Health Insurance Corporation Conducts Joint Insurance Fraud Investigation with FSC and Insurance Association

▲National Health Insurance Service

[Asia Economy Reporter Seo So-jung] The National Health Insurance Service (NHIS, President Kim Yong-ik) announced on the 25th that it will launch the "Public and Private Insurance Joint Investigation Council" in collaboration with the Financial Supervisory Service, the Life Insurance Association, and the General Insurance Association.

The Public and Private Insurance Joint Investigation Council will focus on investigating false and fraudulent claims in the National Health Insurance and fraudulent claims in private insurance's indemnity insurance to prevent financial leakage caused by insurance fraud.

Insurance fraud not only affects private insurance but also significantly impacts the financial soundness of the National Health Insurance, thereby imposing a burden on the entire national economy.

However, due to limitations in information sharing between public and private sectors, investigations into private insurance fraud and false or fraudulent claims in health insurance have not been linked.

Accordingly, the NHIS will hold regular meetings of the Public and Private Insurance Joint Investigation Council and conduct joint investigations into large-scale insurance fraud cases involving both health insurance and private insurance.

Kang Cheong-hee, Executive Director of Benefits at NHIS, stated, "Through this council, we will strengthen investigations into private insurance fraud, administrative hospital fraud, and false or fraudulent health insurance claims through close cooperation with related organizations. We will take the lead in efforts to realize the financial soundness of health insurance and suppress the increase in indemnity insurance premiums, which have become an economic burden on the public."

This content was produced with the assistance of AI translation services.