Investigating Life Insurance Fraud and Abuse
To better understand the challenges fraud presents, RGA has reached out to life insurers: We surveyed insurance companies, conducted informational interviews, held discussions at the 2016 RGA Annual Fraud Conference, and conducted our own internal research of claims experience.
How Changes in Neurological Disorder Treatments Can Affect Claims
Brain disorders contribute significantly to disability figures throughout the world, adding more Disability-Adjusted Life Years than HIV or ischaemic heart disease.
Emerging Trends in Life Insurance Claims – What’s Next?
As life claim professionals we must continually be aware of changes and emerging trends within the life insurance industry that may affect claim operations. This article takes a high level look at a few of these trends, focusing on three areas: technology, resources and policies.
SCORacle UK Life Newsletter Issue 7
Welcome to the 7th edition of SCORacle, which contains some variation to the usual Underwriting and Claims focus and includes articles by 3 young students that spent some time with SCOR in the summer to provide their views of our industry. This provides a fascinating insight into the thoughts of our consumers of the future. In addition, we also have some interesting information from our Consultant Cardiologist on two commonly seen conditions that from an underwriting perspective we should keep an eye on and for our readers who are Claims assessors, we include some information relating to changes to death certification.
SCORacle Newsletter 5
The latest issue of SCOR’s UK Life Newsletter has been posted. Contents of the latest issue include:
- Solem: What’s new with SCOR’s Underwriting and Claims manual?
- Underwriting and Claims Development Team: Our role in supporting our clients in underwriting and claims excellence
- “To Err is Human:” How should we speak to our claimants?
- Antibiotic Resitance: Is this becoming a Global Crisis?
- General Data Protection Regulation (GDPR): What will it mean for the insurance industry?
Social Media – Aiding Claim Investigations (Hannover Re)
The information people post online can tell a somewhat different story than what is being presented to doctors and insurers on a claimant statement or application, and can be used in conjunction with other facts to adjudicate claims or when underwriting an applicant.
https://www.hannover-re.com/579294/recent (see newsletter dated 2016-06-30)
SCORacle #4: SCOR Global Life Newsletter
The 4th edition of SCOR Global Life’s newsletter includes articles on a variety of topics in connection with underwriting and claims.
Advances in Cardiac Imaging and the Implications for Underwriting and Claims
Echocardiography was developed during the 1970s and 1980s and allows clinicians to image the heart. The first “M-mode” images were one-dimensional but this was later supplemented with two-dimensional and color Doppler imaging as the technology developed.
Insurable Interest and the Life Insurance Claim
Claim professionals face many unique and diverse challenges when determining whether a claim is payable and to whom such claim shall be paid. The claim professional’s role and expertise is critical since one may unknowingly pay invalid claims on policies that were improperly issued, or even where fraud was involved in the application, unless one basic requirement of the life insurance contract is validated – the presence of insurable interest.