<대한금융신문=박영준 기자> Kim Eun-kyung, head of the Consumer Protection Department of the Financial Supervisory Service, said at the launching ceremony of the joint public-private insurance council on the 25th, “If each agency shares the insurance fraud investigation techniques accumulated and operates a joint response system, the effectiveness of insurance fraud prevention and detection will be greatly strengthened. said.
Deputy Commissioner Kim made such a statement at the inauguration ceremony of the joint public-private insurance joint investigation council held at the National Health Insurance Corporation’s conference room this afternoon.
In the future, the Financial Supervisory Service and the National Health Insurance Service plan to hold regular meetings to conduct joint investigations on large-scale insurance frauds linked to private insurance and health insurance.
It also conducts regular investigations on false or double claims for private insurance and health insurance medical care benefits. For example, false claims for items that are not covered by indemnity medical insurance or false hospitalization at the secretary’s hospital are depriving insurance money and health insurance medical care benefits at the same time.
“If information sharing between public and private sectors expands, the number of insurance money leaks due to double claims or false claims will be greatly reduced.” There is a need to strengthen the response.”
Until now, the Financial Supervisory Service has carried out planning investigations on areas vulnerable to insurance fraud, advancement of the insurance fraud analysis system, and administrative measures for insurance companies involved in insurance fraud. In 2019, the amount of insurance fraud detection exceeded 880 billion won, reaching an all-time high.
Deputy Commissioner Kim said, “Indeal-loss insurance serves as a private safety net for the people, but due to excessive medical use and excessive medical care, the burden of insurance premiums is increasing for the majority of the people. It is estimated that the amount of claims for national health insurance by 620 trillion won and private insurance fraud is up to 1.2 trillion won per year.”
He also said, “If the sharing of information between the public and private sectors is expanded, the number of insurance money leaks due to double or false claims will be greatly reduced.” He added, “Insurance fraud can be fundamentally prevented so that the disadvantages of insurance fraud do not go to the good public. A close response system is absolutely necessary.”
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