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Under the Sponsorship of the Insurance Authority, Najm Unveils upgrading Criteria and Key Indicators for Detecting Insurance Fraud in Traffic Accidents

10 September 2024

Under the Sponsorship and supervision of the Insurance Authority, Najm for Insurance Services unveiled its ongoing efforts to enhance insurance fraud prevention and develop new indicators for assessing the legitimacy of traffic accidents and detecting fraud. This announcement was made during the Anti-Insurance Fraud Workshop for the Vehicle Sector organized by Najm last week at the King Abdulaziz Center for National Dialogue in Riyadh. The workshop was held under the sponsorship of the Insurance Authority in collaboration with the General Department of Traffic and was attended by leaders from insurance companies alongside Najm. Najm's upgrading fraud detection indicators for traffic accidents arise from discussions and recommendations gathered during three workshops held in Khobar, Jeddah, and Riyadh throughout 2024, in collaboration with Najm's strategic partners, aimed at combating fraud in the vehicle insurance sector.

As a result, seven key indicators were developed, covering factors such as the time of the accident, the driver, accident circumstances, accident documentation, damage discrepancies, pre-existing damage, and evidence at the accident scene.

The upgrades also included records of parties and vehicles in Najm's database, which helped to address the validity of suspecting accidents. The direct discussions among workshop parties were instrumental in upgrading all patterns of indicators and the key criteria for detecting fraud in traffic accidents, contributing to developing fraud detection mechanisms and enhancing fair and transparent practices.

A delegation from the Insurance Authority, led by Mr. Ahmed Al-Qusair, Executive Director of Supervision, participated in the workshop. In his speech, Al-Qusair emphasized the Authority's commitment to supporting efforts that promote fraud-free insurance practices by developing fraud detection indicators and establishing controls that ensure cooperation among all parties to combat this negative phenomenon, which poses a significant challenge to the insurance industry in Saudi Arabia. The aim is to mitigate its negative effects on policyholders, insurance companies, and service providers. Al-Qusair also called for the standardization of these indicators, alongside regular upgrades, to ensure alignment of procedures across all regions of the Kingdom, as well as consistency in claims settlement processes among insurance companies. This will play a key role in preserving the rights of policyholders and beneficiaries of insurance coverage.

Mr Mohammed Y. Al Shehri, CEO of Najm, also expressed his appreciation for the support provided by the Insurance Authority to insurance companies, including Najm's initiatives, as well as the efforts of the General Department of Traffic during their participation in the workshops organized by Najm in 2024. These efforts contributed to developing field monitoring procedures and post-monitoring verification processes, as well as developing key standards and patterns to detect fraud in traffic accidents.

The final workshop held in Riyadh was attended by senior officials from the General Department of Traffic, who expressed their appreciation for the cooperation between the traffic department and the insurance sector. They also commended Najm's efforts in handling traffic accidents with the highest levels of integrity and transparency, ensuring all parties' rights and community safety. The workshop also featured a presentation by Mr. Abdulmajeed Al Rebdi, Vice President of Compliance and Acting Risk Management at Najm.

In his presentation, he addressed methods for combating fraud and illicit gain in vehicle insurance, as well as the importance of raising awareness about the negative economic impacts of these activities on the insurance process and its stakeholders. The attendees engaged in an open discussion as part of the workshop's schedule, discussing the damages resulting from fraud activities and the mechanisms for implementing proposed solutions to tackle this financial crime. The focus was on coordinating efforts among all parties to activate these solutions to benefit the community as a whole.

Najm for Insurance Services is a closed Saudi joint-stock company founded in 2007 (1428 AH). It adopted its main objective of enhancing the vehicle insurance sector in the Kingdom. Najm provides a wide range of insurance solutions and services to citizens, residents, and visitors in over 40 cities and governorates across the Kingdom, with a workforce of experienced and skilled Saudis making up 98% of Najm's total workforce.

Last Modified Date: 10/09/2024 - 12:00 AM Saudi Arabia Time