MII International Claims Convention 2018 by MII Events Management https://padlet.com/MIIEvents/ICC260318 26 March 2018, Sime Darby Convention Centre en-us 2018-03-19 03:03:00 UTC 2025-11-24 15:36:59 UTC hello@padlet.com Session MIIEvents https://padlet.com/MIIEvents/ICC260318/wish/245905956 "Legal Issues in Relation to Claims", Jayaveeran Naicker]]> 2018-03-26 00:27:44 UTC https://padlet.com/MIIEvents/ICC260318/wish/245905956 Law Review https://padlet.com/MIIEvents/ICC260318/wish/245918650 Please give some examples of what improvement in laws can be instituted to protect or strengthen Insurer’s rights?]]> 2018-03-26 01:51:59 UTC https://padlet.com/MIIEvents/ICC260318/wish/245918650 Insurance Fraud https://padlet.com/MIIEvents/ICC260318/wish/245919253 Is Insurance Fraud a crime here?]]> 2018-03-26 01:56:46 UTC https://padlet.com/MIIEvents/ICC260318/wish/245919253 "Case Study Sharing - Three past Malaysian C.A.R Claims Scenario Presentation and its Analysis" - Ir. Pooba Mahalingam MIIEvents https://padlet.com/MIIEvents/ICC260318/wish/245920333 2018-03-26 02:05:04 UTC https://padlet.com/MIIEvents/ICC260318/wish/245920333 Embankment Failure https://padlet.com/MIIEvents/ICC260318/wish/245921916 Roadwork CAR risks - what are the key underwriting considerations to consider prior to quoting? Proofing design after the fact is always touch-and-go.]]> 2018-03-26 02:17:43 UTC https://padlet.com/MIIEvents/ICC260318/wish/245921916 Do you see certain claims paid by insurers due to unclear policy wording regarding conditions and warranties? https://padlet.com/MIIEvents/ICC260318/wish/245922524 2018-03-26 02:21:14 UTC https://padlet.com/MIIEvents/ICC260318/wish/245922524 MRT https://padlet.com/MIIEvents/ICC260318/wish/245922550 You touched on failed sleepers. In respect of the ongoing and future MRT projects, what losses (whether covered or not) are common]]> 2018-03-26 02:21:27 UTC https://padlet.com/MIIEvents/ICC260318/wish/245922550 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 https://padlet.com/MIIEvents/ICC260318/wish/245923252 2018-03-26 02:26:42 UTC https://padlet.com/MIIEvents/ICC260318/wish/245923252 What steps should insurers underwriter take for future hsr and eclr projects on sleepers https://padlet.com/MIIEvents/ICC260318/wish/245924217 2018-03-26 02:33:42 UTC https://padlet.com/MIIEvents/ICC260318/wish/245924217 "Staying on Gear Ahead on Motor Warranty Claims" - Harj Sandhu MIIEvents https://padlet.com/MIIEvents/ICC260318/wish/245927676 2018-03-26 03:00:08 UTC https://padlet.com/MIIEvents/ICC260318/wish/245927676 Vehicle Extended Warranty https://padlet.com/MIIEvents/ICC260318/wish/245928318 comon consumer complaints are (1) salesperson mis-sold, (2) policy wording mis-leading. Are such complaints justified?]]