Τίτλος παρουσίασης: “What it takes to win a running battle to fight fraud?”
Speakers: Thanos Papanikolaou, Principal, Deloitte, Thomas Brinkmann, Country Manager Greece & Cyprus, Friss
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9o Insurance Conference - Thanos Papanikolaou, Thomas Brinkmann
1. What it
takes to win
a running
battle to
fight fraud?
Thanos Papanikolaou
Deloitte, Principal
Thomas Brinkmann
FRISS, Country Manager
2. Deloitte Hadjipavlou Sofianos & Cambanis S.A. 2
What it takes to win a running battle to fight fraud?
Industry & Fraud Expertise
In order to effectively utilize
data and technology a
multidisciplinary set of
professionals is required. Deep
industry and market knowledge
must be supplemented with
strong fraud and analytical
skills.
Data
It is all about having the
internal and external
data available at the
right time and at the
right quality.
Processes
In order to be effective in
combating fraud on a day-to-
day basis and avoid wasting
resources without the expected
ROI, a robust set of processes
must govern the insurer’s
actions against fraudsters.
Technology
Availability of specialized
technology, taking advantage
of advanced analytics
capabilities and going beyond
traditional data querying, is a
necessity not a luxury for
today’s insurers.
3. Deloitte Hadjipavlou Sofianos & Cambanis S.A. 3
The Fraud Triangle
Incentive /
Pressure
Rationalization
/ Attitude
Opportunity
Circumstances may exist that
create opportunities for clients
to commit fraud.
When such opportunities arise,
those who might not otherwise
be inclined to behave
dishonestly may be tempted to
do so.
Employees or clients may find
themselves offered incentives or
placed under pressure to
commit fraud.
Some individuals are more
prone than others to commit
fraud.
Other things being equal, the
propensity to commit fraud
depends on people’s ethical
values as well as on their
personal circumstances.
Fraud RiskFraud Risk
4. Deloitte Hadjipavlou Sofianos & Cambanis S.A. 4
Do you know somebody who
cheated his/ her insurance
company? 27%
What percentage of the
public believes that it is
acceptable to commit fraud?
5%
10%
15%
25%
50%
What percentage of the public
believes that they would not get
caught if they filed a fraudulent
claim?
5%
10%
25%
50%
10. Deloitte Hadjipavlou Sofianos & Cambanis S.A. 10
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