Sue Pawar-Price (2010) General Information Background Sue is a dual qualified lawyer (Solicitor/Barrister) with 19 years’ experience in the insurance sector. She started her legal career as an in house Solicitor with a large composite insurer before spending the next 10 years in private practise. She worked at two of the markets leading insurance law firms and worked her way through the ranks of Assistant, Associate, Partner and Technical Director, where she set up, developed and headed large teams of specialist fraud lawyers. Throughout her career she has run her own case load of high value and technically complex insurance fraud cases and during this time she worked with some of the country’s leading experts in fraud including Counsel, Medics, Engineers and industry organisations. She was called to the Bar in 2010 and completed her training at the Criminal Bar (Citadel Chambers). This enabled Sue to further develop her knowledge and expand her experience in fraud cases. During this time she marshalled a number of Judges on high profile Crown Court cases. She regularly prosecuted and defended cases and was retained as an Advocate in the County Court, High Court, Youth Court, Magistrates court and the Crown Court. It was at the Criminal Bar that she developed her knowledge of private prosecutions and advising insurer clients and other commercial organisations on the merits of pursuing this route. Sue joins Clerksroom in November 2014 and her insight into the insurance industry, combined with her wealth of experience in private practise, the civil arena and more recently the Criminal Bar puts her in a unique position to provide her clients with a truly holistic approach to every case she is instructed on. She is a passionate individual, honest and known for being a robust lawyer. She works extremely hard and prides herself on paying absolute attention to the detail of every case. As a previous Solicitor she has vast experience of running cases from beginning to end; understands the importance of listening to her clients, offering solutions and working with them in a professional and down to earth way to secure the desired outcome. She works to quick turnaround times on paperwork and will travel. Sue has lectured to the members of EHFCN (European Healthcare Fraud and Corruption Network) as well as the Insurers of Europe in Brussels, HICFG (Health Insurance Counter Fraud Group), IFIG (Insurance Fraud Investigation Group), IFED (Insurance Fraud Enforcement Department), ACII (Association of Chartered Insurance Institute), brokers, insurers, health care providers, Lloyds Syndicates, specialist investigation firms and Loss Adjusters. She has also provided technical training to many lawyers in the market. In 2013 Sue organised a mock private prosecution (involving a workplace fraud) and has done work with counter fraud groups based in America. She is keen to provide further seminars, presentations, workshops, clinics and knowledge cafes. Practise areas Personal Injury and Fraud Sue will undertake both claimant and defendant work. She continues to specialise in insurance fraud as well as general personal injury litigation to include RTA, EL/PL and slippers and trippers involving the following issues: LVI Bogus passenger claims Induced accidents Staged accidents Tort of deceit Exemplary damages Exaggerated injury and loss Fraud Rings Fraudulent credit hire claims Private prosecutions Complex insurance arguments including non-disclosure/misrepresentation issues as well as issues arising out of insurance contracts, the Road Traffic Act and the MIB agreements Costs. Sue will provide drafting, advisory and advocacy services including disposal hearings, interlocutory hearings, fast track and multi-track hearings. Inquests Sue acts for interested parties before a Coroners Court and is keen to expand this practise area. Information Law Sue has started to develop a reputation in data protection and privacy law. She has advised a number of organisations including general insurers, health care insurers and counter fraud organisations on the use of personal information (under the Data Protection Act and the GDPR) and the legal implications of sharing data in the domestic market as well as internationally for the detection and prevention of crime/fraud. Sue is keen to expand this area of her practise as well as advising on an organisation’s compliance obligations generally. Healthcare Fraud Sue has worked very closely with a number of counter fraud organisations in the UK, Europe and USA who are at the cutting edge of health care fraud in both the public and private sector. Sue understands the complexities of these sorts of cases and is keen to take on cases involving the following issues: Billing for services not rendered Billing for non-covered service as a covered service Misrepresenting the dates of service Misrepresenting the location of service Misrepresenting the provider of service Waiving the policy deductible and excess Incorrect reporting of diagnoses or procedures (including unbundling) Overutilization of services Corruption (kickbacks and bribery) Issuing false or unnecessary prescription drugs. What the clients say “Sue has an impressive ability to take a complicated case and simplify it for the clients’ understanding” … Healthcare Sector “I must commend all the team … but in particular Sue Pawar-Price. She really was a breath of fresh air when taking us through the issues on Data Protection” … Public Sector Client “Sue is one of a hand full of individuals that has made a real difference to our business. She is a true ambassador to your organisation” … General Insurer client. “From the perspective of my 24 years’ experience, I can readily attest not only to Sue’s expertise on the subject of insurance fraud … but also to her exceptional ability to articulate the associated legal and regulatory issues clearly and with great impact be it to clients, government, industry, etc. In that regard, she is not only a highly skilled attorney but a bona fide leader in our field, both in the UK and increasingly throughout the EU, where anti-fraud leaders hold her in the highest regard. Although I am not an attorney, for many years I have worked closely with many of the field’s best here in the U.S and can state unequivocally that Sue has impressed me as being second to none among those highest-calibre men and women”… Healthcare Sector, USA “The mock Private prosecution was a class act … we had to keep pinching ourselves and reminding ourselves that it was not real and that it was a mock trial… “Corporate client “It was the best fraud training I had ever attended” … General Insurance Memberships/Associations The Honourable Society of Lincolns Inn Law Society Criminal Bar Association Sue is also a member of the following groups: Road Traffic Group Personal Injury Group Insurance and Re-Insurance Group Fraud Group (Defendant) RTA & PI Fraud Counsel, Fraud Group (Claimant) RTA & PI Fraud Counsel Costs Group. Qualifications 1993 LLB (Hons) Law 1994 Legal Practise Course 1999 Qualified as a Solicitor April 2010 Bar Exams, BPP Law School (London) July 2010 Called to the Bar July 2011 Qualified as a Practising Barrister Personal Sue is married with a 14 year old daughter, who enjoys horses and playing polo. They like to travel and as “foodies” spend a lot of their time in the kitchen cooking, eating, talking and playing the fiddle.