IAMI CMFI key terms
IAMI CMFI · Get comfortable with the vocabulary.
- Utmost good faith (uberrimae fidei)
- Related: Material fact, Insurable interest
The principle requiring both insured and insurer to disclose all material facts honestly when placing or renewing a marine policy. Breach can allow the insurer to avoid the contract, so misrepresentation at inception often underpins later claim fraud.
- Insurable interest
- Related: Utmost good faith (uberrimae fidei), Constructive total loss
A financial stake in the insured property or liability such that the insured benefits from its safety and suffers loss from its damage. Absence of insurable interest is a classic indicator of fabricated marine claims.
- Material fact
- Related: Utmost good faith (uberrimae fidei), Claims history analysis
Any information a prudent underwriter would consider relevant when deciding whether to accept a risk and at what premium. Deliberate non-disclosure of prior losses or cargo hazards is a frequent fraud route.
- Constructive total loss
- Related: Particular average, Insurable interest
A loss where the subject matter is not physically destroyed but recovery or repair cost exceeds its insured value, allowing the insured to abandon it to the insurer. Fraudsters sometimes inflate repair estimates to trigger this threshold.
- Particular average
- Related: General average, Constructive total loss
A partial loss affecting only the insured's own property, borne by that insured rather than shared across all cargo interests. Claims for exaggerated partial damage are common in cargo fraud.
- General average
- Related: Particular average, Jettison
A long-standing maritime rule where losses intentionally incurred to save a voyage, such as jettisoned cargo, are shared proportionately among all cargo and ship interests. Fraudulent sacrifice claims exploit this apportionment.
- Jettison
- Related: General average, Scuttling
The deliberate throwing overboard of cargo or ship's gear to lighten or stabilise a vessel in peril. Because evidence disappears with the goods, invented jettison claims are difficult to disprove without documentary scrutiny.
- Scuttling
- Related: Deliberate casting away, Jettison
The deliberate sinking of a vessel by its owner or with the owner's connivance, usually to claim a total loss. Indicators include calm-weather sinking, crew rescued without distress calls, and recent increases in insured value.
- Deliberate casting away
- Related: Scuttling, Voyage data recorder analysis
The intentional destruction or abandonment of a ship to create an insurance loss. Investigators look for mismatched voyage plans, removed valuables, and crew hired shortly before the event.
- Hull and machinery (H&M) policy
- Related: Constructive total loss, Dry dock repair verification
Insurance covering physical damage to the vessel, its engines, and equipment, typically on a marine hull form. Claims require proof of accidental damage rather than wear, tear, or owner-caused loss.
- Protection and indemnity (P&I) cover
- Related: Third-party liability claim, Wreck removal
Mutual liability insurance for shipowners covering third-party exposures such as cargo damage, pollution, injury, and wreck removal. Fraudulent or inflated personal injury and cargo liability claims are often directed at P&I clubs.
- Bill of lading
- Related: Clean on board, Documentary discrepancy
The transport document that acts as receipt, contract of carriage, and often document of title for seaborne cargo. Clean bills issued for damaged goods, or forged bills, are central to cargo fraud schemes.
- Clean on board
- Related: Bill of lading, Pre-shipment inspection
A bill of lading notation confirming goods were received in apparent good order and condition when loaded. Falsely clean bills conceal pre-shipment damage and shift liability, indicating documentary fraud.
- Documentary discrepancy
- Related: Bill of lading, Clean on board
A mismatch between documents presented, such as weights, dates, ports, or descriptions differing across bills, manifests, and invoices. Unexplained discrepancies are a strong red flag for fabricated cargo claims.
- Pre-shipment inspection
- Related: Clean on board, Survey report
Independent verification of cargo quantity and condition before loading, often by a surveyor or testing company. Genuine reports help disprove claims that goods were damaged before the voyage began.
- Survey report
- Related: Pre-shipment inspection, Dry dock repair verification
A formal record by an appointed surveyor describing damage, cause, and estimated repair or loss value. Inconsistent or template-like surveys suggest collusion between surveyor and claimant.
- Dry dock repair verification
- Related: Survey report, Hull and machinery (H&M) policy
Physical inspection of a vessel and its repair invoices at the yard to confirm work was actually done. Investigators check steel renewal records, paint history, and yard attendance against claimed costs.
- Voyage data recorder analysis
- Related: Deliberate casting away, Scuttling
Examination of the ship's recorded navigation, engine, and bridge audio data to reconstruct events. Discrepancies with the master's account can reveal fabricated groundings or collisions.
- Automatic identification system (AIS) tracking
- Related: Piracy, Hijacking
Use of satellite and terrestrial AIS records to trace a vessel's actual route, speed, and stops. Gaps, spoofed positions, or unexplained deviations contradict claimed piracy or casualty locations.
- Piracy
- Related: Hijacking, Automatic identification system (AIS) tracking
An act of violence, detention, or robbery at sea committed for private ends by a private vessel against another vessel. Fraudulent piracy claims exploit the difficulty of independent verification offshore.
