Zavarovalnica Triglav, d.d., introduced a zero tolerance of fraud and thus clearly expressed its commitment to fair, responsible and legitimate business operations. The fraud management policy is based on three pillars: prevention, detection and investigation of fraud. These three pillars of anti-fraud defence are integrated in all business processes in our insurance company and enable fraud management across the entire range of its operations.
Insurance deception is any unlawful or unfair conduct by a party to an insurance contract with the aim of acquiring a pecuniary benefit from an insurer for themselves or for someone else. Deception includes various groups of unfair and criminal conduct, such the forging of documents, corruption and the unlawful appropriation of assets (e.g. insurance fraud and theft).
The most common form of deception in the insurance business, insurance fraud is when an individual engages in the following conduct with the aim of receiving compensation from an insurer:
deliberately damages or destroys objects;
enters into an insurance contract after a loss event has occurred;
enters into an insurance contract using inaccurate or false information;
presents false or forged documents;
presents a false picture of or invents the circumstances surrounding a loss event.
By managing insurance fraud and other criminal offences we will lower our costs and the costs of our clients. Help us be more effective in preventing, detecting and investigating fraud by telling us about attempted or committed cases of fraud.
Involvement of employees in the prevention of insurance fraud
Triglav employees are trained to prevent and detect insurance fraud. A training course includes more than 1,500 employees involved in underwriting and claims settlement. Training is of crucial importance for raising employee awareness regarding the negative consequences of fraud as well as for creating and promoting an anti-fraud zero tolerance culture.