> 2018-03-26 03:04:33 UTC https://padlet.com/MIIEvents/ICC260318/wish/245928318 Other products https://padlet.com/MIIEvents/ICC260318/wish/245928983 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]]> 2018-03-26 03:08:55 UTC https://padlet.com/MIIEvents/ICC260318/wish/245928983 Motor EW https://padlet.com/MIIEvents/ICC260318/wish/245930350 Can a MEW be sold to used cars? If so, how do you manage pre-existing conditions]]> 2018-03-26 03:17:39 UTC https://padlet.com/MIIEvents/ICC260318/wish/245930350 Obd https://padlet.com/MIIEvents/ICC260318/wish/245931159 Can obd be used to read the data from all cars, since some required genuine diagnostic device from the manufacturer to access the data. ]]> 2018-03-26 03:22:36 UTC https://padlet.com/MIIEvents/ICC260318/wish/245931159 Loss Ratio and Fraud https://padlet.com/MIIEvents/ICC260318/wish/245931576 What is the Loss Ratio of EW policy and what are the fraudclaims that you encountered?]]> 2018-03-26 03:25:17 UTC https://padlet.com/MIIEvents/ICC260318/wish/245931576 There are varying speed limits along certain highways, how would a self-drive vehicle adjusts to them? https://padlet.com/MIIEvents/ICC260318/wish/245931893 2018-03-26 03:27:28 UTC https://padlet.com/MIIEvents/ICC260318/wish/245931893 Managing this is staff intensive. Is Third Party Admin the answer? https://padlet.com/MIIEvents/ICC260318/wish/245932027 2018-03-26 03:28:19 UTC https://padlet.com/MIIEvents/ICC260318/wish/245932027 https://padlet.com/MIIEvents/ICC260318/wish/245932545 Wear & Tear item such rubber boost damage, is it cover? Did insurer replace the entire parts or only to the rubber boost. ]]> 2018-03-26 03:31:38 UTC https://padlet.com/MIIEvents/ICC260318/wish/245932545 What is an "acceptable" loss ratio for warranty claims for new cars https://padlet.com/MIIEvents/ICC260318/wish/245934026 2018-03-26 03:42:34 UTC https://padlet.com/MIIEvents/ICC260318/wish/245934026 "How to Mitigate Claim Leakage and Improve Customer Service Experience for Medical Plans" - Nikos Kouvaras MIIEvents https://padlet.com/MIIEvents/ICC260318/wish/245934834 2018-03-26 03:48:23 UTC https://padlet.com/MIIEvents/ICC260318/wish/245934834 Data collation https://padlet.com/MIIEvents/ICC260318/wish/245935126 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]]> 2018-03-26 03:50:44 UTC https://padlet.com/MIIEvents/ICC260318/wish/245935126 https://padlet.com/MIIEvents/ICC260318/wish/245935288 2018-03-26 03:51:51 UTC https://padlet.com/MIIEvents/ICC260318/wish/245935288 https://padlet.com/MIIEvents/ICC260318/wish/245935320 2018-03-26 03:52:09 UTC https://padlet.com/MIIEvents/ICC260318/wish/245935320 Unbundling of costs https://padlet.com/MIIEvents/ICC260318/wish/245935445 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?]]> 2018-03-26 03:53:13 UTC https://padlet.com/MIIEvents/ICC260318/wish/245935445 Industry Medical Provider https://padlet.com/MIIEvents/ICC260318/wish/245936424 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?

]]> 2018-03-26 04:00:22 UTC https://padlet.com/MIIEvents/ICC260318/wish/245936424 https://padlet.com/MIIEvents/ICC260318/wish/245936735 2018-03-26 04:02:47 UTC https://padlet.com/MIIEvents/ICC260318/wish/245936735 Medical Expertise https://padlet.com/MIIEvents/ICC260318/wish/245937451 Do you think it is important for insurers to attract talent with medical expertise? Are we doing enough attract/upskill these talents?