- Hijacking
- Related: Piracy, Kidnap and ransom (K&R) cover
The unlawful seizure or control of a vessel, its cargo, or crew by force or threat. Staged hijackings may involve collusive crews, unrecorded cargo, and ransom demands without independent witnesses.
- Kidnap and ransom (K&R) cover
- Related: Hijacking, Ransom payment tracing
Specialist insurance reimbursing ransom payments, negotiation costs, and related expenses following a kidnapping. Fictitious or inflated ransom claims require scrutiny of payment trails and negotiator records.
- Ransom payment tracing
- Related: Kidnap and ransom (K&R) cover, Financial transaction analysis
Following the flow of funds from payer through intermediaries to identify beneficiaries and detect staged abductions. Payments to accounts linked to the claimant or crew indicate collusion.
- Cargo theft
- Related: Mysterious disappearance, Inventory reconciliation
The unlawful taking of goods in transit, at port, or in storage, often reported as mysterious disappearance. Fraud overlaps when claimed quantities exceed shipped quantities or theft is staged to claim insurance.
- Mysterious disappearance
- Related: Cargo theft, Inventory reconciliation
A loss where goods cannot be accounted for and no evidence of theft or accident exists. Repeated unexplained shortages from the same shipper or warehouse signal possible fabricated claims.
- Inventory reconciliation
- Related: Mysterious disappearance, Cargo theft
Comparing shipping, warehouse, and sales records to confirm actual quantities moved and lost. Shortfalls between documents and physical stock expose overstated or invented cargo claims.
- Third-party liability claim
- Related: Protection and indemnity (P&I) cover, Slip-and-fall claim
A demand against the insured for injury, property damage, or economic loss caused to another party. Exaggerated injuries, staged accidents, and inflated repair bills are common in marine liability fraud.
- Slip-and-fall claim
- Related: Third-party liability claim, Medical record review
An injury claim alleging a fall on an unsafe vessel surface such as a gangway, deck, or ladder. Fraud indicators include delayed reporting, no witnesses, and injuries inconsistent with the described mechanism.
- Medical record review
- Related: Slip-and-fall claim, Surveillance
Independent examination of treatment notes, imaging, and billing to verify claimed injuries and their cause. Pre-existing conditions, gaps in treatment, and mismatched diagnoses undermine personal injury claims.
- Surveillance
- Related: Medical record review, Chain of custody
Covert observation of a claimant's activities to test whether claimed disability or injury is genuine. Video showing heavy lifting or sport contradicts claims of incapacity and supports recovery action.
- Chain of custody
- Related: Surveillance, Evidence preservation
A documented, unbroken record of who handled evidence, when, and where. Gaps or alterations weaken evidence admissibility and can undermine an otherwise strong fraud case.
- Evidence preservation
- Related: Chain of custody, Voyage data recorder analysis
Securing physical, digital, and documentary material promptly before it is lost or altered. Early steps include photographing damage, retaining voyage data, and issuing hold notices to third parties.
- Examination under oath (EUO)
- Related: Material fact, Claims history analysis
A formal recorded interview of the insured or claimant, conducted under oath and often with counsel present. Inconsistencies with documents or prior statements can support denial or recovery.
- Claims history analysis
- Related: Material fact, Red flag
Review of prior and current claims for frequency, repetition, timing, and shared parties or addresses. Patterns such as recurring total losses or common surveyors suggest organised fraud.
- Red flag
- Related: Claims history analysis, Documentary discrepancy
A warning indicator that a claim may be fraudulent, such as late reporting, missing documents, or evasive answers. Red flags guide investigation but must be corroborated before an allegation is made.
- Financial transaction analysis
- Related: Ransom payment tracing, Recovery and subrogation
Tracing payments, invoices, and bank records to identify inflated costs, duplicate billing, or collusion. Shared accounts between claimant, supplier, and surveyor reveal circular fraud arrangements.
- Recovery and subrogation
- Related: Financial transaction analysis, Evidence preservation
Pursuing reimbursement from third parties or fraudsters after paying a claim, including legal action and asset tracing. Effective recovery depends on preserved evidence and timely notification.
- Suspicious activity report (SAR)
- Related: Anti-money laundering (AML) controls, Sanctions screening
A formal disclosure to the relevant financial intelligence or regulatory authority about suspected illicit activity. Marine insurers may file when ransom, bribery, or laundering indicators arise in a claim.
- Anti-money laundering (AML) controls
- Related: Suspicious activity report (SAR), Sanctions screening
Policies and checks designed to prevent insurance products being used to launder criminal proceeds. Marine cover is vulnerable through inflated premiums, refunds, and third-party payments.
- Sanctions screening
- Related: Anti-money laundering (AML) controls, Suspicious activity report (SAR)
Checking parties, vessels, and payment routes against sanctions lists before paying or covering a claim. Paying a designated party can breach law even when the underlying claim is genuine.