Case studies

Deloitte helped Pojišťovna České spořitelny develop a system to detect insurance fraud

Deloitte has successfully created an insurance fraud detection system for the insurance company Pojišťovna České spořitelny (PČS). Thanks to the system, Pojišťovna České spořitelny has managed to detect fraud cases, worth tens of millions of Czech crowns, over the past two years.

“We are delighted that thanks to the mutual synergy with PČS we succeeded in developing an effective solution to detect insurance fraud. We can see that over the past few years the number of fraud incidents has generally risen, and individual institutions, not only in the sector of insurance and banking, have suffered considerable losses. Our aim is to draw from our international experience and detailed knowledge of local markets, and to assist clients with implementing processes that help detect fraud,” said Gabriela Tvrdíková, a specialist on Deloitte’s Analytic and Forensic Technology team.

“In 2013 we set out a clear task: We want a system that will reveal fraudsters and protect honest clients. My colleagues from PČS, along with Deloitte representatives, came up with a solution tailored to our insurance company. That the system fully meets its purpose has been demonstrated by uncovering the biggest organised life insurance fraud to date,” said František Mareš, Pojišťovna České spořitelny’s Deputy CEO.

According to the recently published Czech Insurance Companies Association statistics, the number of insurance fraud cases in personal insurance rose by 82% last year. Based on Deloitte’s experience, we can see that the increase in insurance fraud is also caused by the perpetrators believing that they will go undetected given the number and sophistication of fraud. This is why it is necessary to implement an effective solution that quickly responds to the changing fraud patterns.

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