]]> 2018-03-26 04:09:30 UTC https://padlet.com/MIIEvents/ICC260318/wish/245937451 Improve relationship with medical providers https://padlet.com/MIIEvents/ICC260318/wish/245937469 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]]> 2018-03-26 04:09:35 UTC https://padlet.com/MIIEvents/ICC260318/wish/245937469 https://padlet.com/MIIEvents/ICC260318/wish/245938589 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?]]> 2018-03-26 04:20:52 UTC https://padlet.com/MIIEvents/ICC260318/wish/245938589 “The Fraud Triangle and its Case Study” - Andrew Fyfe MIIEvents https://padlet.com/MIIEvents/ICC260318/wish/245950165 2018-03-26 06:12:02 UTC https://padlet.com/MIIEvents/ICC260318/wish/245950165 Sponsorship by the industry https://padlet.com/MIIEvents/ICC260318/wish/245951653 Was this ever challenged as being unethical]]> 2018-03-26 06:23:12 UTC https://padlet.com/MIIEvents/ICC260318/wish/245951653 Reducing Reationale https://padlet.com/MIIEvents/ICC260318/wish/245952656 Can you elaborate on Emphasis on Ethics; what exactly did your dept or ABI do to enhance ethics?]]> 2018-03-26 06:29:48 UTC https://padlet.com/MIIEvents/ICC260318/wish/245952656 Breaking down rhe Fraud Triangle https://padlet.com/MIIEvents/ICC260318/wish/245953228 Your points on reducing rationale, motive and opportunity appear to imply tfraud is mainly “internal” driven or contributed. Is this the case?]]> 2018-03-26 06:33:11 UTC https://padlet.com/MIIEvents/ICC260318/wish/245953228 Syndicated Fraud https://padlet.com/MIIEvents/ICC260318/wish/245954134 Pls share with us yr biggest success story in uncovering and prosecuting a Motor theft sysndicate?]]> 2018-03-26 06:38:29 UTC https://padlet.com/MIIEvents/ICC260318/wish/245954134 Fraud intelligence system https://padlet.com/MIIEvents/ICC260318/wish/245954385 We understand the ABI uses BAE Systems FIS. How do you use this? Has this FIS been useful]]> 2018-03-26 06:39:54 UTC https://padlet.com/MIIEvents/ICC260318/wish/245954385 Sponsorship https://padlet.com/MIIEvents/ICC260318/wish/245954704 1Whats the last annual budget and whats the return on this investment?]]> 2018-03-26 06:41:37 UTC https://padlet.com/MIIEvents/ICC260318/wish/245954704 2. Learning from your experience https://padlet.com/MIIEvents/ICC260318/wish/245954952 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?]]> 2018-03-26 06:42:32 UTC https://padlet.com/MIIEvents/ICC260318/wish/245954952 1. Techno https://padlet.com/MIIEvents/ICC260318/wish/245955776 Have you seen technology and automation successfully reduce fraud]]> 2018-03-26 06:47:38 UTC https://padlet.com/MIIEvents/ICC260318/wish/245955776 3. Case study https://padlet.com/MIIEvents/ICC260318/wish/245956303 What is a Yardie?]]> 2018-03-26 06:49:39 UTC https://padlet.com/MIIEvents/ICC260318/wish/245956303 https://padlet.com/MIIEvents/ICC260318/wish/245957367 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? ]]> 2018-03-26 06:54:50 UTC https://padlet.com/MIIEvents/ICC260318/wish/245957367 5. Can a contribution or donation made to a specific project be considered attempted fraud? https://padlet.com/MIIEvents/ICC260318/wish/245957629 2018-03-26 06:56:11 UTC https://padlet.com/MIIEvents/ICC260318/wish/245957629 6. Is there any similar team or units for fraud in motor vehicle accidents like staged accidents. If yes , their success https://padlet.com/MIIEvents/ICC260318/wish/245959223 2018-03-26 07:04:02 UTC https://padlet.com/MIIEvents/ICC260318/wish/245959223 https://padlet.com/MIIEvents/ICC260318/wish/245959466 2018-03-26 07:05:32 UTC https://padlet.com/MIIEvents/ICC260318/wish/245959466 “Reinsurance Claims Handling – Lessons Learnt from the Thai Floods” - Aaron Le Marquer, MIIEvents https://padlet.com/MIIEvents/ICC260318/wish/245961129 2018-03-26 07:13:06 UTC https://padlet.com/MIIEvents/ICC260318/wish/245961129 1. Claims Control Clause https://padlet.com/MIIEvents/ICC260318/wish/245962856 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?]]