{"id":7935,"date":"2019-08-29T18:37:20","date_gmt":"2019-08-29T22:37:20","guid":{"rendered":"http:\/\/localhost:10028\/uncategorized\/what-you-need-to-know-about-insurance-fraud\/"},"modified":"2019-08-29T18:37:20","modified_gmt":"2019-08-29T22:37:20","slug":"sigorta-dolandiriciligi-hakkinda-bilmeniz-gerekenler","status":"publish","type":"post","link":"https:\/\/napolilaw.lemonadestand.org\/tr\/article\/sigorta-dolandiriciligi-hakkinda-bilmeniz-gerekenler\/","title":{"rendered":"Sigorta Doland\u0131r\u0131c\u0131l\u0131\u011f\u0131 Hakk\u0131nda Bilmeniz Gerekenler"},"content":{"rendered":"<p>\u201cSigorta doland\u0131r\u0131c\u0131l\u0131\u011f\u0131, bir sigorta \u015firketinin, acentenin, eksperin veya t\u00fcketicinin me\u015fru olmayan bir kazan\u00e7 elde etmek i\u00e7in kasten bir aldatmaca yapmas\u0131d\u0131r.<\/p>\n<p>Sigorta sat\u0131n alma, kullanma, satma veya taahh\u00fct etme s\u00fcrecinde ortaya \u00e7\u0131kabilir.<\/p>\n<p>Sigorta doland\u0131r\u0131c\u0131l\u0131\u011f\u0131, t\u00fcketicilere kar\u015f\u0131 doland\u0131r\u0131c\u0131l\u0131k yapan ki\u015filerden sigorta \u015firketlerine kar\u015f\u0131 doland\u0131r\u0131c\u0131l\u0131k yapan ki\u015filere kadar farkl\u0131 kategorilere ayr\u0131labilir.<\/p>\n<p>Y\u0131lda y\u00fcz milyar dolar\u0131n \u00fczerinde oldu\u011fu tahmin edilen sigorta doland\u0131r\u0131c\u0131l\u0131\u011f\u0131, yaln\u0131zca sigorta \u015firketlerine maliyet y\u00fcklemekle ve onlar\u0131n rekabet g\u00fc\u00e7lerini ve gelecekteki varl\u0131klar\u0131n\u0131 tehdit etmekle kalmaz, ayn\u0131 zamanda t\u00fcketicilere finansal olarak zarar verir ve bir b\u00fct\u00fcn olarak ekonomiye ve topluma zarar verir.<a href=\"https:\/\/www.naic.org\/cipr_topics\/topic_insurance_fraud.htm\" target=\"_blank\" rel=\"noopener\">NA\u0130K<\/a>).<\/p>\n<p>Doland\u0131r\u0131c\u0131l\u0131k t\u00fcrleri b\u00fcy\u00fck \u00f6l\u00e7\u00fcde \u00e7e\u015fitlidir ve her zaman geli\u015fir ve t\u00fcm sigorta t\u00fcrlerini etkilerken, en s\u0131k g\u00f6r\u00fclen ve rapor edilen sigorta doland\u0131r\u0131c\u0131l\u0131\u011f\u0131 t\u00fcrleri \u015funlar\u0131 i\u00e7erir: otomobil sigortas\u0131 - doland\u0131r\u0131c\u0131l\u0131k vakalar\u0131 i\u00e7in en \u00fcretken sekt\u00f6r, i\u015f\u00e7i tazminat\u0131 - hem \u00e7al\u0131\u015fanlar hem de i\u015fverenler taraf\u0131ndan i\u015flenir. y\u00fcksek riskli end\u00fcstriler ve hem parasal hem de kaybedilen hayatlar a\u00e7\u0131s\u0131ndan \u00f6zellikle maliyetli olabilecek sa\u011fl\u0131k sigortas\u0131 ve t\u0131bbi doland\u0131r\u0131c\u0131l\u0131k.<\/p>\n<p>Sigorta sekt\u00f6rlerinde meydana gelebilecek ba\u015fka doland\u0131r\u0131c\u0131l\u0131k t\u00fcrleri de vard\u0131r, ancak en yayg\u0131n olan bu \u00fc\u00e7\u00fcyle, sigorta doland\u0131r\u0131c\u0131l\u0131\u011f\u0131n\u0131n ne kadar y\u0131k\u0131c\u0131 olabilece\u011fini ve insanlar, topluluklar ve t\u00fcm sekt\u00f6rler \u00fczerinde dalga etkisi yaratabilece\u011fini g\u00f6rmek kolayd\u0131r!