Cracking down on fraud
Westfield Health has reinforced its tight controls to counter the increased threat of fraud.
Westfield’s rigorous systems for monitoring claims patterns, which identify accounts for further investigation, have now been strengthened even further with measures to increase vigilance in claims processing to ensure that potentially fraudulent activity is spotted as it appears.
Julie Gill, Westfield Executive Director – Operations, said: “Given the increasing sophistication of fraudulent activity in society in general, Westfield has further strengthened its systems as part of our commitment to protect our policyholders against those trying to claim benefits fraudulently.
“We have many ways in which we can verify claims and, under the Data Protection Act 1998, we will share details with other health insurance providers for the detection and prevention of fraudulent activity.
“If we did not pursue this vigilant approach to discourage such activity, it would unfairly jeopardise the viability of our plans for our policyholders and therefore lead to undue premium increases. Our policyholders can be reassured that we take appropriate action when we discover any falsified claims activity.
“We remain dedicated to our not-for-profit, mutual status, which ensures that we are ideally placed to return highly competitive benefits to policyholders and to provide outstanding customer service while treating all of our customers fairly.”
© Westfield Health Insurance | 2010
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