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What it
takes to win
a running
battle to
fight fraud?
Thanos Papanikolaou
Deloitte, Principal
Thomas Brinkmann
FRISS, Country Manager
Deloitte Hadjipavlou Sofianos & Cambanis S.A. 2
What it takes to win a running battle to fight fraud?
Industry & Fraud Expertise
In order to effectively utilize
data and technology a
multidisciplinary set of
professionals is required. Deep
industry and market knowledge
must be supplemented with
strong fraud and analytical
skills.
Data
It is all about having the
internal and external
data available at the
right time and at the
right quality.
Processes
In order to be effective in
combating fraud on a day-to-
day basis and avoid wasting
resources without the expected
ROI, a robust set of processes
must govern the insurer’s
actions against fraudsters.
Technology
Availability of specialized
technology, taking advantage
of advanced analytics
capabilities and going beyond
traditional data querying, is a
necessity not a luxury for
today’s insurers.
Deloitte Hadjipavlou Sofianos & Cambanis S.A. 3
The Fraud Triangle
Incentive /
Pressure
Rationalization
/ Attitude
Opportunity
Circumstances may exist that
create opportunities for clients
to commit fraud.
When such opportunities arise,
those who might not otherwise
be inclined to behave
dishonestly may be tempted to
do so.
Employees or clients may find
themselves offered incentives or
placed under pressure to
commit fraud.
Some individuals are more
prone than others to commit
fraud.
Other things being equal, the
propensity to commit fraud
depends on people’s ethical
values as well as on their
personal circumstances.
Fraud RiskFraud Risk
Deloitte Hadjipavlou Sofianos & Cambanis S.A. 4
 Do you know somebody who
cheated his/ her insurance
company? 27%
 What percentage of the
public believes that it is
acceptable to commit fraud?
 5%
 10%
 15%
 25%
 50%
 What percentage of the public
believes that they would not get
caught if they filed a fraudulent
claim?
 5%
 10%
 25%
 50%
Deloitte Hadjipavlou Sofianos & Cambanis S.A. 5
This is Joseph, the “fix it “ guy
Deloitte Hadjipavlou Sofianos & Cambanis S.A. 6
Malta is a holiday destination
Deloitte Hadjipavlou Sofianos & Cambanis S.A. 7
The bar of Joseph and his friendsA fraud scheme was born
Deloitte Hadjipavlou Sofianos & Cambanis S.A. 8
Deloitte Hadjipavlou Sofianos & Cambanis S.A. 9
22 persons had been involved in a
massive insurance fraud case
Deloitte Hadjipavlou Sofianos & Cambanis S.A. 10
Are you the next to be on the news?
«Έστησαν οικογενειακή απάτη σε
βάρος ασφαλιστικής εταιρίας με
δήθεν κλοπή αυτοκινήτου»
asfalisinet.gr
April 2015
«Απάτη εκατοντάδων χιλιάδων
με εικονικά ατυχήματα και
εμπλοκή αστυνομικών»
tothemaonline.com
January 2016 «Πλαστά ασφαλιστήρια
αυτοκινήτου. Συλλήψεις
δραστών
Η Κίνα –χώρα προέλευσης, η
Ευρώπη –ο τελικός
προορισμός»
sofokleousin.gr
April 2016
«Πνίγουν την ασφαλιστική
απάτη σε υποθαλάσσιο
«νεκροταφείο» αυτοκινήτων»
asfalisinet.gr
June 2016
«Μεγάλη απάτη σε όλη την
Κρήτη ξεσκέπασε η Ασφάλεια
Αγίου Νικολάου»
flashnews.gr
February 2016
«Απάτη συνεργείων Ι.Χ. με
ασφαλιστικές εταιρείες»
mototriti.gr
March 2014
Thank you!
