Report violations or fraud

Definition of wrongdoing is any fraud, corruption, collusion, coercion, illegal conduct, misconduct, financial mismanagement, accounting irregularities, conflict of interest, wrongful conduct, irregular, unethical or other practices. From violations of applicable regulations and instructions or covering up any of the above.

 

Insurance fraud is defined as any intentional act by one of the parties to the insurance process with the aim of obtaining impermissible or legitimate compensation or benefits for the fraudster or others.

 

Fraud may take any of the following forms:

  • Misappropriation of the company's assets and property
  • Intentionally harming or concealing one or more material facts related to a financial decision or financial transaction or exploiting the company's position
  • Abuse of authority, position of trust, or fiduciary relationship

 

Effect of fraud on healthcare insurance industry:

  • Violation of the rules and laws in the kingdom “violation of the Islamic laws”
  • Financial losses in healthcare insurance industry
  • Unjustified increase in claims cost which may lead to increase in insurance premium for the beneficiary
  • Beneficiary exposure to unnecessary medical investigation or procedures


Note: We assure that all personal information and data will be treated in strict confidence.

 

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