17/04/2014
China: Professional payout 'agents' are the bane of insurers
Source: AIR eDaily | 15 Apr 2014
Professional compensation agents are being blamed for increased insurance payouts made by insurance companies in China. Such agents persuade victims of traffic accidents that they can help them obtain higher compensation in return for a fee.
The agents find ways to extract higher compensation fees from insurance companies and car owners by faking or exaggerating injuries, and often presenting a permanent disability certificate for the victim from a local judicial appraisal centre, reported the Global Times.
According to the Shanghai Bureau of the Insurance Regulatory Commission, Shanghai's compensation payouts reached CNY30.1 billion (US$4.84 billion) in 2013, an increase of 18 percent from 2012. Among the payouts, property insurance compensation was the highest, reaching CNY16.2 billion which was an increase of 17 percent over the previous year.
"Auto insurance is the fastest growing and takes the largest percentage in property insurance. These agents are the key reason for the rapid growth," a local insurance company executive told the Global Times.
Shanghai's insurance companies have made payouts in around 90 percent of cases related to motor accidents in recent years, according to Li Weiqun, director of the Insurance Law Research Centre of the East China University of Political Science and Law.
"The agents have become a black hole devouring large compensation payouts, and causing losses to insurance companies and car owners,β he said.
According to the Global Times, there are several methods which professional compensation agents use to increase payouts. Generally, they bribe forensic doctors in appraisal centres, so that the latter would issue a disability certificate attesting to more serious injury or disability for the accident victim. In China, disability is rated according to 10 grades, and a rise by one grade could mean that the insurance company would have to pay CNY80,000 more. The agents also bribe judges so that the latter would not allow other disability assessments.
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