Protecting Our Customers
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WPA has committed itself not to tolerate fraud or corruption. We recognise that we have an absolute duty to our customers to identify and prevent financial crime. WPA has statutory responsibilities, set out by The Financial Services Authority (FSA), to reduce the extent to which our products may be used as vehicles for financial crime. As a result of these responsibilities we operate strict controls to prevent and detect fraud, and we promote a strong anti-fraud culture which is supported throughout the organisation. |
What is Fraud?
"A fraud is an intentional deception perpetrated to secure an unfair gain."
In the health insurance context fraud is an intentional act of deceiving, concealing, or misrepresenting information which results in healthcare benefits being paid.
WPA prevents fraud by working closely with a number of bodies:
- Health Insurers Counter Fraud Group (HICFG)
- Association of British Insurers (ABI)
- Insurance Fraud Investigators Group (IFIG)
- The NHS Counter Fraud Security Management Service (CFSMS)
- UK Police forces
Please note: Where fraud is identified or suspected, WPA will record & investigate this. We will share data with other organisations under S29(3) of the Data Protection Act 1998.
What actions does WPA take when fraud is identified?
When Insurance fraud is identified WPA follows a procedure which is designed to prevent further fraud losses, to recover any payments made, and to bring the culprit(s) to justice.
- Wherever possible WPA will always seek to support criminal prosecution
- In addition WPA will instigate civil recoveries
- Where a medical provider is involved we will formally report the matter to the appropriate regulatory or professional body
- WPA will work with other insurers, and other IFIG members to circulate the offenders details to prevent similar crimes being perpetrated elsewhere
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