# data[].attributes.body
What is the next stage of technology in digital transformation

# data[].attributes.body
Does your company do any pilot run of this automation in the industry?

# data[].attributes.body
The functions and processes highlighted are quite common with other systems in the market. What make your system different from others?

# data[].attributes.headline
Can the automation be cutomised for specific area only ? Eg only for subrogation

# data[].attributes.subject
Can the automation be cutomised for specific area only ? Eg only for subrogation

# data[].attributes.body
Will this automation be viewed as delegation of authority - BNM to answer mayb

# data[].attributes.body
Should the enforcer look into delist vehicle that is more than 10 years just like in Singapore to reduce the road traffic risk

# data[].attributes.body
What is your opinion on the road traffic enforcement?

# data[].attributes.body
You mentioned GA need not necessary resulting from a Peril. Is there any case law supporting that. Noted that if the damage to the sharft is not caused by an accident ie: by poor maintenance should the insurer now be contributing to GA? Where the basic principle says it must not be the fault of the vessel.

# data[].attributes.body
11. Mr Ramakrishnan, now the loss was settled by the insurance company, can they not lodge a police complaint?

# data[].attributes.headline
10. We have another body which investigates insurance fraud once reported. How come not many use MACC to report on fraud acts? Any documents handed over will be under Official secret Act and secured as compared reporting to the police.

# data[].attributes.subject
10. We have another body which investigates insurance fraud once reported. How come not many use MACC to report on fraud acts? Any documents handed over will be under Official secret Act and secured as compared reporting to the police.

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9. Are forced contributions or donations considered fraud or abuse of privileges?

# data[].attributes.subject
9. Are forced contributions or donations considered fraud or abuse of privileges?

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8. How many enforcement bodies needed and can they work together. Who is going to lead and pay for the unit

# data[].attributes.body
Based on your experiences, what is the common fraud cases in the Industrial business?

# data[].attributes.headline
6. Is there any similar team or units for fraud in motor vehicle accidents like staged accidents. If yes , their success 

# data[].attributes.subject
6. Is there any similar team or units for fraud in motor vehicle accidents like staged accidents. If yes , their success 

# data[].attributes.headline
5. Can a contribution or donation made to a specific project be considered attempted fraud? 

# data[].attributes.subject
5. Can a contribution or donation made to a specific project be considered attempted fraud? 

# data[].attributes.body
4. How do you treat breach of conduct vs intention to defraud. Eg: correcting information which otherwise would be considered breach to satisfy audit findings with motive to protect reputation fr those of financial gain?

# data[].attributes.body
What is a Yardie?

# data[].attributes.body
How can we learn from your experience? What advice can you give this industry on investigation, in the event we take too long to set up a similar FIB?

# data[].attributes.body
Have you seen technology and automation successfully reduce fraud

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Forum - “Formation of a Fraud Investigation Body in Malaysia”

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Forum - “Formation of a Fraud Investigation Body in Malaysia”

# data[].attributes.body
5. Is the 2 year limitation period is applicable from  the last communication or date of loss?

# data[].attributes.body
At least one reinsurer was badly hit by the 2010-11 Thai flood. What lessons did Thai reinsurers learn in respect of selection of a reinsurer? Is there a need for clarity in dispute resolution; wld the regulator need to ensure certainty in this respect to ensure consumers are not prejudiced? Am not sure if the IAIS ICP 13 addresses this.

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3. Beazley Underwriting Ltd & Ors v Al Ahleia Insurance Company & Ors [2013] EWHC 677 (Comm), 

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3. Beazley Underwriting Ltd & Ors v Al Ahleia Insurance Company & Ors [2013] EWHC 677 (Comm), 

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“Mr Justice Eder concluded that clauses of this type are to be construed strictly and that the clause in question only applied to settlements or admissions in respect of losses giving rise to a "matching" liability under the reinsurance contract”. How does this impact upon what was discussed ?

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2. Claims Control And Cut Through Clause

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2. Claims Control And Cut Through Clause

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Do these work together

# data[].attributes.body
If the direct insurers pay without heeding the CCC and it later transpires that the reinsurer do not agree with th decision, can the reinsurer decline to meet their reinsurance obligation?

