Page 11 - The Insurance Times November 2025
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           Irdai's Deepak Sood calls for new distribution model                IRDAI mandates insurers

           to expand rural insurance reach                                     to adopt board-approved
           India's insurance industry must rethink its distribution strategy to extend  anti-fraud policy
           coverage beyond metros and urban centres, said Deepak Sood, Member  The Insurance Regulatory and Devel-
           (Non-Life), Insurance Regulatory and Development Authority of India  opment Authority of India (IRDAI) has
           (IRDAI), at the Global Fintech Fest 2025.                           directed all insurers to implement a
           "In the last decade, India has built one of the most powerful digital public  Board-approved Anti-Fraud Policy as
           infrastructures anywhere in the world. The digital backbone gives us the  part of the new Insurance Fraud Moni-
           tools to make insurance truly universal-but to do that, we need to rethink  toring Framework Guidelines 2025.
           distribution," Sood said.                                           The move aims to strengthen fraud
           He noted that the existing agent- and broker-based model has served well  risk management and establish zero
           but limits outreach to familiar customer segments. Highlighting Bima Sugam,  tolerance toward fraudulent activity.
           the digital marketplace being developed under IRDAI's guidance, Sood said  The framework requires insurers to
           it will enable insurance access in every corner of India. He added that arti-  develop procedures for preventing,
           ficial intelligence can help design more tailored, trustworthy products while  detecting, reporting, and mitigating
           ensuring equitable advice for all citizens, regardless of income or location.
                                                                               fraud across all business operations.
                                                                               Insurers must review their policies an-
         IRDAI  issues warning to           shall be no undue delay in processing  nually and identify "red flag indicators"
                                            free-look cancellation requests and  across activities such as underwriting,
         Shriram Life Insurance for         the consequent refund of premiums."  claims, and digital transactions.
         policy norm violations             It also instructed the insurer to im-  To counter cyber and new-age fraud,

         The Insurance Regulatory and Devel-  prove complaint handling mechanisms  insurers must also establish a robust
         opment Authority of India (IRDAI) has  for  cases  of  non-receipt  of  policy  cybersecurity infrastructure and main-
         issued a warning to Shriram Life Insur-  bonds.                       tain databases for incidents, customer
         ance Company over violations related  IRDAI  has  asked  Shriram  Life  to  verification, and access control. The
         to  policy  issuance  and  grievance  present the order before its Board in  regulator has instructed insurers to set
         redressal. The insurer has been di-  the next meeting and submit a copy of  up  a  Risk  Management Committee
         rected to strengthen its systems to  the  minutes  along  with  an  Action  (RMC)  to oversee the  framework's
         ensure compliance with regulations  Taken Report within 90 days. The ad-  implementation. IRDAI said the fraud
         governing free-look cancellations and  visory emphasises the regulator's focus  risk management approach should re-
         policy bond dispatch.              on consumer protection and adher-  flect each insurer's business profile, risk
         In its order, the regulator said, "There  ence to operational timelines.  exposure, and distribution structure.

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