Real Examples and Claims Scenarios
Internal fraud rarely looks dramatic on the surface. Most of the time, it starts small, continues quietly, and comes to light months or years later—often during internal audits or vendor reconciliations. This section explains real-world situations where Employee Dishonesty Insurance could help a business recover financial losses.
Case Study 1: Accountant Diverts Vendor Payments
Industry: Manufacturing Company
What happened:
A junior accountant added his own bank account in place of vendor accounts for small-value payments. This continued for 18 months, over which a total of ₹22 lakh was transferred illegally.
Discovery:
Detected during an internal audit and vendor confirmation exercise.
Insurance response:
Under Employee Dishonesty Insurance, the company submitted proof of transactions, audit documents and filed an FIR. The insurer reimbursed the verified financial loss, minus the deductible.
Case Study 2: Payroll Fraud Using Fake Employees
Industry: Logistics and Warehousing
What happened:
An HR/payroll executive created fake employee profiles and processed salaries to her own bank account. Fraud continued for 10 months before detection.
Loss amount:
₹12 lakh in falsified salary payments.
Insurance response:
Claim was approved because the fraud was intentional, committed by a full-time employee, and reported during the policy period.
Case Study 3: Employee Steals Cash from Retail Store
Industry: Retail Chain / Supermarket
What happened:
A store cashier skimmed small amounts of cash daily from the billing counter. CCTV eventually confirmed theft.
Loss amount:
Around ₹3–5 lakh over several months.
Outcome:
Since this was direct theft by an employee, the claim qualified under the policy’s cash-handling cover.
Case Study 4: Inventory Theft and External Resale
Industry: FMCG / Distribution Business
What happened:
A warehouse in-charge and sales rep were secretly selling company goods to local shops without billing them officially and pocketing the cash.
Loss amount:
Unbilled inventory worth ₹15 lakh.
Did insurance cover it?
Yes, under misappropriation of company-owned goods—but only because stock records and investigation reports supported the claim.
Case Study 5: Digital Funds Transfer Fraud
Industry: Startup (Technology Services)
What happened:
An employee with access to corporate net banking credentials transferred client payments to his personal UPI account.
Action taken:
Company filed a cybercrime FIR. Employee was arrested. Loss was claimed under Employee Dishonesty Insurance, not Cyber Insurance, because the fraud was internal.
Key Insight
Most employee fraud cases are long-term, gradual and done by trusted staff. Detection is often delayed. Insurance helps recover direct financial loss—but only when fraud is proven and supported by documentation.