The second measure is that insurance companies should study the characteristics of insurance fraud and strengthen the standardization of insurance underwriting and claims review. Insurance fraud can not avoid underwriting and claims review, and the standardized operation of these two links will effectively prevent the occurrence and success of fraud crimes, or at least reduce the occurrence of such incidents.
Measure 3: Improve the internal supervision mechanism of insurance companies, strictly manage, prevent omissions, establish an internal underwriting audit system of insurance companies, conduct multiple identification, evaluation and screening of business risks according to procedures, and effectively control responsibilities. Severely crack down on insurance fraud and form a social deterrent. Measure 5: Establish an open insurance anti-fraud information system platform, establish and improve the reporting system, concentrate industry forces to crack down on fraud crimes, and establish an open insurance anti-fraud information system platform in insurance industry associations.
: The fraud risk management system of insurance institutions shall include the following contents:
(1) Effective supervision and management by the board of directors, the board of supervisors and the management;
(2) An organization suitable for the nature, scale and risk characteristics of its business;
(3) Organizational structure and process setting of fraud risk management;
(four) the division of powers and responsibilities and accountability mechanism;
(5) Procedures for identifying, measuring, evaluating, monitoring and handling fraud risks;
Internal control and supervision mechanism;
7. Fraud risk management information system;
Reporting and crisis management mechanism. Strengthen the publicity of insurance principles, basic principles and insurance legal system, consciously safeguard insurance fairness, safeguard their legitimate rights and interests and social interests, form a strong public opinion, and effectively curb insurance fraud.
Insurance companies should study the characteristics of insurance fraud and strengthen the standardization of insurance underwriting and claims review. Insurance fraud cannot escape underwriting and claims review. Standardizing the operation of these two links will effectively prevent the occurrence and success of fraud crimes, or at least reduce the occurrence of such incidents. Improve the internal supervision mechanism of insurance companies, strictly manage, prevent omissions, establish an internal underwriting audit system of insurance companies, and conduct multiple identification, evaluation and screening of business risks according to procedures to effectively control responsibilities. Crack down on insurance fraud and form a social shock. Measure 5: Establish an open insurance anti-fraud information system platform, establish and improve the reporting system, concentrate industry forces to crack down on fraud crimes, and establish an open insurance anti-fraud information system platform within insurance industry associations.