# data[].attributes.headline
“Reinsurance Claims Handling – Lessons Learnt from the Thai Floods” - Aaron Le Marquer,

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“Reinsurance Claims Handling – Lessons Learnt from the Thai Floods” - Aaron Le Marquer,

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Have you seen technology and automation successfully reduce fraud

# data[].attributes.body
1Whats the last annual budget and whats the return on this investment?

# data[].attributes.body
We understand the ABI uses BAE Systems FIS. How do you use this? Has this FIS been useful

# data[].attributes.body
Pls share with us yr biggest success story in uncovering and prosecuting a Motor theft sysndicate?

# data[].attributes.body
Your points on reducing rationale, motive and opportunity appear to imply tfraud is mainly “internal” driven or contributed. Is this the case?

# data[].attributes.body
Can you elaborate on Emphasis on Ethics; what exactly did your dept or ABI do to enhance ethics?

# data[].attributes.body
Was this ever challenged as being unethical

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“The Fraud Triangle and its Case Study” - Andrew Fyfe

# data[].attributes.subject
“The Fraud Triangle and its Case Study” - Andrew Fyfe

# data[].attributes.body
We have seen instances where doctors are involved in fraudulent claims but they always get away and will try their luck next time. In some other countries, medical council or law enforcements would question the professional conduct of doctors and behavior like this could lead to disciplinary action or criminal prosecution.  What can the industry do to address this?

# data[].attributes.body
Do you think it is important for insurers to attract talent with medical expertise? Are we doing enough attract/upskill these talents?

# data[].attributes.headline
Improve relationship with medical providers

# data[].attributes.subject
Improve relationship with medical providers

# data[].attributes.body
In Malaysia, there are 2 group - GPs and private hospitals. The problem is with private hospitals but LIAM and PIAM have not engaged APHM to discuss issues or seek strategic purchasing. Can you give examples of other countries where the insurance association has had successes in discussions with providers

# data[].attributes.body
It is time for ISM to collate all Hospital and Surgical calims/billings for comparative analysis. Would and CAN reinsurers medical experts cone together to shafe their knowledge and expertise in this area?

Question to ISM (in attendance : ?) when can we embark on this?

# data[].attributes.body
One abuse is unbundling of costs in medical procedures. Is there a code of practice that insurers can put to medical providers to adhere to? Is there anywhere a standard for medical procedures that hospitals to follow?

# data[].attributes.body
Can you give examples of type of data that should be pooled from an industry for analytic purposes? Any example of where there is good industry stats? This is for ISM/LIAM/PIAM to consider

# data[].attributes.headline
"How to Mitigate Claim Leakage and Improve Customer Service Experience for Medical Plans" - Nikos Kouvaras

# data[].attributes.subject
"How to Mitigate Claim Leakage and Improve Customer Service Experience for Medical Plans" - Nikos Kouvaras

# data[].attributes.headline
What is an "acceptable" loss ratio for warranty claims for new cars

# data[].attributes.subject
What is an "acceptable" loss ratio for warranty claims for new cars

# data[].attributes.headline
Managing this is staff intensive. Is Third Party Admin  the answer?

# data[].attributes.subject
Managing this is staff intensive. Is Third Party Admin  the answer?

# data[].attributes.body
Wear & Tear item such rubber boost damage, is it cover? Did insurer replace the entire parts or only to the rubber boost.

# data[].attributes.headline
There are varying speed limits along certain highways, how would a self-drive vehicle adjusts to them?

# data[].attributes.subject
There are varying speed limits along certain highways, how would a self-drive vehicle adjusts to them?

# data[].attributes.body
What is the Loss Ratio of EW policy and what are the fraudclaims that you encountered?

# data[].attributes.body
Can obd be used to read the data from all cars, since some required genuine diagnostic device from the manufacturer to access the data.

# data[].attributes.body
Can a MEW be sold to used cars? If so, how do you manage pre-existing conditions

# data[].attributes.body
Does NexAssure also write EW on other products? Awareness of EW availability is low and insurers themselves shy away from writing this product. How do you support insurers

# data[].attributes.body
comon consumer complaints are (1) salesperson mis-sold, (2) policy wording mis-leading. Are such complaints justified?

