CERCETAREA DE CĂTRE ASIGURATORI A CAZURILOR SUSPECTE DE FRAUDĂ
RESEARCH BY INSURERS SUSPECTED CASES OF FRAUD

Summary/Abstract: This subject is very topical at the moment and insurance companies, besides the fact that they should also collaborate better with their external collaborators, should pay proper attention to the frauds committed through their own employees. Based on a fraud suspicion, one draws-up the fraud investigation initiation sheet which culminates with the fraud investigation report. This file is handled by a person appointed by the insurer and it contains wide, complex evidence to support the conclusions. In order to prevent and reduce the causes for fraud I would argue that each insurance company should have its own Antifraud Department which, besides its own employees, should be in constant connection with external collaborators such as: attorneys specialised in fraud, technical experts, private detectives etc. At the same time a package of measures should be drawn-up to regulate the prevention, identification and stopping of fraudulent actions directed against the respective company with the purpose of causing any type of prejudice; this is mandatory for the proper operation of the Antifraud Department.

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