GENERALI: When fraud is detected, prosecution should start immediately after rejecting the claim file
Following the introduction of the amicable report and in a difficult economic climate, insurance fraud experienced a hike during this first quarter, according to the specialists present at the Motor Insurance Day at FIAR. "In cases where fraud is substantiated, but no action is taken to start the prosecution, the parties involved become more intrepid, gain more experience, learn from their mistakes and are free to try their luck with other companies", underlined Madalin ROSU, Head of the Claim Management Department, GENERALI Asigurari.
In his opinion, the actions to take after rejecting a claim file should be as follows: filing a criminal complaint, reporting the case to the underwriting department, terminating the insurance policy in case of Motor Hull and media coverage for the respective case.
As for fraud prevention measures, they are aimed at identifying errors in the loss adjustment process and correcting them by altering procedures and processes, or even in the file documentation process, but also at training the sales force for correct underwriting and avoidance of potential fraud offenders.
The impact of these measures on the company's activity shall materialize in lowering the "leaks" caused by a superficial settlement of files, as well as quick detection of frauds, immediate rectification of errors and identification of honest customers that allows efficient underwriting", explained Madalin ROSU.
Author: Andreea IONETE
on 26.05.2010
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