If You File False Insurance Claims Using Forged Medical Certificates,
Both Brokers and Accomplices Will Be Involved in Fraud
"Actively Report Brokers and Hospitals Making Fraudulent Proposals," Authorities Urge
As cases of insurance fraud involving the recruitment of loan users and job seekers through bait advertisements such as 'loans' and 'high-paying part-time jobs' on social networking services (SNS) increase, the Financial Supervisory Service has issued a consumer caution alert.
On April 28, the Financial Supervisory Service announced that it had recently detected insurance fraud schemes on platforms such as Naver loan forums and Instagram, where posts related to loans and high-paying part-time jobs are used to induce people to sign up for insurance, followed by proposals suggesting that they can easily make money using the insurance they have enrolled in.
According to the Financial Supervisory Service, brokers check whether loan users and job seekers on SNS have insurance, and then discreetly propose insurance fraud by providing false medical certificates and similar documents.
For those who inquire about the posts, brokers entice them via Telegram, KakaoTalk, and other messaging apps by claiming that it is easy to make money through insurance. At this stage, brokers, with the cooperation of certain hospitals, claim that insurance payouts can be received with simple document submissions, assuring potential accomplices that there will be 'no problems.'
After analyzing the insurance products and coverage details of accomplices, brokers provide forged medical certificates and other necessary documents to enable false insurance claims. In advance, they offer the accomplice a commission of 30 to 40 percent of the insurance payout, and once the accomplice receives the payout, the broker takes a portion as a commission.
The Financial Supervisory Service emphasized that if, during the consultation process after reading a post on SNS, the other party asks about insurance contracts unrelated to the advertisement or proposes that it is easy to make money through insurance, the consultation should be immediately stopped. The agency warned that submitting insurance claims using forged medical certificates provided by brokers is clearly insurance fraud and a serious crime, and that not only the brokers but also the accomplices can be implicated as fraudsters.
The Financial Supervisory Service urged people to actively report brokers or hospitals that propose insurance fraud. If a report is confirmed as an insurance fraud case, a reward of up to 2 billion KRW will be provided.
A representative of the Financial Supervisory Service stated, "If you receive an insurance fraud proposal from a broker that does not make sense, or if you become aware of a suspicious case, we strongly encourage you to report it to the 'Insurance Fraud Reporting Center.'"
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