China Insurance Fraud Prevention Study

With the sustained, rapid and healthy development of the Chinese insurance industry,insurance fraud risk gradually revealed the modus professionalization, gangs, meansintelligent, the huge amount of funds and cross-border crime, and other distinctivecharacteristics, insurance fraud cases in some areas, individual areas into highmomentum, the situation is grim anti-insurance fraud. To carry out the work ofanti-insurance fraud, is the need to promote the sustained and healthy development of theindustry, is an important means to strengthen the internal control of the insurancecompany is an important guarantee to enhance the international competitiveness of theinsurance industry. Therefore, insurance fraud and its Countermeasures on accuratelyidentify insurance fraud, enhance prevention, and prevention of the occurrence ofinsurance fraud, safeguard the normal order of the insurance has an importantsignificance.This paper first introduces the definition of the concept of insurance fraud, threeangles from policyholders, insurers and insurance agents elaborate manifestations ofinsurance fraud, serious harm came to the conclusion of insurance fraud; Secondly, theChinese insurance fraudthe current situation and the necessity of the insurance Fraud;once again introduced international major developed countries to take measures to dealwith insurance fraud and learn from experience; Finally Countermeasures against fraudpolicyholders, insurers and insurance agents.Data shows that in the late1980s, the Chinese fraud crime involved insurance fraudaccounted for only about2%; such cases rose to about6%by the end of1994, rose to9.1%by the end of2000,According to industry experts estimate Payout20%to30%ofthe total amount of insurance fraud accounted for15%, and this proportion is only aroundthe world. In view of the data CIRC provided, there were193insurance fraud cases in2011, a year-to-year decline of3.5%compared with2010,involving104.68million yuan,down69.24%year-on-year. Insurance fraud cases occurred in the first half of2012, atotal of127cases, involving36.45million yuan. Which14cases of fake insurancepolicies cases, involving308million yuan; of false Peian112, involved the amount of28.37million yuan; cases of fake institutions1, involving500million yuan. Domesticinsurance system in China and international level of development of the domestic insurance market lags far behind developed countries in Europe and America. Theproblems in the insurance market and the severity varies. Therefore, the study ofinsurance fraud should be based on the reality of China, on the basis of drawing oninternational research methods to carry out targeted research on insurers, policyholdersand agents of insurance fraud recommendations.