FACTORS CONTRIBUTING TO EXISTENCE OF UNETHICAL PRACTICES IN THE INSURANCE INDUSTRY

Ben Kajwang
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Abstract

Purpose: The success of the insurance industry vastly depend on the ethical behavior patterns of insurance companies, insurance agents, or insurance brokers as they are the persons who have direct relationships with customers. Ethical behavior patterns in turn build up the customer’s satisfaction and trust towards the insurance industry. Therefore, the insurance industry stakeholders must have the knowledge of the key factors that influences existence the unethical behavior in insurance industry if they want to ensure the ethical behavior prevail in the industry. Different factors contribute to these ethical behavior patterns and organizational factors are more important among them. The main purpose of this study was to identify the factors contributing to existence of unethical practices in the insurance industry. Methodology: In this study, a systematic search was carried using search engines such as Google Scholar, Google Books, Semantic Scholar, Science.gov and ResearchGate, using the keywords; “ethical practices” and “insurance industry”. In total, 52 papers, published until between November 2012 and January 2022, were extracted from these databases. After removing duplicates, the titles and abstracts of these articles were reviewed based on the inclusion and exclusion criteria. Inclusion criteria included all types of studies that examine organizational ethical practices. Exclusion criteria included non-English language articles, articles whose full text could not be accessed, and clinical organization articles due to their different nature. After screening the titles and abstracts of the articles, 46 articles were carefully selected for full text review based on inclusion and exclusion criteria and finally, 34 articles were included in the study. Findings: According to the findings, researchers have shown that it is impossible to salvage the public image of insurance industry without ethical behavior patterns of insurance companies, among insurance agents, insurance brokers, insurance customers, and other stakeholders. This study further shows that more effort is required to protect the individual salesperson’s reputation as well as that of the entire insurance industry. Ethical behavior has been found to be a key ingredient to the success of every insurance provider and to the insurance industry. Recommendations: This study recommends that insurance providers should place ethical issues first in their core values in order to uphold and maintain integrity and accountability in their services. It is also recommended that the management in the insurance industry should uphold transformational leadership that embraces honesty and integrity in business operations. Moreover, the management of the insurance companies should ensure that all their sales agents have adequate knowledge of their various insurance policies to avoid instances of guesswork, just in efforts to lure customer to subscribe to the policies, which is merely aimed at lifting up the earnings of the respective sales agents. It is also recommended that insurance firms should increase their audit frequency in to detect fraudulent claims.
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导致保险行业存在不道德行为的因素
目的:保险业的成功很大程度上取决于保险公司、保险代理人或保险经纪人的道德行为模式,因为他们是与客户有直接关系的人。道德行为模式反过来建立客户对保险业的满意度和信任。因此,保险业利益相关者要想确保保险业道德行为盛行,就必须了解影响保险业不道德行为存在的关键因素。这些伦理行为模式的形成有多种因素,其中组织因素的作用更为重要。本研究的主要目的是确定导致保险行业存在不道德行为的因素。方法:本研究采用谷歌Scholar、谷歌Books、Semantic Scholar、Science.gov、ResearchGate等搜索引擎,采用关键词进行系统检索;“道德操守”及“保险业”。从这些数据库中总共提取了52篇发表于2012年11月至2022年1月之间的论文。删除重复后,根据纳入和排除标准对这些文章的标题和摘要进行审查。纳入标准包括检查组织道德实践的所有类型的研究。排除标准包括非英语文章、无法获得全文的文章和临床组织文章,因为它们的性质不同。在对文章的标题和摘要进行筛选后,根据纳入和排除标准,筛选出46篇文章进行全文审阅,最终纳入34篇文章。研究结果表明,如果没有保险公司、保险代理人、保险经纪人、保险客户和其他利益相关者的道德行为模式,就不可能挽救保险业的公众形象。这项研究进一步表明,需要更多的努力来保护个人销售人员的声誉以及整个保险业的声誉。道德行为已被发现是每个保险公司和保险业成功的关键因素。建议:本研究建议保险公司应将道德问题置于其核心价值的首位,以维护和保持其服务的诚信和问责制。此外,我们亦建议保险业的管理层应秉持变革式的领导,在业务运作中提倡诚实和诚信。此外,保险公司的管理层应该确保所有的销售代理人对他们的各种保险政策有足够的了解,以避免猜测的情况,只是为了吸引客户购买保险单,而这仅仅是为了提高各自销售代理人的收入。此外,建议保险公司应增加审计频率,以发现欺诈索赔。
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