# data[].attributes.headline
"Staying on Gear Ahead on Motor Warranty Claims" - Harj Sandhu

# data[].attributes.subject
"Staying on Gear Ahead on Motor Warranty Claims" - Harj Sandhu

# data[].attributes.headline
What steps should insurers underwriter  take for future hsr and eclr projects on sleepers

# data[].attributes.subject
What steps should insurers underwriter  take for future hsr and eclr projects on sleepers

# data[].attributes.headline
With flooding a common matter in Malaysia, how do you see this as a factor when underwriters issues coverage for projects which involves such areas

# data[].attributes.subject
With flooding a common matter in Malaysia, how do you see this as a factor when underwriters issues coverage for projects which involves such areas

# data[].attributes.headline
Do you see certain claims paid by insurers due to unclear policy wording regarding conditions and warranties?

# data[].attributes.subject
Do you see certain claims paid by insurers due to unclear policy wording regarding conditions and warranties?

# data[].attributes.body
You touched on failed sleepers. In respect of the ongoing and future MRT projects, what losses (whether covered or not) are common

# data[].attributes.body
Roadwork CAR risks - what are the key underwriting considerations to consider prior to quoting? Proofing design after the fact is always touch-and-go.

# data[].attributes.headline
"Case Study Sharing - Three past Malaysian C.A.R Claims Scenario Presentation and its Analysis" - Ir. Pooba Mahalingam

# data[].attributes.subject
"Case Study Sharing - Three past Malaysian C.A.R Claims Scenario Presentation and its Analysis" - Ir. Pooba Mahalingam

# data[].attributes.body
Is Insurance Fraud a crime here?

# data[].attributes.body
like staged accidents. 
 

Add comment
Can a contribution or donation made to a specific project be considered attempted fraud?

Anonymous
7m
Can a contribution or donation made to a specific project be considered attempted fraud? 
 

Add comment
How do you treat bre

Anonymous
4m
 How do you treat breach of conduct vs intention to defraud. Eg: correcting information which otherwise would be considered breach to satisfy audit findings with motive to protect reputation fr those of financial gain? 
 

Add comment
“The Fraud Triangle and its Case Study” - Andrew Fyfe

MII Events Management
1h
“The Fraud Triangle and its Case Study” - Andrew Fyfe
 

Add comment
We have seen instanc

Anonymous
3h
 We have seen instances where doctors are involved in fraudulent claims but they always get away and will try their luck next time. In some other countries, medical council or law enforcements would question the professional conduct of doctors and behavior like this could lead to disciplinary action or criminal prosecution.  What can the industry do to address this?
 

Add comment
Medical Expertise

Anonymous
3h
Medical Expertise
Do you think it is important for insurers to attract talent with medical expertise? Are we doing enough attract/upskill these talents?

1 comment

Anonymous 3h
Advertisement - MII has several programmes to enhance layman’s understanding of medical issues. Somehow, such programmes have not been well attended. MII thinks its flyers are not reaching the right target. Please contact MII shld you want to have inhouse programmes (minimum no. per class is 15; if your company do not have this no., then perhaps can combine with another co.)


Add comment
Improve relationship with medical providers

Anonymous
3h
Improve relationship with medical providers
In Malaysia, there are 2 group -  GPs and private hospitals. The problem is with private hospitals but LIAM and PIAM have not engaged APHM to discuss issues or seek strategic purchasing. Can you give examples of other countries where the insurance association has had successes in discussions with providers
 

Add comment
Empty

Anonymous
3h


Add comment
Industry Medical Provider

Anonymous
3h
Industry Medical Provider 
It is time for ISM to collate all Hospital and Surgical calims/billings for comparative analysis. Would and CAN reinsurers medical experts cone together to shafe their knowledge and expertise in this area?

Question to ISM (in attendance : ?) when can we embark on this?

 

Add comment
Unbundling of costs

Anonymous
3h
Unbundling of costs
One abuse is unbundling of costs in medical procedures. Is there a code of practice that insurers can put to medical providers to adhere to? Is there anywhere a standard for medical procedures that hospitals to follow?
 

Add comment
Empty

Anonymous
3h


Add comment
Empty

Anonymous
3h


Add comment
Data collation

Anonymous
3h
Data collation
Can you give examples of type of data that should be pooled from an industry for analytic purposes? Any example of where there is good industry stats? This is for ISM/LIAM/PIAM to consider
1 comment

Anonymous 3h
Malaysia conforms to ICPC codes


Add comment
"How to Mitigate Claim Leakage and Improve Customer Service Experience for Medical Plans" - Nikos Kouvaras

MII Events Management
3h
"How to Mitigate Claim Leakage and Improve Customer Service Experience for Medical Plans" - Nikos Kouvaras
 

Add comment
What is an "acceptable" loss ratio for warranty claims for new cars

Anonymous
3h
What is an "acceptable" loss ratio for warranty claims for new cars
 

Add comment
Managing this is staff intensive. Is Third Party Admin the answer?

