive from where they were. When they reached the owners place they were in for another shock as he said that he has not rented his flat to someone by the claimant's name.


Sandeep and the police constables then gave a description of the claimant. Based on the description, he gave the leave and license agreement which led to the claimant's actual name and photograph. The agreement also revealed that he was employed in a franchisee outlet of a leading telecom operator. Their next location was the franchisee outlet in Malad, a sprawling suburb of Mumbai. But this too yielded no result. With no clues about the offender’s whereabouts, Sandeep was back to square one.

The police constables seemed to lose interest and it was already late in the evening. But, Sandeep was determined to nab this guy and motivated the constables by saying that by coming so far they should not return empty-handed. They once again returned to the franchisee outlet and again enquired about the offender. After a lot of persuasion, one of


Update from Bajaj Allianz

1. The concerned offender was in Police custody for 12 days and judicial custody for 20-25 days. He was produced at the Magistrate Court at Pune. Currently, he is out on bail and the hearing is going on.

2. We have filed a case only for forgery and defrauding Bajaj Allianz. In the charge sheet, the case of multiple identities and PAN cards, along with other forgery offences are included.

his colleagues who happened to visit the outlet informed that the offender very much stayed in Bhayander but not at the address as per the policy records, but at a place which is a good 30-40km from there. They immediately took off for this new location, with great hope.


When they reached there, the wife of the offender panicked at the sight of police authorities and informed that he hasn't reached home yet. The police authorities knew that she was terrified comforted her by saying that they were just enquiring. After waiting for an hour or so, the offender finally reached his home much to the relief of the anxious police constables. They held him and started enquiring about his forgery attempts and when they started the interrogation in their true police style. He quickly spilled the beans and revealed that he had similar forged claims to over 11 other insurers and was in various stages of claim processing.


They were amazed to find that he had reams of letterheads, rubber stamps and other stationery items of various hospitals at his place. But the most amazing thing was that he had seven PAN cards, 11 credit cards and above all seven names!


They arrested him immediately and when Sandeep glanced at his watch it was 11.45pm. Armed with their prized catch, they started their return journey and reached Pune at the crack of dawn at 3.30am. The offender was first taken to Sasson Hospital for a detailed health check-up as it is mandatory and finally put him in the police custody.


After finishing all the required paperwork and related process, Sandeep reached home at 9 am and crashed into bed. After 28-hours and a 700km chase they were finally able to nab the offender.


The police authorities produced the offender in the Pune court the same day. He is currently out on bail. The case is still being pursued by Sandeep who keeps a tab on the proceedings on a regular basis. He wants the offender to be punished which will serve as a lesson for other offenders.



Kishor Chhabria

1 year ago

Sandeep can punish a policy holder with a genuine claim too... isn't it Sandeep

Bajaj Allianz... avoid buying a policy


3 years ago

i wonder if this was possible without any 'support' from the company staff? who is going to investigate that part - coz there is no award for 'Find the crooked employee'...


nagesh kini

In Reply to Param 3 years ago

Certainly there's got to be a 'deep inside connection' without which it is not possible.
In response to Mediclaim RTI query in one PSU the DOs concerned have the audacity to tell the PIO that the 'files/policies do not exist' even when there is ample evidence of the fraudulent settlement of the claim!

nagesh kini

3 years ago

The young man has to be a genius to own so many PAN and Credit cards with multiple addresses and con so many insurance companies with so many claims that got settled!


3 years ago

Wow detailed reporting from MONYLIFE, What is required is exemplary punishment in cases like these which would set an example for others but sadly in our country the law is an *** and its a long drawn process and as you have reported he is already out on bail.
It is cases like these which make Insurance companies' reject genuine claims resulting in people mis-trusting the Insurance company which then may delay or deny legitimate claims.


3 years ago

What about white frauds perpetrated by the insurance companies under the garb of fine print :)



In Reply to Atiker 3 years ago

There are two sides of a coin. Moneylife has highlighted the fine prints many times more than any other media. Fraud from consumers is also a reality that cannot be ignored.


In Reply to Atiker 3 years ago

There are two sides of a coin. Moneylife has highlighted the fine prints many times more than any other media. Fraud from consumers is also a reality that cannot be ignored.

Nifty, Sensex in a short downturn: Thursday closing report

Nifty has closed below the crucial level of 6,060 for a few days of decline.

