ICG partner of the European Central Office (UCI)
ICG was selected by the European Central Office as the provider of the new IT solution. The innovative platform will digitally manage the supply of the Claims Database (BDS) and the Anti-Fraud Computer Archive (AIA) of all green card claims occurring on Italian soil, communicating with all correspondents.
Presentation of the Platform
On 18 May 2017, at the Hilton Milan Hotel, a meeting was held between the top management of the Italian Central Office and over 60 Green Card correspondents of insurance companies and private management companies.
The day was intended to be a moment of discussion between the parties and an opportunity to provide all the technical information necessary to start feeding the IVASS Claims Database (BDS) by the Italian Central Office (UCI), within the scope of of Phase 2 of the AIA project.In order to try to effectively combat fraud in the insurance sector, UCI and IVASS, applying provision no.23 / 2016, as regards green card claims, have undertaken to activate within the AIA Phase 2:
- the supply flow of the Claims Database (BDS) of IVASS
- the processing and management of flows to and from the new Anti-fraud IT Archive (AIA)
To comply with this commitment, UCI will soon equip itself with a new, fully automated IT platform.
This decision is motivated by the desire to guarantee a better quality of the data sent to the BDS, a better management of green card claims and a more effective fight against fraud through the use of potential fraud risk indicators.
Insurance Consulting Group SpA was present at the meeting as provider of the new IT solution chosen by UCI for the implementation of phase 2 of the AIA project, which also involves green card claims. The task of describing the platform adopted by UCI to the audience was entrusted to Dr. Marco Cocco, head of the SIS claims platform.
SIS will digitally manage the supply of the Claims Database (BDS) and the Anti-Fraud Computer Archive (AIA) of all green card claims occurring on Italian soil, communicating with all external correspondents who deal with the management of 95% of these claims and from which UCI must accept the information relating to changes and closures.
UCI, thanks to Insurance Consulting Group SpA, ICG, will have at its disposal an IT system capable of reconstructing the historical track of each single claim, of communications and timing, equipped with control and monitoring tools both of the performance of the various actors and of the ” actual impact of the AIA reports on the settlement of the claim.
At the beginning of the day, the President of UCI, Dr. Stefano Scavo, thanked all bystanders and then passed the floor to the authorities present in the room:
- Dr. Romana Bonagura, IVASS
- Dr. Gianluca Scialanga, IVASS
- Dr. Massimo Treffiletti, ANIA
From the database to the integrated anti-fraud archive
Speech by Dr. Romana Bonagura, IVASS
Since 2001, the insurance companies have had to organize themselves to be able to feed the IVASS Claims Database (BDS) with information relating to third-party liability claims. relating to vehicles registered in Italy. The purpose of the newborn BDS was, and still is, to combat insurance fraud in the motor liability sector.
The BDS therefore contains all the data that allow, on the one hand, to identify the accident, as well as the people and things involved and connected to it; on the other hand, all the elements that allow a correct assessment of the damage caused by that claim. Data that the Insurance Companies are required to communicate to BDS within seven days (excluding Saturdays and holidays) from receipt of the compensation request or claim report.
Once the BDS feed flow has been received, IVASS carries out the checks on the data communicated and communicates the results of the checks to the Insurance Companies, so that the necessary corrections are made (within 20 days).
The Integrated Anti-Fraud Archive
Speech by Dr. Gianluca Scialanga, IVASS
With provision n ° 23/2016, IVASS establishes the Anti-Fraud Computer Archive (AIA) in order to integrate the data present in the BDS with those of other archives:
- License Archive (MIT)
- Roofing archive (MIT)
- Vehicle Archive (MIT)
- PRA (ACI)
- Role of Experts (CONSAP)
- SITA (ANIA)
Through a cross-check of the data, the AIA highlights situations of potential fraud through parameters of significance. An answer that, if given within a few hours, should help companies understand when to compensate a claim with peace of mind (a situation that, according to IVASS statistics, concerns 80% of claims).
The anti-fraud indicators communicated by AIA to companies refer to 4 classes:
- subjects involved (injured, responsible, owner, driver, witness)
- related parties (expert, lawyer, doctor, body shop)
- other aspects (e.g. dynamics, contractual aspects, …)
The sum of the scores of these 4 classes of indicators translate into a summary score, from which it is possible to easily identify the level of anomalies of the claim (null, low, medium, high). In addition, each score is accompanied by an additional indicator on the completeness of the score itself. Currently the quality score is equal to 80%.
The strategic importance of information in the prevention of insurance fraud
Speech by Dr. Massimo Treffiletti, Director of ANIA
Fraud in the insurance sector is a phenomenon that affects all branches across the board and not only, as we often tend to think, only the motor branch. Think of the arson, the fake floods, the business built by some transporters on insurance for the risk of withdrawal of licenses, the malicious sinking or the false documentary in relation to accidents.
On the contrary, the motor business is the area most manned in terms of anti-fraud measures. This is thanks to the shared databases and technology, which sees black boxes as a resolving tool in some of the situations linked to the CARD.
The creation of the Anti-Fraud Computer Archive (AIA) introduces a new operating method for Insurance Companies, because it allows to activate a strong screening through the claim score that is returned by the AIA to the Companies.
The data handled so far has shown that only 2.6% of claims actually correspond to a “high” fraud risk score. If we also take into account the average risk (12.5%), the claims on which companies must focus their attention and carry out additional checks and assessments translate into a highly manageable percentage.
Furthermore, the usefulness of the AIA is not limited to insurance companies alone, since other entities, such as the Police Forces, the Public Administration and the Judicial Authorities, can also access it.
The AIA therefore goes in the right direction, in terms of the needs of the insurance sector. It would be desirable to add further situations to this tool, such as:
- the expansion of IVASS’s anti-fraud skills also in the branches other than the RCA
- the structuring of a police force specialized in insurance fraud
- the creation of conditions for greater cooperation between insurance companies involved in various capacities in the phenomenon of insurance fraud.
Finally, it is hoped that predictive anti-fraud tools based on analyzes made possible by the large amount of big data that companies today are gradually collecting will become part of everyday insurance.
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