Fraud Prevention

Insurance fraud is any action or omission aimed at illegitimately obtaining a benefit by policyholders, insured parties, third parties, insurance agents, as well as other professionals involved during the contracting, issuance, and/or accounting of an insurance policy, or in the occurrence, reporting, intervention, and/or repair and collection of a claim.

Hanseatica Compañía de Seguros S. A. implements measures to prevent and detect fraud, in accordance with Resolution N° 34.877 of the SSN, regarding internal policies, procedures, and controls to combat fraud.

Below is a series of deterrence and prevention actions presented as alerts, with the aim of preventing policyholders, insured parties, beneficiaries, or affected parties from voluntarily or involuntarily contributing to the perpetration of a fraudulent scheme.

Fraud Deterrence and Prevention Actions:

1) Never sign blank claim forms or incident reports.

2) Never accept money, or sign documents or agree to powers of attorney whose scope and effects you do not fully understand, nor acknowledge events that have not occurred, nor accept legal assistance provided by unknown third parties.

3) Do not alter the condition of items damaged by the incident (with the exception of the salvage obligation, whereby you must, to the extent possible, prevent or mitigate the exacerbation of the damage), nor fraudulently exaggerate damages; use false evidence; or provide false supplementary information.

4) Fraud directed against the insurer harms the entire community, impacting premium costs, and occurs when individuals deceive the company (and/or the insurance advisor) to collect money or obtain any other advantage to which they are not entitled.

5) Fraud affecting the insurer is a crime. The alteration, simulation, or misrepresentation of personal, temporal, objective, causal, or locational circumstances, and the deliberate provocation, or the total or partial simulation of an incident's occurrence, are some of the most common forms of fraud, leading to its acceptance as natural, without understanding the gravity it entails.

6) False declarations or any concealment of circumstances known to the insured, even if made in good faith, which, if taken into account, would have prevented the contract or modified its conditions, render the contract void, with consequences being more severe in cases of malicious or bad faith actions.

7) Remember that you can be voluntarily or involuntarily implicated in a fraudulent scheme. There is always a risk that individuals with malicious intentions may induce you to engage in practices that are outside the law.

8) Policyholders must never consent to participate in a fraudulent scheme.

9) Policyholders must never provide policy data or access to third parties unless duly justified, nor permit the substitution or simulation of the actual personal, temporal, objective, or causal circumstances pertaining to the occurrence of an incident.

10) Policyholders must remain vigilant regarding sudden or unusual accidents, particularly if alleged victims on bicycles or motorcycles are involved.

11) Policyholders should endeavor to obtain information from genuine witnesses and document, to the best of their ability, the circumstances of the incident, e.g., through photographs or video recordings, to prevent such information from being distorted against them.

12) Policyholders must always consult with their insurer regarding any doubts or contingencies and report any emerging developments.

13) Policyholders must remember to file a report regarding the occurrence of the incident. They should ensure this report is formally submitted and that they are provided with the incident number under which it will be processed internally by the entity.

14) Policyholders should be aware that their coverages may have limitations concerning uncovered items, risks, or concepts, e.g., due to deductibles or the adoption of personalized systems, commonly known as 'scoring' systems, where the premium is determined based on statistical measurements of claims frequency, depending on various personal, insured asset, usage, and geographical variables, all of which must be adhered to.

15) Policyholders must be cautioned regarding coverage offers, typically priced below market average, from unauthorized distributors.

16) While it is permissible to insure the same interest and risk with multiple insurers, this fact must be disclosed to all entities involved. It is not lawful for the indemnity to exceed the amount of damage sustained, nor to seek payment for an incident that has already been compensated by another insurer.

17) Do not acquire automotive parts or spare parts of questionable origin. Not only may they be the proceeds of a serious crime, but their quality is also not guaranteed. In such cases, resort to legally regulated salvage yards, whose products are certified and identified. For further information, visit www.dnrpa.gov.ar to access the list of salvage yards registered in the Unique Register of Automotive Salvage Yards (RUDAC).