The indices on Thursday opened slightly up at the start of the session but immediately went into the red. It then corrected again and stabilised around the previous day’s close for a while. However, post-lunch, the markets dipped and closed in the negative.

The Sensex opened at 20,580 before hitting an intra-day high of 20,630. It corrected and hit an intra-day low of 20,375 before closing at 20,416 (down 132 points or 0.64%). The Nifty opened at 6,099 and moved from the level of 6,111 to 6033 and closed at 6,046 (down 63 points or 0.71%). The National Stock Exchange (NSE) recorded a higher volume of 63.09 crore shares.

Today’s decline may be the downmove in a long time. The bulls are on the back foot. However, we feel that the market will try to rally after a few days of decline. The fall thereafter, may be a bigger one.

Overall, broad market suffered more declines than advances. Out of 1,221 stocks, 626 were in the red, 537 ended up in the green and 58 remained unchanged.

With the exception of auto, information technology and service indices which were down 1.20%, 3.54% and 1.54%, most indices were flat. The CNX Media index was up 1.51%.

Of the 50 stocks in the Nifty, 18 ended in the green. The top five gainers were Jaiprakash Associates (6.11%); Bharti Airtel (2.92%); ONGC (2.27%); ITC (1.76%) and BPCL (1.49%). While the top five losers were HCL Tech (7.09%); TCS (5.25%); IndusInd Bank (4.66%); L&T (4.11%) and Tata Motors (3.82%).

The US government shutdown impasse has been broken and US government services are expected to resume. Both the Republicans (led by John Boehner) and Democrats (led by President Barrack Obama) came to an agreement to raise the debt ceiling. However, this comes with strings attached. The US government would be given borrowing authority only till February 2014. Therefore, it is possible that another US shutdown could be imminent within the next four months, should the present US government breach the debt limit within the timeframe. The shutdown reportedly cost the US economy $24 billion.

Gold went up 1.87% during the initial hours of the trade in COMEX. Many investors also expressed concerns over the strength of the US dollar. In the currency markets the EUR/USD went up 0.69% at 1.36 per USD during early morning trade.

Asian markets were mixed, indicating lack of conviction. With the exception of Shanghai, Hong Kong and India, most Asian indices ended in the green (albeit barely). None of the markets exhibited any strength. Shanghai Composite was down 0.21%, Hang Seng was down 0.57%.

At the time of writing this piece, European indices were mostly in the red. The US Stock Futures were down too.


NSEL MD Anjani Sinha arrested

The managing director of scam-ridden NSEL has been arrested after months since the NSEL scam broke out

Anjani Sinha the managing director of scam-ridden exchange NSEL has been arrested. The arrest comes after months of sordid facts and revelations that NSEL is involved in a Rs5,600 crore scam that shook the very foundation of trust in the Indian capital markets. It also comes after the enforcement directorate (ED) questioned the managing director.

The NSEL scam happens to be the biggest of the multiple scams that have hit the commodities markets, thanks to poor regulation. However, no action had been taken by authorities so far, until now. Even the Financial Technologies managing director, Jignesh Shah, accused Anjani Sinha of defrauding him, though it remains to be seen whether action will be taken against the promoter company Financial Technologies for lapse in corporate governance.

The impact of poor regulatory framework, disempowered regulator, sloppy supervision and the lack of checks & balances was apparent when commodities markets were just coming to the fore.

Soon after suspicions were mounting that NSEL would default on its payments, the managing director went on record to say that NSEL has sufficient stocks in warehouses to cover the entire open exposure and in the event of any default, stocks will be sold to fulfill payment obligations. However, this never happened. It was found out that the warehouses receipts issued by NSEL were found to be bogus, similar to the one Harshad Mehta used for his scam. Nobody seemed to verify whether the goods actually existed or not in the warehouses. Brokers started giving out contract notes to hundreds of investors backed against just one warehouse receipt. This meant a disaster was waiting to happen.

NSEL soon suspended trading in select products. They announced a payment schedule which fell woefully short also. Some of the biggest brokers were staring at huge losses who mis-sold NSEL products to retail clients. Ironically, even NSEL biggest client, Indian Bullion Market Association (IBMA) is owned by Financial Technologies.

More shockingly, according to Economic Times, it was found out that Anjani’s wife punched as much as Rs40,000 crore of MCX trades, mostly leveraged trades and losses were incurred. No margins were collected either despite losses incurred by her.


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