Shanghai Securities News reporter learned on the 5th that in order to effectively prevent and resolve the risk of insurance fraud, clarify the responsibilities and positioning of anti insurance fraud organizations, establish an anti insurance fraud joint prevention mechanism, and protect the legitimate rights and interests of insurance consumers, under the guidance of the China Banking and Insurance Regulatory Commission, the China Insurance Industry Association recently officially issued the work guidelines for anti insurance fraud organizations in the insurance industry (for Trial Implementation).
With the sustained and rapid development of China's insurance industry, the risk of insurance fraud is gradually emerging. The characteristics of the perpetrators are obvious, such as specialization and gang, intelligent means and huge funds. The anti insurance fraud situation is severe. In order to further establish a sound coordination mechanism, strengthen cooperation with regulatory authorities, public security organs and other departments, explore the application of information technology in anti insurance fraud organizations, and increase industry anti fraud publicity, China Insurance Industry Association, under the guidance of China Banking and Insurance Regulatory Commission, organized Zhejiang Insurance Association, Guangdong Insurance Association Sichuan Insurance Association, Qingdao Insurance Association and other local insurance industry associations set up a research group on the anti insurance fraud organization system of the insurance industry to explore and promote the establishment and improvement of the anti insurance fraud working mechanism.
It is understood that the China Insurance Industry Association officially launched the research work in October 2020, and finally formed the above work guidelines on the basis of a comprehensive understanding of the construction and operation of local anti insurance fraud organizations. The work guidelines have six chapters and 28 articles, which standardize the anti insurance fraud organization system of the insurance industry from six aspects: General principles, organizational structure, working mechanism, information system, publicity and education and supplementary provisions, and clarify the functions of anti insurance fraud organizations.
The release of the work guidelines is an important embodiment of the China Insurance Industry Association to strengthen industry self-discipline, which is conducive to laying a solid organizational foundation for the anti fraud work of the insurance industry, improving the ability to prevent and resolve fraud risks, optimizing the development environment of the insurance industry, and forming an overall operation mechanism of "a game of chess" for the national anti insurance fraud organization.
(Shanghai Securities News · China Securities Network)