> 2018-03-26 07:19:15 UTC https://padlet.com/MIIEvents/ICC260318/wish/245962856 2. Claims Control And Cut Through Clause https://padlet.com/MIIEvents/ICC260318/wish/245963687 Do these work together]]> 2018-03-26 07:22:32 UTC https://padlet.com/MIIEvents/ICC260318/wish/245963687 3. Beazley Underwriting Ltd & Ors v Al Ahleia Insurance Company & Ors [2013] EWHC 677 (Comm), https://padlet.com/MIIEvents/ICC260318/wish/245965390 “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 ?]]> 2018-03-26 07:30:16 UTC https://padlet.com/MIIEvents/ICC260318/wish/245965390 4. Reinsurance and Thai Flood https://padlet.com/MIIEvents/ICC260318/wish/245968906 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.]]> 2018-03-26 07:47:16 UTC https://padlet.com/MIIEvents/ICC260318/wish/245968906 https://padlet.com/MIIEvents/ICC260318/wish/245970915 5. Is the 2 year limitation period is applicable from  the last communication or date of loss? ]]> 2018-03-26 07:57:20 UTC https://padlet.com/MIIEvents/ICC260318/wish/245970915 Forum - “Formation of a Fraud Investigation Body in Malaysia” MIIEvents https://padlet.com/MIIEvents/ICC260318/wish/245975041 2018-03-26 08:17:06 UTC https://padlet.com/MIIEvents/ICC260318/wish/245975041 1. Techno MIIEvents https://padlet.com/MIIEvents/ICC260318/wish/245975663 Have you seen technology and automation successfully reduce fraud]]> 2018-03-26 08:19:16 UTC https://padlet.com/MIIEvents/ICC260318/wish/245975663 7. Fraud Claims in Industrial business https://padlet.com/MIIEvents/ICC260318/wish/245980840 Based on your experiences, what is the common fraud cases in the Industrial business?]]> 2018-03-26 08:40:56 UTC https://padlet.com/MIIEvents/ICC260318/wish/245980840 9. Are forced contributions or donations considered fraud or abuse of privileges? https://padlet.com/MIIEvents/ICC260318/wish/245982325

]]> 2018-03-26 08:46:06 UTC https://padlet.com/MIIEvents/ICC260318/wish/245982325 https://padlet.com/MIIEvents/ICC260318/wish/245982983 8. How many enforcement bodies needed and can they work together. Who is going to lead and pay for the unit]]> 2018-03-26 08:48:39 UTC https://padlet.com/MIIEvents/ICC260318/wish/245982983 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. https://padlet.com/MIIEvents/ICC260318/wish/245987765 2018-03-26 09:09:01 UTC https://padlet.com/MIIEvents/ICC260318/wish/245987765 https://padlet.com/MIIEvents/ICC260318/wish/245991092 11. Mr Ramakrishnan, now the loss was settled by the insurance company, can they not lodge a police complaint?]]> 2018-03-26 09:23:28 UTC https://padlet.com/MIIEvents/ICC260318/wish/245991092 https://padlet.com/MIIEvents/ICC260318/wish/246349652 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. ]]> 2018-03-27 03:51:49 UTC https://padlet.com/MIIEvents/ICC260318/wish/246349652 https://padlet.com/MIIEvents/ICC260318/wish/246357446 What is your opinion on the road traffic enforcement? ]]> 2018-03-27 05:08:24 UTC https://padlet.com/MIIEvents/ICC260318/wish/246357446 https://padlet.com/MIIEvents/ICC260318/wish/246357690 Should the enforcer look into delist vehicle that is more than 10 years just like in Singapore to reduce the road traffic risk]]> 2018-03-27 05:10:15 UTC https://padlet.com/MIIEvents/ICC260318/wish/246357690 https://padlet.com/MIIEvents/ICC260318/wish/246402773 Will this automation be viewed as delegation of authority - BNM to answer mayb

]]> 2018-03-27 09:07:24 UTC https://padlet.com/MIIEvents/ICC260318/wish/246402773 Can the automation be cutomised for specific area only ? Eg only for subrogation https://padlet.com/MIIEvents/ICC260318/wish/246403251 2018-03-27 09:09:43 UTC https://padlet.com/MIIEvents/ICC260318/wish/246403251 Syste https://padlet.com/MIIEvents/ICC260318/wish/246403748 The functions and processes highlighted are quite common with other systems in the market. What make your system different from others?

]]> 2018-03-27 09:12:14 UTC https://padlet.com/MIIEvents/ICC260318/wish/246403748 System Pilot Run https://padlet.com/MIIEvents/ICC260318/wish/246405602 Does your company do any pilot run of this automation in the industry?]]> 2018-03-27 09:19:43 UTC https://padlet.com/MIIEvents/ICC260318/wish/246405602 Technology https://padlet.com/MIIEvents/ICC260318/wish/246408566 What is the next stage of technology in digital transformation]]> 2018-03-27 09:32:09 UTC https://padlet.com/MIIEvents/ICC260318/wish/246408566