<\/p>\n<h3><strong>G\u00fcn\u00fcm\u00fczde Yayg\u0131n Olarak G\u00f6r\u00fclen Sigorta Doland\u0131r\u0131c\u0131l\u0131\u011f\u0131 T\u00fcrleri<\/strong><\/h3>\n<p>Sahte sigorta \u015firketleri ve d\u00fcr\u00fcst olmayan sigorta acenteleri, el alt\u0131ndan ve aldat\u0131c\u0131 taktikler kullanarak t\u00fcketicileri \u00e7e\u015fitli \u015fekillerde doland\u0131rabilir.<\/p>\n<p>Kulland\u0131klar\u0131 yayg\u0131n bir hile, poli\u00e7e \u015fartlar\u0131n\u0131 yerine getirme niyetinde olmadan veya hatta ilk etapta bu poli\u00e7eye ili\u015fkin tazminat \u00f6deme g\u00fcc\u00fc olmadan d\u00fczenledikleri sahte poli\u00e7eler i\u00e7in prim toplamakt\u0131r.<\/p>\n<p>Bu &quot;\u015firketler&quot;, para biriktirmeye \u00e7al\u0131\u015fan t\u00fcketicileri etkilemek i\u00e7in me\u015fru \u015firketlerin sundu\u011fundan \u00e7ok daha d\u00fc\u015f\u00fck bir fiyata poli\u00e7eler sunabilir.<\/p>\n<p>\u00c7o\u011fu durumda, sahte bir sigorta \u015firketi t\u00fcketicilere ger\u00e7ek gibi g\u00f6r\u00fcnen belgeler sa\u011flar. Di\u011fer durumlarda, bu poli\u00e7eler, kendileri de doland\u0131r\u0131c\u0131 \u015firketler taraf\u0131ndan yan\u0131lt\u0131lm\u0131\u015f me\u015fru sigorta acenteleri taraf\u0131ndan temsil edilebilir.<\/p>\n<p>\u0130zlenmesi kolay bir k\u0131rm\u0131z\u0131 bayrak, ger\u00e7ek olamayacak kadar iyi g\u00f6r\u00fcnen bir \u015feydir.<\/p>\n<p>Kapsam, maliyetler veya ba\u015fka herhangi bir \u015fey, di\u011fer sigorta \u015firketlerinin size teklif ettikleri veya teklif ettikleri ile kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda ger\u00e7ek olamayacak kadar iyi g\u00f6r\u00fcn\u00fcyorsa, bunu bir uyar\u0131 i\u015fareti olarak kabul edin!<\/p>\n<p>\u201c2000-2002 y\u0131llar\u0131 aras\u0131nda, federal h\u00fck\u00fcmetin Genel Muhasebe Ofisi, \u00fclke \u00e7ap\u0131nda 200.000&#039;den fazla poli\u00e7e sahibine sahte sa\u011fl\u0131k sigortas\u0131 satan ve $252 milyondan fazla \u00f6denmemi\u015f hasarla sonu\u00e7lanan 144 sahte sigortac\u0131 tespit etti.<\/p>\n<p>Benzer \u015fekilde otomobil, ev sahibi, kirac\u0131, hayat, engelli, re\u00e7eteli ila\u00e7 ve uzun s\u00fcreli bak\u0131m poli\u00e7eleri satan bir\u00e7ok sahte \u015firket var\u201d (<a href=\"https:\/\/www.naic.org\/cipr_topics\/topic_insurance_fraud.htm\" target=\"_blank\" rel=\"noopener\">NA\u0130K<\/a>).<\/p>\n<p>Bu oran o zamandan beri yaln\u0131zca f\u0131rlad\u0131 ve y\u00fczbinlerce kurban her y\u0131l bundan yararland\u0131klar\u0131n\u0131 ke\u015ffetti ve ne yaz\u0131k ki baz\u0131 sekt\u00f6rlerdeki say\u0131 artmaya devam ediyor.