Socso uses a combination of technology and manual verification to identify possible fraudulent claims before approval is granted.
PETALING JAYA: The Social Security Organisation (Socso) implements a strict vetting process before approving benefit claims to prevent fraudulent applications, Human Resources Minister Datuk Seri R. Ramanan told the Dewan Rakyat.
He said claims are not automatically approved, as each application is assessed step by step based on supporting documents and information submitted by claimants.
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“It is a very rigid process. There are assessment teams and units to ensure falsification does not occur. It is a step-by-step vetting process. Approval is not given automatically,” he said.
Ramanan was responding to a supplementary question from Dr Abd Ghani Ahmad (PN–Jerlun), who asked whether false claims had been made against Socso and how effective technologies such as artificial intelligence (AI) were in detecting such cases.
He said Socso uses a combination of technology and manual verification to identify possible fraudulent claims before approval is granted.
Earlier, Datuk Mohd Isam Mohd Isa (BN–Tampin) raised the case of Nur Syafiq Azwan in Tampin, alleging weaknesses in the claims process, including misalignment between Socso forms and hospital procedures, system update delays of up to six weeks, and non-coverage of surgery costs despite severe workplace injury conditions.
He also...
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