Reporting Targets Include Hospital Staff, Brokers, and Patients
Hospitals, doctors, and brokers who commit insurance fraud using actual loss insurance-such as for cosmetic, plastic surgery, obesity treatments, or through false hospitalization and outpatient claims-can be reported, and informants may receive rewards of up to 50 million won.
On January 11, the Financial Supervisory Service and the insurance industry announced that this "special reporting reward period" will be in effect from January 12 to March 31.
The reporting period runs from January 12 to March 31, and the targets include hospitals, clinics, doctors, and brokers nationwide suspected of actual loss insurance fraud.
The reward amounts are set at 50 million won for hospital or clinic staff, 30 million won for brokers, and 10 million won for hospital users such as patients.
In addition, the "insurance crime reporting reward" operated by the Life and Non-Life Insurance Associations will be provided as an additional incentive.
If the informant presents concrete evidence that can prove the circumstances of insurance fraud and actively cooperates with investigative authorities, such as by providing witness statements, they may receive the reward. Reports can be made to the Financial Supervisory Service or to each insurer's insurance fraud reporting center.
A Financial Supervisory Service official stated, "If the reliability and specificity of the submitted evidence are high, we will promptly refer the case for investigation and take swift action," adding, "We will respond strictly to insurance fraud in close cooperation with the police, associations, and insurers."
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