Fraudulent Claims Settlements Rob Health, General and Life Insurance Sectors in India of 9% Worth of Industry Capital, Says Study

Health insurance clients, said the report, defrauded insurance companies by not disclosing existing diseases. Such customers manipulated empanelled doctors at the stage of application. They also submitted false age certificates so that they could become eligible for health insurance.

The most common type of fraud was forging of medical bills. 31 per cent of fraudulent claims settlements used forged medical bills. Clients sometimes travelled abroad for surgery, but did not disclose it.

According to the Insurance Regulatory and Development Authority (IRDA), the total annual premium income of the insurance industry is around Rs 3.5 lakh crore.



Source: Medindia