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PETALING JAYA: In just five years, from 2018 to 2022, the Social Security Organisation (Socso) detected 683 cases of fraudulent claims amounting to RM43mil.
In some cases, people even try using a dead person’s number to make claims, said Socso chief executive Datuk Seri Dr Mohammed Azman Aziz Mohammed.
Of the 683 cases, 487 are being investigated further; from that, 318 cases – or 65.3% – totalling RM28.8mil have been repudiated.
With this action, Socso has managed to save about RM86mil in terms of future savings for the organisation, Mohammed Azman revealed to The Star.
Fraudulent claims are a bane to Socso, and protecting its funds from them involves tedious data mining that reveals discrepancies like sharing of addresses, localities and phone numbers by claimants.
The organisation’s Anti-Fraud System has accumulated millions of data bytes since its inception in 2017.
However, Mohammed Azman said that as they continue to build the system with more data, it is difficult to ascertain the actual amount of losses caused by fraudulent claims.
When asked how detrimental fraudulent claims can be for Socso, Mohammed Azman said that even though the organisation has a reasonable amount of assets, it may not be enough to sustain it and be relevant in the long term.
This is due to its commitment of roughly RM5bil for all benefit payments given out to insured persons (workers covered by Socso) or their dependants, Mohammed Azman explained.
For example, if an insured person...
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