Meet us at the
Deloitte – FRISS
Booth
Deloitte Greece is a member of Deloitte Touche Tohmatsu Limited, a UK private company limited by guarantee (“DTTL”), its network of member firms, and their
related entities. DTTL and each of its member firms are legally separate and independent entities. DTTL (also referred to as “Deloitte Global”) does not provide
services to clients. Please see www.deloitte.com/about for a more detailed description of DTTL and its member firms.
Deloitte provides audit, consulting, financial advisory, risk management, tax and related services to public and private clients spanning multiple industries. Deloitte
serves four out of five Fortune Global 500® companies through a globally connected network of member firms in more than 150 countries bringing world-class
capabilities, insights, and high-quality service to address clients’ most complex business challenges. To learn more about how Deloitte’s approximately 225,000
professionals make an impact that matters, please connect with us on Facebook, LinkedIn, or Twitter.
In Greece, “Hadjipavlou, Sofianos & Cambanis Assurance and Advisory Services S.A.” provides audit services, “Deloitte Business Solutions Hadjipavlou Sofianos &
Cambanis S.A.” financial advisory, tax and consulting services and “Deloitte Accounting Compliance & Reporting Services SA” accounting outsourcing services. With a
staff of more than 600 and offices in Athens and Thessaloniki, Deloitte Greece focuses on all major industries including financial services, shipping and ports, energy
and resources, consumer business, life sciences and health care, manufacturing, technology, media and telecommunications, real estate and public sector services.
Deloitte clients include most of the leading private and public, commercial, financial and industrial companies. For more information, please visit our website at
www.deloitte.gr
This communication contains general information only, and none of Deloitte Touche Tohmatsu Limited, its member firms, or their related entities (collectively, the
“Deloitte Network”) is, by means of this communication, rendering professional advice or services. Before making any decision or taking any action that may affect
your finances or your business, you should consult a qualified professional adviser. No entity in the Deloitte Network shall be responsible for any loss whatsoever
sustained by any person who relies on this communication.
3a Fragoklissias & Granikou str., 151 25 Maroussi, Attika – Greece, Tel: +30 210 6781 100
© 2016 All rights reserved.

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9o Insurance Conference - Thanos Papanikolaou, Thomas Brinkmann

  • 1. What it takes to win a running battle to fight fraud? Thanos Papanikolaou Deloitte, Principal Thomas Brinkmann FRISS, Country Manager
  • 2. Deloitte Hadjipavlou Sofianos & Cambanis S.A. 2 What it takes to win a running battle to fight fraud? Industry & Fraud Expertise In order to effectively utilize data and technology a multidisciplinary set of professionals is required. Deep industry and market knowledge must be supplemented with strong fraud and analytical skills. Data It is all about having the internal and external data available at the right time and at the right quality. Processes In order to be effective in combating fraud on a day-to- day basis and avoid wasting resources without the expected ROI, a robust set of processes must govern the insurer’s actions against fraudsters. Technology Availability of specialized technology, taking advantage of advanced analytics capabilities and going beyond traditional data querying, is a necessity not a luxury for today’s insurers.
