The National Office of Investigation at the Korean National Police Agency announced on December 22 that it will conduct a nationwide special crackdown on fraudulent claims related to indemnity insurance.
The main targets of the crackdown include: ▲ fraudulent claims for treatments not covered by indemnity insurance; ▲ excessive, duplicate, or split claims made to meet insurance payout requirements; ▲ falsification of medical records or receipts; ▲ various types of insurance fraud; and ▲ acts of brokering, solicitation, or inducement.
The police will designate and operate dedicated insurance fraud investigation teams within the anti-corruption and economic crime investigation units and criminal investigation squads at each provincial police agency. Their investigative efforts will focus on organized and malicious insurance fraud involving medical professionals or brokers, rather than simple cases involving individual patients with relatively minor intent to defraud.
A police official stated, "Insurance fraud undermines trust in the insurance system, which is a key pillar of the social safety net, and causes insurance payouts to leak, ultimately harming honest policyholders. As such, we will do our utmost in this crackdown."
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