According to him, anti-fraud plan must include measures to protect the agency from policyholder and claims fraud, intermediary fraud perpetuated through an regular insurance agent, preferred agent, coverage agents, management organisation of a consortium and adjusters, and from inner fraud consisting of those devoted via the director, supervisor and/or another officer or worker.
Insurers are required to look at the minimum requirements set forth inside the recommendations regarding their anti-fraud efforts–consisting of prevention detection and research of fraud, reporting of fraud, and anti-fraud focus, training and schooling.
The guidelines also require the inclusion of a fraud warning inside the claims shape or any document to be filled up by means of an insured in making a claim.
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