Page 281 - Motor Insurance Ebook IC 72

Guide for Motor Insurance

you receive concerning the accident directly to the
Insurance Company.

Q. 8. How to deal with frauds in TP Claims? What are
Ans: the most common frauds in third party losses?
Third Party claims settlements are a drag on an insurer's
profitability. They form the highest amount of claims
for all departments. Whilst it is not denied that these
settlements are a social obligation, it must also ensured
that individuals/claimants do not take undue advantage
of the provisions of the law the enhance wealth. The
very nature of these claims leaves them open to
fraudulent practices.

The time span between the date of accident and the
filing of the case or receipt of summons from the court
by the insurers renders the information open to
manipulation. Sec. 158 (6) of the M V Act requires the
Officer in charge of the police station to forward the
FIR to the insurers and claims tribunal having jurisdiction
within thirty days.

A claimant lack of knowledge on their entitlement leaves
them at the mercy of advocates on their entitlement
leaves them at the mercy of advocates and other
agencies. Advocates take up such matters with a "No

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