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How a Young IPS Officer’s Instincts Busted an Organized Insurance Fraud Syndicate

A routine police stop uncovers a massive interstate insurance fraud syndicate targeting terminally ill individuals. The gang orchestrated fake life insurance policies, embezzling millions. The investigation reveals deep corruption, spanning multiple states and involving local authorities.
Indian Masterminds Stories

Can a chance encounter with a stranger reveal a massive fraud? What begins as a routine police interrogation on a cold winter evening could quickly unravel into something far darker. Who could have predicted it?

A few days ago, amidst a thick blanket of fog, a Sambhal police vehicle was slowly making its way back to the station, barely reaching a speed of 20 to 30 km/h. IPS officer Anukriti Sharma was aboard the vehicle, heading back after a long day. Suddenly, a black Scorpio zoomed past her, cutting through the fog at an alarming speed. Given the poor visibility, the reckless speed raised Anukriti’s suspicions. She signaled for the car to stop, but it sped away, heightening her concerns.

With her instincts telling her something was wrong, Anukriti quickly alerted the police patrol, and a roadblock was set up. The Scorpio was intercepted, and a search of the vehicle uncovered a shocking find: Rs 11.45 lakh in cash, two identity cards for the same individual, and 19 debit cards. But what happened next stunned even the most seasoned officers on the force.

The investigation revealed a deeply intricate insurance fraud operation, one whose tentacles had spread across multiple states and had already ensnared thousands of victims. The case was bigger than anyone had anticipated.

Indian Masterminds spoke with Anukriti Sharma, a 2020 batch officer and the current Assistant Superintendent of Police (ASP) in Sambhal, UP, to learn more about this unexpected turn of events and the fraud’s far-reaching implications.

Anukriti Sharma, IPS

THE CASE

The Sambhal police uncovered a major interstate gang behind this massive life insurance fraud scheme. The syndicate had orchestrated fraudulent life insurance policies for thousands of individuals across several states, embezzling crores of rupees through fake claims. This well-coordinated network spanned Uttar Pradesh, Madhya Pradesh, Delhi, Uttarakhand, Bihar, and Assam.

Karan Mishra, the man found in the black Scorpio, revealed that he hails from Banaras. The cards discovered in his possession bore the names Omkareshwar Mishra, First Solution Services, and East India Company, with ‘Investigation Officer’ listed as his designation. Additionally, three mobile phones were seized. However, Mishra was unable to provide a satisfactory explanation for the items found in the vehicle.

As the interrogation unfolded, the police learned that Mishra worked in the insurance sector, specifically for a company called First Solution Services, which was responsible for the legal verification of insurance claims. Insurance companies had outsourced the task of verifying life insurance policies to this company. This is where the scam began. “The gang would create life insurance policies for deceased or critically ill individuals, submitting fraudulent claims by using fake death certificates and fabricated bank accounts to pocket the funds,” Ms Anukriti said.

Items Recovered from the Seized Car

MODUS-OPERANDI

The syndicate specifically targeted vulnerable, often uneducated individuals in rural villages, particularly those suffering from terminal illnesses. They gained the trust of the families of these dying individuals and lured them into signing life insurance policies under false pretenses, falsely presenting the sick as healthy. Many of the victims were poor, so the brokers covered the premiums. The brokers knew that the premiums would stop being an issue once the policyholder died prematurely, which was the ultimate strategy. This manipulation allowed the brokers to collect the insurance payout after the policyholders passed away, profiting from their early deaths.

Even more shockingly, the gang would backdate policies to insure deceased individuals, and once the insurance claims were processed, a small portion of the payout would be given to the family. The rest was pocketed by the brokers. To enable this fraudulent activity, local authorities, including the Gram Pradhan and the Secretary, were complicit in issuing fake death certificates with backdated information. This revealed the depth of the scam, with individuals from various levels of the local administration involved in the scheme.

THE INVESTIGATION 

Whenever insurance companies issue policies or process claims, they conduct investigations, often outsourcing these tasks to third-party companies like First Solution. Since this task was handled by such third parties, the perpetrators were able to manipulate the system with ease.

To further their fraudulent activities, the gang deliberately provided incorrect addresses for the policyholders. As a result, whenever the insurance companies hired external investigators, they were unable to locate the correct addresses. Meanwhile, the brokers remained active, managing the situation and ensuring the scam continued unchecked.

Anukriti explained, “The nominee accounts that were opened were all managed by the accused. They possessed the debit cards linked to these accounts, and the mobile numbers listed on the accounts also belong to them.”

A breakthrough came when the police examined Karan’s phone. They discovered numerous QR codes and transaction records, along with evidence that Karan was handling all the transactions linked to the debit cards found in his possession. Further investigation into his WhatsApp chats revealed conversations about the movement of money from the fraudulent insurance policies. This crucial evidence helped the police crack the case. The gang had been running this fraud for over eight years.

Sambhal SP Krishan Kumar, ASP Anukriti Sharma, and Other Police Officials with the Arrested Accused

LEGAL CONSEQUENCES

The police are currently compiling a complete list of individuals whose insurance policies were fraudulently issued. From the suspects’ mobile phones, over 30,000 photos have been recovered. Interestingly, when the police reached out to many of the victims, none were willing to file complaints.

So far, the police have identified the involvement of 12 individuals in the scheme, in addition to Karan and Amit, another person found in Scorpio. A man named Sachin is believed to play a major role, and authorities are actively searching for him.

Ms. Sharma stated, “This gang specifically targeted individuals suffering from cancer, as the illness was not always visible, making it easier to exploit their condition. By issuing fake life insurance policies, they caused significant financial losses to major companies. We are in the process of notifying all the affected companies and linking this fraud to relevant cases.”

Describing the operation as an organized financial crime, Anukriti added that BNS 111 has been imposed on the accused. The police have taken legal action against those arrested, sending them to jail. She also mentioned that hawala transactions are not ruled out, as the final destination of the money is still under investigation.


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