Financial Crime World

Title: ASR Netherlands: Combatting Insurance Fraud with Clear Communication, Specialized Investigators, and Advanced Techniques

ASR, a major insurance company based in the Netherlands, is dedicated to maintaining trust with its customers and upholding fair insurance practices. While a minority of clients may engage in insurance fraud, studies show that a majority of customers support stricter measures against fraud. Unchecked fraud can lead to increased premiums for all policyholders.

Preventing Misunderstandings: Clear Communication

ASR encourages customers to maintain open lines of communication, preventing potential misunderstandings that could lead to fraudulent activities. This includes addressing any questions or concerns during the application process and when filing a claim.

Defining Insurance Fraud

ASR considers insurance fraud to be any deliberate deception aimed at benefiting fraudsters or third parties through false information, misrepresented facts, or exaggerated damages. Examples of fraudulent activities include:

  1. Misrepresenting application information
  2. Exaggerating loss circumstances
  3. Altering invoices
  4. Submitting inflated claims
  5. Resubmitting rejected claims with false contexts
  6. Intentionally causing damage and claiming it as an accident
  7. Faking or exaggerating personal injuries

Fighting Fraud: Specialized Investigators and Advanced Techniques

ASR employs specialized fraud management coordinators to prevent, detect, and combat insurance fraud. These experts are listed in the Register of Chartered Fraud Management Coordinators and follow strict regulations and protocols. They employ methods such as:

  • Investigations and client interviews
  • Intelligence gathering from public sources
  • Collaboration with external agencies

Detecting Fraud: Sophisticated Detection Techniques

ASR uses advanced techniques to identify fraud while adhering to Dutch laws and regulations. These techniques include:

  • Forensic, tactical, and personal investigations
  • Collaboration with external investigation agencies
  • Use of predictive software
  • Intelligent financial alert systems
  • Information exchanges between insurers

When Fraud is Detected

When fraudulent activity is suspected, ASR conducts a thorough investigation:

  1. Gathering relevant information
  2. Notifying and interviewing individuals or parties involved
  3. Consequences based on the extent and nature of the fraud:
    • Refusal to compensate for losses
    • Recoupment of investigation costs
    • Cancellation of contracts
    • Sharing personal data with the Central Information System for insurers
    • Filing police reports

Reporting Suspected Fraud

ASR takes fraud seriously and encourages customers to report any suspected fraudulent activities:

  • Contact the ASR Security department by email or phone
  • Provide comprehensive information: claim number, personal information, manner of obtaining the information
  • All reports will be treated confidentially and with care.