{"id":6799,"date":"2017-10-03T21:00:53","date_gmt":"2017-10-03T21:00:53","guid":{"rendered":"https:\/\/www.grupoparadell.com\/?p=6799"},"modified":"2017-10-04T12:22:19","modified_gmt":"2017-10-04T12:22:19","slug":"fraude-al-sector-seguros-continua-al-alza","status":"publish","type":"post","link":"https:\/\/www.grupoparadell.com\/en\/fraude-al-sector-seguros-continua-al-alza\/","title":{"rendered":"EL FRAUDE AL SECTOR SEGUROS CONTIN\u00daA AL ALZA"},"content":{"rendered":"<p>Seg\u00fan <a href=\"http:\/\/www.icea.es\/\" target=\"_blank\" rel=\"noopener\">Investigaci\u00f3n Cooperativa de Entidades Aseguradoras y Fondos de Pensiones (ICEA)<\/a>, <strong>los casos de fraude detectados en el a\u00f1o 2016 aumentaron en torno a un 8,0%<\/strong> con respecto al a\u00f1o 2015, pasando de 167.351 casos en 2015 a 180.754 casos en 2016.<\/p>\n<p>Estos datos indican que, <strong>a pesar de la mejor\u00eda econ\u00f3mica<\/strong> que experimenta nuestro pa\u00eds seg\u00fan los indicadores macroecon\u00f3micos, no toda la sociedad espa\u00f1ola la experimenta por igual, ya que <strong>los casos de fraude detectados por las Compa\u00f1\u00edas de Seguros contin\u00faan al alza.<\/strong><!--more--><\/p>\n<p>Estas cifras <strong>coinciden con el an\u00e1lisis que ha realizado Grupo Paradell Consultores,<\/strong> tomando como base las m\u00e1s de 4.500 investigaciones realizadas durante el pasado a\u00f1o 2016, por encargo de un gran n\u00famero de Compa\u00f1\u00edas de Seguros.<\/p>\n<p>Dicho an\u00e1lisis, evidencia que <strong>los intentos de fraude siguen creciendo, tanto entre los clientes particulares como entre las empresas,<\/strong> y que los enga\u00f1os m\u00e1s frecuentes son los accidentes de tr\u00e1fico con exageraci\u00f3n de perjudicados y lesiones, los robos simulados y los da\u00f1os el\u00e9ctricos en comercios y hogares, as\u00ed como las reclamaciones de lesiones por responsabilidad civil.<\/p>\n<p>En el informe \u201cEl fraude al Seguro espa\u00f1ol\u201d correspondiente al a\u00f1o 2016, ICEA subraya que la inversi\u00f3n realizada por las aseguradoras para tratar de detectar el fraude fue de 34,7 euros por cada euro invertido en investigaci\u00f3n de presuntos fraudes en el a\u00f1o 2016, frente a los 32,9 euros del a\u00f1o 2015. <strong>El porcentaje de fraude evitado, en relaci\u00f3n con el importe inicial reclamado, alcanza un 73,3%,<\/strong> porcentaje similar al de los \u00faltimos a\u00f1os. Esta inversi\u00f3n en investigaciones, les ha permitido a las Compa\u00f1\u00edas ahorrarse 430 millones de euros en 2016, un 3,4% m\u00e1s que en el a\u00f1o 2015. De los 585,5 millones de euros reclamados inicialmente por garant\u00edas de las p\u00f3lizas, desembolsaron al final 156 millones de euros.<\/p>\n<p>Seg\u00fan dicho informe, <strong>el asegurado es quien intenta enga\u00f1ar a las Compa\u00f1\u00edas de Seguros en el 73,0% de los casos en Autos y en el 81,2% de los casos en Diversos<\/strong>, mientras que los perjudicados lo intentan en el 22,7% de los casos en Autos y en el 8,4% en Diversos.<\/p>\n<p>Las personas que intentan defraudar a las Compa\u00f1\u00edas de Seguros <strong>lo reconocen por escrito en el 9,1% de los casos y de forma verbal en el 12,5% de los casos<\/strong>, se han obtenido un 4,3% de sentencias favorables en los 180.754 casos detectados y, sin reconocer el intento de fraude, tenemos un 75,3% de los casos.<\/p>\n<p>Los tipos de <strong>fraudes m\u00e1s habituales este a\u00f1o son la reclamaci\u00f3n desproporcionada y la ocultaci\u00f3n de da\u00f1os o de una lesi\u00f3n preexistente en Autos<\/strong>, con un 31,1% y un 28,8% de los casos respectivamente, y el siniestro simulado y la exclusi\u00f3n de coberturas en Diversos, con un 28,8% y un 21,5% de los casos respectivamente.<\/p>\n<p>Desde Grupo Paradell constatamos la existencia de <strong>dos tipos de fraude: el ocasional<\/strong> que, aunque elevado en n\u00famero de casos su reclamaci\u00f3n media no es tanto, <strong>y el organizado<\/strong> que, aunque no representa un porcentaje muy alto en cuanto a n\u00famero de casos, s\u00ed es importante en cuanto al fraude medio detectado, y que, adem\u00e1s, <strong>contin\u00faa en ascenso con respecto a a\u00f1os anteriores.<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><em>Fuente de datos: informe <a href=\"http:\/\/www.icea.es\/es-es\/informaciondelseguro\/paginas\/fichadetexto.aspx?idpublicacion=2720\" target=\"_blank\" rel=\"noopener\">\u201cEl fraude al Seguro Espa\u00f1ol. Estad\u00edstica a\u00f1o 2016\u201d<\/a> de ICEA<\/em><\/p>\n<p>&nbsp;<\/p>","protected":false},"excerpt":{"rendered":"<p>Seg\u00fan Investigaci\u00f3n Cooperativa de Entidades Aseguradoras y Fondos de Pensiones (ICEA), los casos de fraude detectados en el a\u00f1o 2016&#8230;<\/p>","protected":false},"author":4,"featured_media":6806,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[125],"tags":[147,148],"class_list":["post-6799","post","type-post","status-publish","format-standard","has-post-thumbnail","category-blog","tag-fraude","tag-seguros"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>EL FRAUDE AL SECTOR SEGUROS CONTIN\u00daA AL ALZA - Grupo Paradell<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.grupoparadell.com\/en\/fraude-al-sector-seguros-continua-al-alza\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"EL FRAUDE AL SECTOR SEGUROS CONTIN\u00daA AL ALZA - 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