<\/p>\n<p>Me\u015fru \u015firketler, devlet taraf\u0131ndan sigorta satmak i\u00e7in uygun \u015fekilde lisanslanmad\u0131klar\u0131 ve kendilerini me\u015fru sigorta sa\u011flay\u0131c\u0131lar\u0131 olarak g\u00f6stermeye \u00e7al\u0131\u015ft\u0131klar\u0131 takdirde doland\u0131r\u0131c\u0131l\u0131k yapabilirler.<\/p>\n<p>Doland\u0131r\u0131c\u0131lar, t\u00fcketicilerin devlet sigorta d\u00fczenlemeleri ve protokollerinden ka\u00e7arken &quot;sigorta&quot; satt\u0131klar\u0131n\u0131 d\u00fc\u015f\u00fcnmelerine de yol a\u00e7abilir.<\/p>\n<p>\u00d6rne\u011fin, bir sa\u011fl\u0131k indirimi plan\u0131 satan bir \u015firket, asl\u0131nda d\u00fczenlemeye tabi olmayan, sigortas\u0131z bir \u00fcr\u00fcn oldu\u011funda plan\u0131 sigorta olarak adland\u0131rabilir.<\/p>\n<p>Muhtemel kurban ara\u015ft\u0131rmas\u0131n\u0131 yapmaz ve \u00e7ok h\u0131zl\u0131 bir \u015fekilde devreye girerse, bundan yararlan\u0131labilir ve ihtiya\u00e7 duyduklar\u0131nda kesinlikle hi\u00e7bir \u015fey yapmayan bir doland\u0131r\u0131c\u0131l\u0131k politikas\u0131 i\u00e7in bir doland\u0131r\u0131c\u0131ya para \u00f6demek zorunda kalabilirler.<\/p>\n<p>Me\u015fru sigorta \u015firketlerinin \u00e7al\u0131\u015fanlar\u0131n\u0131n zaman zaman t\u00fcketicileri ki\u015fisel, genellikle mali kazan\u00e7 konular\u0131nda kas\u0131tl\u0131 olarak aldatt\u0131klar\u0131 da bilinmektedir.<\/p>\n<p>\u00d6rne\u011fin, vicdans\u0131z bir acente, sigorta poli\u00e7esini \u015firkete resmi olarak bildirmeden bir poli\u00e7e sahibinden prim tahsil edebilir.<\/p>\n<p>M\u00fc\u015fteri temel olarak \u00e7al\u0131\u015fana do\u011frudan \u00f6deme yap\u0131yor ve asl\u0131nda hi\u00e7bir zaman ihra\u00e7 kapsam\u0131na sahip de\u011fil! Bu, mevcut bir poli\u00e7e sahibi, bir \u00e7al\u0131\u015fan\u0131n teslim etmek yerine kendisi i\u00e7in saklad\u0131\u011f\u0131 \u00f6demeleri g\u00f6nderdi\u011finde de olabilir.<\/p>\n<p>Bu, m\u00fc\u015fterinin politikas\u0131yla su\u00e7lu hale gelmesine neden olacakt\u0131r. Sigorta \u015firketi poli\u00e7eyi iptal edebilir veya yenilemeyi reddedebilir.<\/p>\n<p>T\u00fcketiciler ayr\u0131ca, sigorta sa\u011flay\u0131c\u0131s\u0131n\u0131 aldatmaya \u00e7al\u0131\u015ft\u0131klar\u0131nda ve poli\u00e7elerinde yapt\u0131klar\u0131 bir talep i\u00e7in bor\u00e7lu olduklar\u0131ndan daha fazla para almaya \u00e7al\u0131\u015ft\u0131klar\u0131nda sigorta doland\u0131r\u0131c\u0131l\u0131\u011f\u0131ndan su\u00e7lu olabilirler.<\/p>\n<p>Bir sigorta poli\u00e7esi kapsam\u0131nda kar\u015f\u0131lanacak bir kaza, yaralanma, h\u0131rs\u0131zl\u0131k, kundak\u00e7\u0131l\u0131k veya di\u011fer t\u00fcrdeki kay\u0131plar\u0131 kas\u0131tl\u0131 olarak d\u00fczenlemeye y\u00f6nelik giri\u015fimler, t\u00fcketiciler taraf\u0131ndan ger\u00e7ekle\u015ftirilen en yayg\u0131n sigorta doland\u0131r\u0131c\u0131l\u0131\u011f\u0131 t\u00fcr\u00fcd\u00fcr.<\/p>\n<p>T\u00fcketicinin me\u015fru bir iddiay\u0131 abartmaya \u00e7al\u0131\u015faca\u011f\u0131 veya bir uygulama veya iddia hakk\u0131nda kas\u0131tl\u0131 olarak yanl\u0131\u015f bilgi verece\u011fi durumlar da vard\u0131r.