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Filipa Morais, Pereira, L., Dias, Á., Gonçalves, R. & Lopes da Costa, R. (2022). How to Control Vendor Service to Avoid Fraud in Insurance Sector. International Journal of Services and Operations Management. 1 (1), 1
F. Morais et al., "How to Control Vendor Service to Avoid Fraud in Insurance Sector", in Int. Journal of Services and Operations Management, vol. 1, no. 1, pp. 1, 2022
@article{morais2022_1734882359773, author = "Filipa Morais and Pereira, L. and Dias, Á. and Gonçalves, R. and Lopes da Costa, R.", title = "How to Control Vendor Service to Avoid Fraud in Insurance Sector", journal = "International Journal of Services and Operations Management", year = "2022", volume = "1", number = "1", doi = "10.1504/IJSOM.2022.10050613", pages = "1" }
TY - JOUR TI - How to Control Vendor Service to Avoid Fraud in Insurance Sector T2 - International Journal of Services and Operations Management VL - 1 IS - 1 AU - Filipa Morais AU - Pereira, L. AU - Dias, Á. AU - Gonçalves, R. AU - Lopes da Costa, R. PY - 2022 SP - 1 SN - 1744-2370 DO - 10.1504/IJSOM.2022.10050613 AB - The difficulty in controlling the quality of services provided by external providers, in the settlement of multi-risk claims, increases the risk of fraud and constitutes an obstacle for Insurance companies. The methodology used seeks to understand the evolution of quality control of external providers; to identify the causes of the incapacity to implement adequate controls and the main impacts of this constraint; to define the best solution to solve the problem and the benefits for the company. Although there is a greater concern, controls are still insufficient, which may create economic and financial losses, negatively impact customer satisfaction and weaken the company's image. The lack of sensitivity to fraud and the misuse of resources condition adequate quality control. Audits and the parameterization and automation of controls offer greater robustness to the company, increase security with customers and control financial waste. ER -