{"id":18435,"date":"2023-08-22T10:05:44","date_gmt":"2023-08-22T08:05:44","guid":{"rendered":"https:\/\/www.m-q.ch\/?p=18435"},"modified":"2023-08-22T10:05:44","modified_gmt":"2023-08-22T08:05:44","slug":"suva-plus-de-cas-dabus-dassurance","status":"publish","type":"post","link":"https:\/\/www.m-q.ch\/fr\/suva-mehr-faelle-von-versicherungsmissbrauch\/","title":{"rendered":"Suva : davantage de cas de fraude \u00e0 l'assurance"},"content":{"rendered":"
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La Suva lutte syst\u00e9matiquement contre la fraude \u00e0 l'assurance. (Image : GettyImages \/ Suva)<\/figcaption><\/figure><\/p>\n

La fraude \u00e0 l'assurance est un probl\u00e8me grave qui affecte \u00e0 la fois le secteur de l'assurance et la soci\u00e9t\u00e9 dans son ensemble. L'abus d'assurance entra\u00eene une augmentation des co\u00fbts, une diminution de l'efficacit\u00e9 \u00e9conomique et une perte de confiance dans le syst\u00e8me d'assurance. De plus, les primes peuvent augmenter pour les clients honn\u00eates, qui doivent supporter le comportement d\u00e9loyal de quelques-uns. C'est pourquoi la Suva met tout en \u0153uvre pour lutter contre les cas d'abus.<\/p>\n

Les cas d'abus d'assurance augmentent<\/h3>\n

Les cas d'abus d'assurance semblent toutefois \u00eatre en augmentation \u00e0 la Suva. L'ann\u00e9e derni\u00e8re, l'assureur a examin\u00e9 2916 cas suspects sur les 252 278 cas pour lesquels une indemnit\u00e9 journali\u00e8re ou une rente a \u00e9t\u00e9 vers\u00e9e apr\u00e8s un accident ou une maladie professionnelle. C'est l\u00e9g\u00e8rement plus que l'ann\u00e9e pr\u00e9c\u00e9dente (2021 : 2839 cas suspects, +2,7 pour cent). Les mesures de lutte contre les abus ont permis d'\u00e9conomiser 24,1 millions de francs au total. Ce montant se compose de la pr\u00e9vention du versement de prestations injustifi\u00e9es par des personnes accident\u00e9es ou des fournisseurs de prestations m\u00e9dicales tels que les h\u00f4pitaux, les m\u00e9decins, les th\u00e9rapeutes (18,6 millions de francs) et de la lutte contre les abus aupr\u00e8s des entreprises assur\u00e9es (5,5 millions de francs). Le montant moyen \u00e9conomis\u00e9 sur les prestations vers\u00e9es par cas s'est \u00e9lev\u00e9 \u00e0 22 963 francs (2021 : 24 781 francs). Le nombre total de cas cl\u00f4tur\u00e9s avec des soup\u00e7ons confirm\u00e9s est nettement plus \u00e9lev\u00e9 : 810 cas (2021 : 686 cas). Une observation a eu lieu dans toute la Suisse.<\/p>\n

Abus \u00e0 diff\u00e9rents niveaux<\/h3>\n

Depuis l'introduction de la lutte contre les abus en 2007, la Suva a pu \u00e9conomiser au total plus de 239 millions de francs. Ce montant profite aux assur\u00e9s sous la forme de primes plus basses.<\/p>\n

L'abus d'assurance a lieu \u00e0 diff\u00e9rents niveaux : Il va des individus qui, par des indications fausses ou manquantes, obtiennent frauduleusement des prestations financi\u00e8res telles que des indemnit\u00e9s journali\u00e8res ou des rentes, aux entreprises fictives qui \u00e9vitent de payer les primes d'assurance sociale en travaillant au noir ou en faisant faillite, en passant par les h\u00f4pitaux, les m\u00e9decins ou les th\u00e9rapeutes qui \u00e9tablissent sciemment de faux d\u00e9comptes. Tous ces mod\u00e8les ont un point commun : ce sont les personnes honn\u00eates qui subissent les dommages.<\/p>\n

\"La grande majorit\u00e9 de nos assur\u00e9s sont honn\u00eates\", souligne Roger Bolt, responsable de la lutte contre la fraude \u00e0 l'assurance \u00e0 la Suva. \"Afin de les pr\u00e9server d'un pr\u00e9judice financier, de garantir des primes adapt\u00e9es aux risques et de contribuer \u00e0 un march\u00e9 suisse de l'emploi et de la sant\u00e9 \u00e9quitable, nous agissons de mani\u00e8re cons\u00e9quente contre la fraude \u00e0 l'assurance. Merci d'\u00eatre honn\u00eate\" !<\/p>\n<\/div>\n

