已建立欺詐風險識別、評估及應對流程，及定期檢視欺詐風險識別點及預警指標

已建立欺诈风险识别、评估及应对流程，及定期检视欺诈风险识别点及预警指标。经查风险指标系以被保险人之行为、发生时间、金额等分析，建议进一步收集同业投保状况、异常医院及异常医师等资料，加强异常案件的判断，以有效达到欺诈风险的控管。

已建立欺诈风险识别、评估及应对流程，及定期检视欺诈风险识别点及预警指标。 经查风险指标系以被保险人之行为、发生时间、金额等分析，建议进一步收集同业投保状况、异常医院及异常医师等资料，加强异常案件的判断，以有效达到欺诈风险的控管。

Fraud risk identification, assessment and response processes have been established, and fraud risk identification points and early warning indicators are regularly reviewed. Through investigation, the risk indicators are analyzed based on the behavior, occurrence time and amount of the insured. It is suggested to further collect the insurance situation of peers, abnormal hospitals and abnormal doctors, and strengthen the judgment of abnormal cases, so as to effectively control the risk of fraud.<br>