Investigators of the Special Criminal Investigation Directorate of Jakarta Metro Police established Joachim Wessling the President Director of Asuransi Allianz Life Indonesia and Claim Manager Yuliana Firmansyah as suspects on the alleged criminal case of consumer protection.
Director of Special Criminal Investigation of Jakarta Metro Police, Great Commissioner Adi Deriyan stated that he would conduct further investigation on the case. "Yes, I will see how the investigation plan is," said Adi when confirmed by reporters, Tuesday (9/26/2017).
Meanwhile, Alvin Lim, the attorney for the plaintiff as well as the victim said that his client Ifranius Algadri has sued Joachim Wessling and Yuliana Firmansyah, because the company obstructed the process of him claiming his hospital care costs.
Lim explained that Allianz always requested for the hospital's complete medical records as a requirement to disburse claims of hospital fees. However, according to Lim, hospitals are never allowed to provide complete medical records of patients because it violates Minister of Health Decree No. 269/Menkes/PER/III/2008 on medical records.s
Lim added that the hospitals are only allowed by law to provide medical resume, but not a complete medical record.
"Usually the rejection of claim is a civil case, but this is a criminal case because what we are questioning is not the non-payment of a claim, but how does he (Allianz insurance-red) processes the claim, because there is an element of fraud," said Lim at Jakarta Metro Police.
It is alleged that Allianz uses a deceptive mode to refuse clients’ claims in a subtle but unlawful manner. Within two weeks without a complete medical record, Allianz would reject the claim.
Lim said there are 13 other people who have come forward admitting to be victims of Asuransi Allianz Life Indonesia’s alleged fraud.
Criminal investigation on Joachim Wessling and Yuliana Firmansyah is listed in Police Report No. LP/1645/IV/2017/Dit Reskrimsus dated April 3, 2017 on alleged criminal offenses in the field of consumer protection and Police Report No. LP/1932/IV/2017/PMJ/Dit . Reskrimsus dated April 18, 2017.
No comments:
Post a Comment