  • 3. Deloitte Hadjipavlou Sofianos & Cambanis S.A. 3 The Fraud Triangle Incentive / Pressure Rationalization / Attitude Opportunity Circumstances may exist that create opportunities for clients to commit fraud. When such opportunities arise, those who might not otherwise be inclined to behave dishonestly may be tempted to do so. Employees or clients may find themselves offered incentives or placed under pressure to commit fraud. Some individuals are more prone than others to commit fraud. Other things being equal, the propensity to commit fraud depends on people’s ethical values as well as on their personal circumstances. Fraud RiskFraud Risk
  • 4. Deloitte Hadjipavlou Sofianos & Cambanis S.A. 4  Do you know somebody who cheated his/ her insurance company? 27%  What percentage of the public believes that it is acceptable to commit fraud?  5%  10%  15%  25%  50%  What percentage of the public believes that they would not get caught if they filed a fraudulent claim?  5%  10%  25%  50%
  • 5. Deloitte Hadjipavlou Sofianos & Cambanis S.A. 5 This is Joseph, the “fix it “ guy
  • 6. Deloitte Hadjipavlou Sofianos & Cambanis S.A. 6 Malta is a holiday destination
  • 7. Deloitte Hadjipavlou Sofianos & Cambanis S.A. 7 The bar of Joseph and his friendsA fraud scheme was born
  • 8. Deloitte Hadjipavlou Sofianos & Cambanis S.A. 8
  • 9. Deloitte Hadjipavlou Sofianos & Cambanis S.A. 9 22 persons had been involved in a massive insurance fraud case
  • 10. Deloitte Hadjipavlou Sofianos & Cambanis S.A. 10 Are you the next to be on the news? «Έστησαν οικογενειακή απάτη σε βάρος ασφαλιστικής εταιρίας με δήθεν κλοπή αυτοκινήτου» asfalisinet.gr April 2015 «Απάτη εκατοντάδων χιλιάδων με εικονικά ατυχήματα και εμπλοκή αστυνομικών» tothemaonline.com January 2016 «Πλαστά ασφαλιστήρια αυτοκινήτου. Συλλήψεις δραστών Η Κίνα –χώρα προέλευσης, η Ευρώπη –ο τελικός προορισμός» sofokleousin.gr April 2016 «Πνίγουν την ασφαλιστική απάτη σε υποθαλάσσιο «νεκροταφείο» αυτοκινήτων» asfalisinet.gr June 2016 «Μεγάλη απάτη σε όλη την Κρήτη ξεσκέπασε η Ασφάλεια Αγίου Νικολάου» flashnews.gr February 2016 «Απάτη συνεργείων Ι.Χ. με ασφαλιστικές εταιρείες» mototriti.gr March 2014
  • 11. Thank you! Meet us at the Deloitte – FRISS Booth
  • 12. Deloitte Greece is a member of Deloitte Touche Tohmatsu Limited, a UK private company limited by guarantee (“DTTL”), its network of member firms, and their related entities. DTTL and each of its member firms are legally separate and independent entities. DTTL (also referred to as “Deloitte Global”) does not provide services to clients. Please see www.deloitte.com/about for a more detailed description of DTTL and its member firms. Deloitte provides audit, consulting, financial advisory, risk management, tax and related services to public and private clients spanning multiple industries. Deloitte serves four out of five Fortune Global 500® companies through a globally connected network of member firms in more than 150 countries bringing world-class capabilities, insights, and high-quality service to address clients’ most complex business challenges. To learn more about how Deloitte’s approximately 225,000 professionals make an impact that matters, please connect with us on Facebook, LinkedIn, or Twitter. In Greece, “Hadjipavlou, Sofianos & Cambanis Assurance and Advisory Services S.A.” provides audit services, “Deloitte Business Solutions Hadjipavlou Sofianos & Cambanis S.A.” financial advisory, tax and consulting services and “Deloitte Accounting Compliance & Reporting Services SA” accounting outsourcing services. With a staff of more than 600 and offices in Athens and Thessaloniki, Deloitte Greece focuses on all major industries including financial services, shipping and ports, energy and resources, consumer business, life sciences and health care, manufacturing, technology, media and telecommunications, real estate and public sector services. Deloitte clients include most of the leading private and public, commercial, financial and industrial companies. For more information, please visit our website at www.deloitte.gr This communication contains general information only, and none of Deloitte Touche Tohmatsu Limited, its member firms, or their related entities (collectively, the “Deloitte Network”) is, by means of this communication, rendering professional advice or services. Before making any decision or taking any action that may affect your finances or your business, you should consult a qualified professional adviser. No entity in the Deloitte Network shall be responsible for any loss whatsoever sustained by any person who relies on this communication. 3a Fragoklissias & Granikou str., 151 25 Maroussi, Attika – Greece, Tel: +30 210 6781 100 © 2016 All rights reserved.