FRAUD PREVENTION MISSION STATEMENT
The Appalachian Underwriters, Inc. recognizes that insurance fraud exists in the insurance industry. As such, it is the policy and mission of the Company to strive to protect its customers and consumers through the employment of an effective and diligent Anti-Fraud Plan.
As part of the Company’s management process, the Appalachian Underwriters, Inc. claim staff will endeavor to thoroughly review each claim with the specific goal of identifying those claims exhibiting fraud related indicators, red flag events and situations or behavior indicative of fraud schemes. Those identified will be directed for specialized handling.
ANTI-FRAUD PLAN
The purpose and goal of our Anti-Fraud Plan is to educate, detect, investigate and deter insurance fraud thereby reducing insurance costs.
SPECIAL INVESTIGATION UNIT (S.I.U.)
The Company has an S.I.U. in place that is responsible for the review and disposition of all suspected fraudulent insurance acts and the detection, evaluation, investigation and reporting to state fraud bureaus. The Company also has in-house legal counsel.
POSITION
Insurance fraud will not be condoned by Appalachian Underwriters, Inc. Our personnel are dedicated to the prevention of insurance fraud and will aggressively review, analyze, monitor, investigate and prosecute fraudulent insurance acts to the fullest extent of the law. It is our position that the validity of such acts will receive the benefit of the doubt unless proven otherwise through complete investigation and evaluation toward their appropriate disposition. These acts in general are, but not limited to:
Further, we will comply with state statutes with respect to the reporting, investigation, and preparation of Anti-Fraud Plans.
REPORTING
Suspected fraudulent insurance acts must be reported to the respective State Fraud Bureau where applicable. Those acts involving Appalachian Underwriters, Inc. should be referred to the company.
All suspected fraudulent insurance act referrals including supporting documentation should be forwarded to:
SIU Security Designate
Appalachian Underwriters, Inc.
P.O. Box 800
Oak Ridge, TN 37831
Appalachian Underwriters, Inc. has adopted a privacy policy regarding information about our consumers and customers. Under this policy, we will:
Protection of Nonpublic Information
Our Company respects and protects the privacy of its consumers and customers and has adopted a policy to minimize the sharing of their nonpublic information with nonaffiliated third parties. This information is protected physically, electronically, and administratively by procedures designed to ensure its safeguard. Everyone from our Directors to each of our employees has been made aware of this practice.
Cookies
We use “cookies” on our website only to collect login name and password information from agents. This allows agents to access secure areas of our website. Our website does not collect any other information from agents, nor does it collect any information whatsoever from other individuals.
Links
We have links to third party organizations and companies. A link does not constitute an endorsement of content, viewpoint, policies, products, or services of that website. Please be aware that Appalachian Underwriters, Inc. is not responsible for the privacy practices of those sites even though Appalachian Underwriters, Inc.’s logo may appear on those sites. Our privacy statement applies solely to this website.
What information do we collect about the consumer and/or customer (“you”)?
We collect non-public personal and financial information from your application or other requests for insurance or products we offer. We may also collect information from other sources such as your prior insurance provider and consumer reporting agencies. This information can include prior loss history, credit or inspection and motor vehicle reports.
What information about you do we disclose and to whom is it disclosed?
Appalachian Underwriters, Inc. does not disclose any information with unaffiliated third parties.
How do we protect your non-public personal information?
Information about you is protected physically, electronically and administratively by procedures we have implemented to ensure its safeguard. Information about you is generally available only within Appalachian Underwriters, Inc., but where made available to others for purposes relating to the services we provide to you such disclosure is limited to that needed to satisfy the purpose in question. Anyone who is given access to your information by us will be informed of the need to protect and safeguard its confidentiality, and is not authorized to use or further disclose your non public personal and financial information except in furtherance of the purpose for which such person was given the information.
Appalachian Underwriters, Inc. adheres to strict prohibition against public disclosure by agents of nonpublic personal financial, health or other information in connection with agreements we have with those agents and/or in connection with the services the agents provide for us.
In connection with our agreements with agents and in connection with the services they provide for us, Appalachian Underwriters, Inc. (here thereafter individually and collectively referred to as “we”, “us” or “our”) may have, or will soon be, making disclosures orally, in writing, in electronic format and/or by electronic means to the agent of nonpublic personal financial, health or other information of consumers and customers of ours (herein referred to as “Confidential Information”).
We consider such “Confidential Information” to include all information and documents provided by us to the agent, which contain, reflect or are based upon confidential information. However, by “Confidential Information” we do not mean information which (i) was or becomes generally available to the public in the same form as received from us, (ii) was within the agent’s possession prior to it being furnished to the agent by us or, (iii) became available to the agent on a non-confidential basis from a source other than us and such source is not actually known to the agent to be bound by a confidentiality agreement.
You, the agent, have been, or will be, furnished the “Confidential Information” upon the understanding that you will use the “Confidential Information” only in connection with our agreements with you or the services you are to perform for us. Accordingly, you are not authorized to use or disclose the “Confidential Information” to anyone except as necessary to satisfy your obligations under our agreements and/or services you provide for us.
We expect you, the agent, to inform all persons or entities of the confidential nature to which you have or will disclose the “Confidential Information” so provided, and we further expect you to take reasonable steps to ensure that such persons or entities treat the “Confidential Information” as confidential and without further disclosure.
In the event you are legally compelled to disclose any of the “Confidential Information” in response to proper legal process, please promptly provide us with notice of any such requirement, before making any such disclosure, in time sufficient to allow us to seek a protective order or other appropriate remedy.