On April 11, the General Administration of Financial Supervision announced that in order to prevent and defuse the risk of insurance fraud, protect the legitimate rights and interests of insurance consumers, and promote the high-quality development of the insurance industry, the General Administration of Financial Supervision drafted the working measures against Insurance Fraud (draft for soliciting opinions) (hereinafter referred to as the "measures") and solicited opinions from the public.
(picture sourceBingolottogame: official website of the General Administration of Financial Supervision)
The General Administration of Financial Supervision said that in recent years, there has been a gradual increase in the number of insurance fraud syndicated, professional, cross-regional and inter-agency cases. Some of the contents of the current guidelines on Anti-Insurance Fraud can no longer meet the needs of the current anti-fraud work. To this end, the General Administration of Financial Supervision drafted the "measures", emphasizing the top-level design and strengthening overall planning; highlighting the protection of consumers' rights and interests in anti-fraud work; strengthening the empowerment of science and technology and the application of big data, so as to promote big data's new mode of anti-fraud work.
Specifically, the measures clearly define the responsibilities of anti-fraud supervision, stipulating that the General Administration of Financial Supervision and its dispatched offices shall regularly inspect and evaluate the soundness and effectiveness of the fraud risk management system of insurance institutions, and guide the anti-fraud work of relevant industry organizations.
At the same time, in view of the anti-fraud duties and tasks of insurance institutions, the measures stipulate that insurance institutions should assume the main responsibility of fraud risk management, establish and improve fraud risk management systems and mechanisms, standardize operation procedures, improve information systems, deal with fraud risks safely, strengthen industry cooperation, carry out anti-fraud exchange training, publicity and education, and fulfill reporting obligations.
In addition, the "measures" also clarify the division of anti-fraud responsibilities of relevant industry organizations, stipulating that Bank and Insurance Trust Company should give full play to the advantages of centralized management of big data platform under the guidance of the General Administration of Financial Supervision and its dispatched offices, explore the establishment of infrastructure such as multi-insurance industry anti-fraud information platform and anti-fraud intelligence center to monitor and analyze industry fraud risks, and conduct centralized screening of suspected fraud data on a regular basis.
In the aspect of external cooperation in anti-fraud, the measures cover the convergence of execution, transfer and crackdown of cases, supervision and cooperation of administrative departments, coordination between central and local governments, cross-border cooperation, and so on. it is stipulated to strengthen cooperation with public security and judicial organs, relevant administrative departments and local government functional departments in the aspects of execution convergence, joint law enforcement, information sharing and so on. Strengthen cross-border anti-fraud cooperation, establish and improve the framework of cross-border exchanges and cooperation, and guide industry organizations to strengthen communication with overseas anti-fraud organizations.