IRDAI Fraud Monitoring Framework 2025: Anti-Fraud Policy Rule

12 October 20251 min read

Why in the news

IRDAI tightened fraud governance in insurance by making a board-approved anti-fraud policy compulsory for all insurers.

Zero tolerance: a full fraud risk framework to deter, prevent, detect, report and remedy fraud in all business lines.
Anti-Fraud Policy: board-approved, covers all activities, reviewed at least yearly, lists red-flag indicators and fraud-handling steps.
Cyber protection: incident tracking, customer verification and access control, with continuous upgrades.
Risk Management Committee (RMC): implements and oversees the framework, tailored to size, product mix, risk profile and distribution channels.

Proactive fraud governance, market integrity and protection of policyholders through stronger oversight.

Regulator: IRDAI; document: Insurance Fraud Monitoring Framework Guidelines, 2025.
Review frequency: at least once a year.

1. Which regulator issued the Insurance Fraud Monitoring Framework Guidelines, 2025?

The guidelines were issued by IRDAI.

2. How often must an insurer’s board-approved Anti-Fraud Policy be reviewed, at minimum?

The policy must be reviewed at least once a year.

3. Which committee must insurers form to oversee the fraud risk management framework?

Insurers must constitute a Risk Management Committee.

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