As a car insurance adjuster, if you accept the benefits of customers or repair shops, does it mean you are involved in insurance fraud? How to define insurance fraud?
Your friend should know that as an insurance claims practitioner, he often handles insurance fraud cases, and should understand the elements and handling procedures that constitute insurance fraud. According to the information you provided, it is impossible to determine whether it constitutes insurance fraud, only that the company thinks it takes bribes at work. Procedurally speaking, if an insurance company or assessment company thinks that a case is suspected of insurance fraud, it should report it to the public security department (through investigation or criminal investigation), which will file a case for investigation, collect evidence, and finally form a conclusion, which constitutes a criminal fact, and the public security department will hand it over to the procuratorate for prosecution. It is impossible for the company to bring a lawsuit to the court. Whether there is evidence that your friend is involved in fraud is decided by the public security department, not your friend or the evaluation company. The court is only responsible for review. As for whether the charges are established, it depends on whether the evidence collected by the public security department is sufficient. Once established, criminal responsibility will be determined according to the Criminal Law. If the amount is relatively large, he shall be sentenced to fixed-term imprisonment of not more than five years or criminal detention, and shall also be fined not less than 10,000 yuan but not more than 100,000 yuan; If the amount is huge or there are other serious circumstances, he shall be sentenced to fixed-term imprisonment of not less than five years but not more than ten years, and shall also be fined not less than 20,000 yuan but not more than 200,000 yuan; If the amount is especially huge or there are other especially serious circumstances, he shall be sentenced to fixed-term imprisonment of not less than 10 years, and shall also be fined not less than 20,000 yuan but not more than 100,000 yuan, or his property shall be confiscated. How serious the consequences are depends on what your friend did in the accident. Your friends should know. It is impossible for only one person to operate and do it. As long as others confess, your friends will be hard to get rid of. If your friend really doesn't know, be sure to get sufficient evidence. Even if you are not involved in the crime, if you accept benefits, you may file a case for accepting bribes. If your friend really has a problem, it is recommended to consult with the unit. The unit also knows that once the case is reported, it will be handed over to the public security department, and it has no right to interfere, and the related losses may not be compensated.