Professional Documents
Culture Documents
INSURANCE FRAUD
What is Fraud?
insurer
2. Intermediary Fraud against insurer &/or
Policy Holder
3. Internal Fraud against insurer by
employee
Identify
Create
Awareness
Build
Training
Sl.
No.
Nature of Fraud
Methods of Control
Insuring a damaged
vehicle
Misrepresentation/
misinformation/Suppress
Investigations by forensic
ion of material facts
specialists, medico-legal team
and investigators
Sl.
No.
4
Nature of Fraud
False Documents/
Inflated Bills
Money laundering
activities by
intermediaries
Methods of Control
Creating database. Regular and
surprise visits of Hospitals
Conduct thorough due diligence
at the time of appointment of
intermediaries.
Periodical training on the
repercussions of involving in
fraud
Sl.
No.
6
Nature of Fraud
Methods of Control
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