<\/p>\n<p>Hasarl\u0131 bir araban\u0131n $40.000 yerine $50.000 de\u011ferinde oldu\u011funu iddia etmesi buna bir \u00f6rnektir, t\u0131pk\u0131 bir poli\u00e7e sahibinin barakas\u0131n\u0131n f\u0131rt\u0131na s\u0131ras\u0131nda meydana gelen hasar oldu\u011funu iddia etmesi gibi.<\/p>\n<h3><strong>Doland\u0131r\u0131c\u0131l\u0131\u011fa Kar\u015f\u0131 Kendinizi Koruyun<\/strong><\/h3>\n<p>Kendinizi sigorta Doland\u0131r\u0131c\u0131l\u0131\u011f\u0131na kar\u015f\u0131 koruman\u0131n en b\u00fcy\u00fck ad\u0131mlar\u0131ndan biri bunun neden oldu\u011funu bilmektir.<\/p>\n<p>&quot;Sigorta Sahtekarl\u0131\u011f\u0131na Kar\u015f\u0131 Koalisyona g\u00f6re, nedenler de\u011fi\u015fkenlik g\u00f6steriyor, ancak genellikle a\u00e7g\u00f6zl\u00fcl\u00fck ve doland\u0131r\u0131c\u0131l\u0131\u011fa kar\u015f\u0131 korumalardaki bo\u015fluklar \u00fczerinde odaklan\u0131yor.<\/p>\n<p>Genellikle, sigorta doland\u0131r\u0131c\u0131l\u0131\u011f\u0131 yapanlar bunu d\u00fc\u015f\u00fck riskli, kazan\u00e7l\u0131 bir giri\u015fim olarak g\u00f6r\u00fcrler.<\/p>\n<p>\u00d6rne\u011fin, sigorta doland\u0131r\u0131c\u0131l\u0131\u011f\u0131na giren uyu\u015fturucu sat\u0131c\u0131lar\u0131, bunun sokak k\u00f6\u015felerinde \u00e7al\u0131\u015fmaktan daha g\u00fcvenli ve daha karl\u0131 oldu\u011funu d\u00fc\u015f\u00fcn\u00fcrler.<\/p>\n<p>Di\u011fer su\u00e7larla kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda, sigorta doland\u0131r\u0131c\u0131l\u0131\u011f\u0131na ili\u015fkin mahkeme cezalar\u0131 hafif olabilir ve bu da uzun s\u00fcreli ceza riskini azalt\u0131r.<\/p>\n<p>Sigortac\u0131lar doland\u0131r\u0131c\u0131l\u0131kla m\u00fccadele etseler de, baz\u0131lar\u0131 \u015f\u00fcpheli iddialar\u0131 yine de \u00f6der, \u00e7\u00fcnk\u00fc bu t\u00fcr iddialar\u0131 halletmek genellikle yasal i\u015flemden daha ucuzdur\u201d (<a href=\"https:\/\/en.wikipedia.org\/wiki\/Coalition_Against_Insurance_Fraud\" target=\"_blank\" rel=\"noopener\">CAIF<\/a>).<\/p>\n<p>Bu nedenle, tehlike i\u015faretleri aramak ve kendinizi sigorta doland\u0131r\u0131c\u0131l\u0131\u011f\u0131 ve doland\u0131r\u0131c\u0131l\u0131\u011f\u0131na kar\u015f\u0131 korumak i\u00e7in elinizden gelen her \u015feyi yapman\u0131z gerekir.<\/p>\n<p><a href=\"\/tr\/article\/baska-kisi-sigorta-sirketiyle-nasil-basa-cikilir\/\">t\u00fcketiciler<\/a> Sigorta poli\u00e7eleri, \u015firketler ve iddialarla u\u011fra\u015f\u0131rken a\u015fa\u011f\u0131daki uyar\u0131 i\u015faretlerine dikkat etmeleri gerekir; \u00e7\u00fcnk\u00fc bunlar, bir \u015firketin ama\u00e7lar\u0131 ve niyetleri a\u00e7\u0131s\u0131ndan sahte oldu\u011funu veya en az\u0131ndan saf olmad\u0131\u011f\u0131n\u0131 g\u00f6sterebilir:<\/p>\n<ul>\n<li>Bir temsilci veya komisyoncu y\u00fcksek bask\u0131 taktikleri kullan\u0131rsa, imzalaman\u0131z i\u00e7in sizi g\u00fc\u00e7lendirmeye \u00e7al\u0131\u015f\u0131rsa veya oranlar\u0131n \u00f6n\u00fcm\u00fczdeki 24 saat i\u00e7inde y\u00fckselece\u011fini veya benzer bask\u0131 taktikleri gibi \u015feyler s\u00f6ylerse.