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Motor Insurance Frauds in India: Detection and Control Mechanisms

Year 2013
Volume/Issue/Review Month Vol. - VI | Issue II | July - December
Title Motor Insurance Frauds in India: Detection and Control Mechanisms
Authors Irfan Bashir , C. Madhavaiah , J. Rama Krishna Naik
Broad area Motor Insurance Frauds in India: Detection and Control Mechanisms
Abstract
Insurance fraud is constantly raising concerns among insurance companies and regulators, due to huge losses
caused to business every year. For every Rs. 100 premium earned by the insurance companies, they would be
paying Rs. 213 as claims. Motor insurance which contributes almost one third to the non-life insurance in India is
highly affected by fraud. Many insurance companies are showing loss due to high claim ratio in motor sector. The
motor insurance market in India is growing at respectable rate, and this provides greater opportunity for insurance
companies to tap this growing market. Nonetheless, the insurance companies face greater challenges in terms of
reducing claim processing cost, and detection and control of fraud. Hence, the purpose of this paper is to explore
the magnitude of the problem and methods to prevent and control fraud in motor insurance. And also study highlights
ways to reduce claim processing cost. The paper reveals the scarcity of research of such a topical issue in developing
economies such as India and suggests the urgent need to discuss among insurance companies about the effects
of insurance fraud on the industry, with a view to tackle the problem. This should also be complimented with the
establishment of “Insurance Fraud Bureau” that would promote public awareness campaign on the evil effect of
fraud on the economy.
Description Whatever is practiced in west easily find its way to India. Motor insurance and health insurance are more susceptible to insurance frauds, followed by life insurance and property insurance. A recent survey has shown that more than 50% of the third party (
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Referenceses
  • 1. Artis, M. Ayuso, M. and Guillen, M. (2002),
  • “Detection of Automobile Insurance Fraud with
  • Discrete choice Models and Misclassified Claims”,
  • The Journal of Risk and Insurance, Vol. 63, No. 3,
  • pp. 325-340.
  • 2. Carris and Colin, (1997), “Insurance Fraud and the
  • Industry Response”, CPCU Journal, Vol. 50
  • (summer), pp. 92-103.
  • 3. Choudhary, J. (2013), “Living in Michigan & Claiming
  • in Delhi”, IRDA Journal, Vol.XI No.2, pp.21-25.
  • 4. Clarke, M., (1989), “Insurance Fraud”, British Journal
  • of Criminology, Vol. 29, No. 1, pp. 1–20.
  • 5. Clarke, M., (1990), “The Control of Insurance Fraud:
  • A Comparative View”, British Journal of Criminology,
  • Vol. 30, No. 1, pp. 1–23.
  • 6. Crocker, K.J. and Morgan, J. (1998), “Is Honesty
  • the Best Policy? Curtailing Insurance Fraud through
  • Optimal Incentive Contracts”, Journal of Political
  • Economy, Vol. 106, No. 2, pp. 355-375.
  • 7. Derrig, R. A. (2002), “Insurance Fraud”, The Journal
  • of Risk and Insurance, Vol. 69, No. 3, pp. 271-287.
  • 8. Derrig, R.A. and Zicko, V.A., (2002), “Prosecuting
  • Insurance Fraud – A Case Study of the
  • Massachusetts Experience in the 1990s”, Risk
  • Management and Insurance Review, Vol. 5, No. 2,
  • pp. 1–28.
  • 9. Dodd, N. J. (1998) “Insurance Claims Fraud: Applying
  • Psychology to the Reduction of Insurance Claims
  • Fraud”, Insurance Trends, Vol. 18, pp. 11-16.
  • 10. Doig, A., Jones, B. and Wait, B. (1999), “The
  • Insurance Industry Response to Fraud”, Security
  • Journal, Vol. 12, pp. 19-30.
  • 11. Duffield, G. and Grabosky, P. (2001), “The
  • Psychology of Fraud”, Trends & Issues in Crime
  • and Criminal Justice, Paper No. 199, available at:
  • www.aic.gov.au (accessed on 20th April 2006).
  • 12. Horvath, F. (1982), “Detecting Deception: The
  • Promise and the Reality of Voice Stress Analysis”,
  • Journal of Forensic Sciences, Vol 27, pp. 340-351.
  • 13. IAIS (2007), Report on the Survey on Preventing,
  • Detecting and Remedying Fraud in Insurance,
  • International Association of Insurance Supervisors,
  • Basel, available at: www.iaisweb.org/
  • index.cfm?pageID¼44 (accessed on 7th October
  • 2007).
  • 14. IRDA Annual Report for the year 2009-10.
  • 15. IRDA Annual Report for the year 2010-11.
  • 16. IRDA Annual Report for the year 2011-12.
  • 17. Kebbell, M. R., Milne, R., & Wagstaff, G. F. (1998),
  • “The Cognitive Interview: A Survey of its Forensic
  • Effectiveness, Psychology, Crime & Law, Vol. 5, pp.
  • 101-115.
  • 18. Litton, R. (1990), “Fraud and the Insurance Industry:
  • Why don’t they do Something About It, then?”
  • International Journal of Risk Security and Crime
  • Prevention , Vol. 3, pp. 193-205.
  • 35
  • 19. Major, J.A. and Riedinger, D.R. (2002), “EFD: A
  • Hybrid Knowledge/Statistical-based System for the
  • Detection of Fraud”, The Journal of Risk and
  • Insurance, Vol. 69, No. 3, pp. 309-24.
  • 20. Schiller, J. (2006), “The Impact of Insurance Fraud
  • Detection Systems”, Journal of Risk and Insurance,
  • Vol 73, No. 3, pp. 421 -438.
  • 21. Schneiderman, B. (1998), Designing the User
  • Interface: Strategies for Effective Human-Computer
  • Interaction, 3/e, Harlow, UK: Addison-Wesley.
  • 22. Smith, K.W. (1992), “Reciprocity and fairness:
  • positive incentives for tax compliance”, in Slemrod,
  • J. (Ed.), Why People Pay Taxes: Tax Compliance
  • and Enforcement, University of Michigan Press, Ann
  • Arbor, MI.
  • 23. Sparrow, M.K., (1998), “Fraud Control in the Health
  • Care Industry: Assessing the State of the Art”,
  • Research in Brief, Washington, D.C.: National
  • Institute of Justice, December.
  • 24. Sparrow, M.K., (2000), License to Steal: How Fraud
  • Bleeds America’s Health Care System, 2/e, Denver,
  • CO: Westview Press.
  • 25. Times of India Mumbai Edition dated 25-07-2007.
  • www.timesofindia.com
  • 26. Todd, J.D., Welch, S.T., Welch, O.J. and Holmes,
  • S.A. (2000), “The Nature and Characteristics of
  • Insurance Agent Fraud”, CPCU Journal, Vol. 53, No.
  • 3, p. 152.
  • 27. Viaene, S. and Dedene, G. (2004), “Insurance Fraud:
  • Issues and Challenges”, The Geneva Papers on
  • Risk and Insurance, Vol. 29 No. 2, pp. 313-33.