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Source : Suva<\/a><\/em><\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

La Suva lutte syst\u00e9matiquement contre la fraude \u00e0 l'assurance : en 2022, plus de 2900 cas suspects ont \u00e9t\u00e9 examin\u00e9s, soit l\u00e9g\u00e8rement plus que l'ann\u00e9e pr\u00e9c\u00e9dente. La lutte contre les abus a permis d'\u00e9conomiser 24,1 millions de francs. L'\u00e9conomie totale r\u00e9alis\u00e9e depuis l'introduction de la lutte contre les abus est de 239 millions de francs.<\/p>","protected":false},"author":10,"featured_media":18437,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4],"tags":[3373,3737,5445],"class_list":["post-18435","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-risikomanagement","tag-suva","tag-versicherungen","tag-versicherungsmissbrauch"],"acf":[],"yoast_head":"\nSuva: Mehr F\u00e4lle von Versicherungsmissbrauch - MQ Management und Qualit\u00e4t<\/title>\n<meta name=\"description\" content=\"Die Suva geht konsequent gegen Versicherungsmissbrauch vor: 2022 wurden \u00fcber 2900 Verdachtsf\u00e4lle untersucht.\" \/>\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.m-q.ch\/fr\/suva-plus-de-cas-dabus-dassurance\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Suva: Mehr F\u00e4lle von Versicherungsmissbrauch\" \/>\n<meta property=\"og:description\" content=\"Die Suva geht konsequent gegen Versicherungsmissbrauch vor: 2022 wurden \u00fcber 2900 Verdachtsf\u00e4lle untersucht.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.m-q.ch\/fr\/suva-plus-de-cas-dabus-dassurance\/\" \/>\n<meta property=\"og:site_name\" content=\"MQ Management und Qualit\u00e4t\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ManagementUndQualitaet\" \/>\n<meta property=\"article:published_time\" content=\"2023-08-22T08:05:44+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.m-q.ch\/wp-content\/uploads\/2023\/08\/Suva-Mehr-Faelle-von-Versicherungsmissbrauch_MQ.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"680\" \/>\n\t<meta property=\"og:image:height\" content=\"328\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Thomas Berner\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:title\" content=\"Suva: Mehr F\u00e4lle von #Versicherungsmissbrauch\" \/>\n<meta name=\"twitter:description\" content=\"Die Suva geht konsequent gegen #Versicherungsmissbrauch vor: 2022 wurden \u00fcber 2900 Verdachtsf\u00e4lle untersucht.\" \/>\n<meta name=\"twitter:image\" content=\"https:\/\/www.m-q.ch\/wp-content\/uploads\/2023\/08\/Suva-Mehr-Faelle-von-Versicherungsmissbrauch_MQ.jpg\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"Thomas Berner\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.m-q.ch\/suva-mehr-faelle-von-versicherungsmissbrauch\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.m-q.ch\/suva-mehr-faelle-von-versicherungsmissbrauch\/\"},\"author\":{\"name\":\"Thomas Berner\",\"@id\":\"https:\/\/www.m-q.ch\/fr\/#\/schema\/person\/a8711938b1cfb3f056dec70eaa0b42ab\"},\"headline\":\"Suva: Mehr F\u00e4lle von Versicherungsmissbrauch\",\"datePublished\":\"2023-08-22T08:05:44+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.m-q.ch\/suva-mehr-faelle-von-versicherungsmissbrauch\/\"},\"wordCount\":367,\"publisher\":{\"@id\":\"https:\/\/www.m-q.ch\/fr\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.m-q.ch\/suva-mehr-faelle-von-versicherungsmissbrauch\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.m-q.ch\/wp-content\/uploads\/2023\/08\/Suva-Mehr-Faelle-von-Versicherungsmissbrauch_MQ.jpg\",\"keywords\":[\"SUVA\",\"Versicherungen\",\"Versicherungsmissbrauch\"],\"articleSection\":[\"Risikomanagement\"],\"inLanguage\":\"fr-FR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.m-q.ch\/suva-mehr-faelle-von-versicherungsmissbrauch\/\",\"url\":\"https:\/\/www.m-q.ch\/suva-mehr-faelle-von-versicherungsmissbrauch\/\",\"name\":\"Suva: Mehr F\u00e4lle von Versicherungsmissbrauch - 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