<\/li>\n<li>Bir \u015firketin primleri, tam olarak ayn\u0131 teminat t\u00fcr\u00fc i\u00e7in di\u011fer sa\u011flay\u0131c\u0131lardan ald\u0131\u011f\u0131n\u0131z ortalama fiyattan 15-20% daha d\u00fc\u015f\u00fckt\u00fcr.<\/li>\n<li>Firman\u0131n telefon numaras\u0131n\u0131 bulmakta zorlan\u0131yorsan\u0131z, telefonla kimseyle g\u00f6r\u00fc\u015femiyorsan\u0131z veya cevap veren temsilci isim ve firma ismini vermiyorsa.<\/li>\n<\/ul>\n<p>Bir sigorta poli\u00e7esi ba\u015fvurusu imzalamadan veya bir sigorta \u015firketine herhangi bir \u00f6deme yapmadan \u00f6nce, \u00e7al\u0131\u015faca\u011f\u0131n\u0131z \u015firketin me\u015fru oldu\u011funu do\u011frulamak i\u00e7in zaman ay\u0131rman\u0131z size iyi gelecektir.<\/p>\n<p>H\u0131zl\u0131 bir numara aramas\u0131 ile eyalet sigorta departman\u0131n\u0131za telefonla kolayca ula\u015f\u0131labilir ve bir sigorta \u015firketinin yasal olarak var olup olmad\u0131\u011f\u0131n\u0131 ve eyaletlerinde sigorta satmaya yetkili olup olmad\u0131klar\u0131n\u0131 h\u0131zl\u0131 bir \u015fekilde do\u011frulayabilirler.<\/p>\n<p>\u00d6nceden yapaca\u011f\u0131n\u0131z bu k\u00fc\u00e7\u00fck i\u015f, sizi bir sigorta doland\u0131r\u0131c\u0131l\u0131\u011f\u0131n\u0131n kurban\u0131 olmaktan kurtar\u0131rsa, size \u00e7ok fazla zaman, g\u00fc\u00e7l\u00fck, stres ve zarar kazand\u0131rabilir!<\/p>","protected":false},"excerpt":{"rendered":"<p>\u201cSigorta doland\u0131r\u0131c\u0131l\u0131\u011f\u0131, bir sigorta \u015firketinin, acentenin, eksperin veya t\u00fcketicinin me\u015fru olmayan bir kazan\u00e7 elde etmek i\u00e7in kasten bir aldatmaca yapmas\u0131d\u0131r. Sat\u0131n alma s\u00fcrecinde ortaya \u00e7\u0131kabilir,\u2026<\/p>","protected":false},"author":3,"featured_media":7936,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[774],"tags":[878,965],"class_list":["post-7935","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-napoli-shkolnik-news","tag-insurance-claims","tag-fraud"],"acf":[],"page_builder_type":"gutenberg","gutenberg_data":[],"_links":{"self":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/posts\/7935","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/comments?post=7935"}],"version-history":[{"count":0,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/posts\/7935\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/media\/7936"}],"wp:attachment":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/media?parent=7935"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/categories?post=7935"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/tags?post=7935"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}