Anonymous
4h
Managing this is staff intensive. Is Third Party Admin  the answer?
 

Add comment
Wear & Tear item

Anonymous
3h
 Wear & Tear item such rubber boost damage, is it cover? Did insurer replace the entire parts or only to the rubber boost. 
 

Add comment
There are varying speed limits along certain highways, how would a self-drive vehicle adjusts to them?

Anonymous
4h
There are varying speed limits along certain highways, how would a self-drive vehicle adjusts to them?
 

Add comment
Loss Ratio and Fraud

Anonymous
4h
Loss Ratio and Fraud
What is the Loss Ratio of EW policy and what are the fraudclaims that you encountered?
 

Add comment
Obd

Anonymous
4h
Obd
Can obd be used to read the data from all cars, since some required genuine diagnostic device from the manufacturer to access the data. 
 

Add comment
Motor EW

Anonymous
4h
Motor EW
Can a MEW be sold to used cars? If so, how do you manage pre-existing conditions
 

Add comment
Other products

Anonymous
4h
Other products
Does NexAssure also write EW on other products? Awareness of EW availability is low and insurers themselves shy away from writing this product. How do you support insurers
 

Add comment
Vehicle Extended Warranty

Anonymous
4h
Vehicle Extended Warranty
comon consumer complaints are (1) salesperson mis-sold, (2) policy wording mis-leading. Are such complaints justified?
 

Add comment
"Staying on Gear Ahead on Motor Warranty Claims" - Harj Sandhu

MII Events Management
4h
"Staying on Gear Ahead on Motor Warranty Claims" - Harj Sandhu
 

Add comment
What steps should insurers underwriter take for future hsr and eclr projects on sleepers

Anonymous
4h
What steps should insurers underwriter  take for future hsr and eclr projects on sleepers
 

Add comment
With flooding a common matter in Malaysia, how do you see this as a factor when underwriters issues coverage for projects which involves such areas

Anonymous
5h
With flooding a common matter in Malaysia, how do you see this as a factor when underwriters issues coverage for projects which involves such areas
 

Add comment
Do you see certain claims paid by insurers due to unclear policy wording regarding conditions and warranties?

Anonymous
5h
Do you see certain claims paid by insurers due to unclear policy wording regarding conditions and warranties?
 

Add comment
MRT

Anonymous
5h
MRT
You touched on failed sleepers. In respect of the ongoing and future MRT projects, what losses (whether covered or not) are common
 

Add comment
Embankment Failure

Anonymous
5h
Embankment Failure
Roadwork CAR risks - what are the key underwriting considerations to consider prior to quoting? Proofing design after the fact is always touch-and-go.
 

Add comment
"Case Study Sharing - Three past Malaysian C.A.R Claims Scenario Presentation and its Analysis" - Ir. Pooba Mahalingam

MII Events Management
5h
"Case Study Sharing - Three past Malaysian C.A.R Claims Scenario Presentation and its Analysis" - Ir. Pooba Mahalingam
 

Add comment
Insurance Fraud

Anonymous
5h
Insurance Fraud
Is Insurance Fraud a crime here?
 

Add comment
Law Review

Anonymous
5h
Law Review
Please give some examples of what improvement in laws can be instituted to protect or strengthen Insurer’s rights?
 

Add comment
Session

MII Events Management
7h
Session 
"Legal Issues in Relation to Claims", Jayaveeran Naicker
2 comments

Anonymous 5h
Lacking of a Fraud Act seems to be a huge obstacle for the industy, any suggestions on how to overcome this?

Anonymous 5h
There are also law firms who encourage the pursuit of fraud claims and thseeere seems to be no recourse for the insurers.


Add comment
 

# data[].attributes.body
Please give some examples of what improvement in laws can be instituted to protect or strengthen Insurer’s rights?

# data[].attributes.body
"Legal Issues in Relation to Claims", Jayaveeran Naicker