欺诈性索赔与吹毛求疵的保险公司

Fraudulent Claims and Nitpicky Insurers

American Economic Review · 2014
被引 27
人大 A+FT50ABS 4*

中文导读

研究了保险公司在理赔时吹毛求疵的行为如何影响其审计策略,发现减少赔付能降低欺诈率,且适度吹毛求疵对社会最优。

Abstract

Insurers have the reputation of being bad payers who nitpick whenever an opportunity arises. However, this nitpicking activity has a positive impact on their auditing strategy since auditing may prove profitable when claims are not fraudulent. We show that reducing the indemnity payments of audited claims induces a lower fraud rate at equilibrium and that some degree of nitpicking is socially optimal when insurance fraud is a concern. Its remains optimal even if it induces adverse effects on policyholders' moral standards.

保险欺诈理赔审计吹毛求疵社会福利