Shanghai Social Insurance Anti-fraud Mechanism Perfect Research

With the gradual improvement of the construction of social security system and the gradual implementation of the Social Insurance Law,the social insurance system has entered a new era of "universal coverage." Shanghai is the vanguard of the reform of our social security system.In order to comply with the citizens more diversified and personalized service needs,"three social security" new model came into being.However,the "Social Insurance Law" has been implemented for more than six years,Shanghai social insurance fraud did not follow.On the contrary,enterprises and individuals suspected of conspiracy to defraud the social insurance benefits of the insured behavior is more and more common,means more and more diverse.However,there are few researches on the anti-fraud of social insurance in the new mode of "three social security" in our country,which makes the research of this paper very important and innovative.The best risk management is a set of measures that prioritize the risk to minimize the risk of the risk.Based on the theory of risk management,this paper studies the basic situation of Shanghai social insurance and the risk of fraud.This paper analyzes the shortcomings of the current anti-fraud mechanism of social insurance in Shanghai.And then learn from foreign mature anti-fraud experience,to study how to improve the Shanghai social insurance anti-fraud mechanism to ensure that the legitimate rights and interests of citizens and social security funds according to the law to be guaranteed.This paper concludes that there are many shortcomings in the current social insurance anti-fraud mechanism of Shanghai,the low level of information sharing and information,the lack of social security policy propaganda,the unreasonable social insurance system,the lack of social security institutions,social insurance fraud Law enforcement and supervision is not enough.In view of the increasingly mature foreign social insurance fraud mechanism,combined with the high level of foreign government information,information disclosure efforts,social insurance anti-fraud legislation and supervision mechanism is complete,social insurance,anti-fraud audit and other characteristics,this paper that to further improve the Shanghai City social insurance anti-fraud mechanism,one should strengthen the social security agencies with the relevant departments of information sharing,improve the level of information to enhance the ability to identify risks,the second is to increase propaganda,the full implementation of social security policy publicity,To improve the social insurance system,improve the social insurance system,the fourth is to clarify the responsibilities of the various departments in the audit process to improve the level of social security audit,to strengthen risk control,the fifth is to improve the quality of social security system,The punishment mechanism,the sound reporting system,the strengthening of social insurance government supervision and social supervision.