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9. LEGAL AND COMPLIANCE
The employees in this department play an important role in
ensuring that the company is complying with all the
regulations and laws in the country. They develop the
policy forms, contracts for agents, etc., in line with the
existing rules and regulations and also advise the staff and
management on any legal issues. In case there is any
dispute arising out of a claim, the attorneys from the legal
department defend the company's position.
They identify potential legal and regulatory issues as soon
as possible and quickly and efficiently assess those issues to
develop a profile of potential legal risks;
They avoid and mitigate legal risks through proactive
initiatives such as compliance programs and dialogue with
government / regulatory officials responsible for
promulgation and/or enforcement of laws and regulations;
They manage legal risks as they materialize and hopefully
before they begin to adversely impact the insurer.
They also prepare responses to any cases at legal fora –
either Insurance Ombudsman or some court of law or an
arbitration panel. In India, they are Lok Adalat, Insurance
Ombudsman and Consumer court(s).
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