Good Practices in Social Security Good Practices in Social Security

The identification and sharing of good practices helps social security organizations and institutions to improve their operational and administrative efficiency.

In the context of the ISSA, a good practice is defined as any type of experience (e.g. an action, a measure, a process, a programme, a project, or a technology) implemented within a social security organization that fosters the improvement of its administrative and operational capacities, and/or the efficient and effective delivery of programmes. The good practices selected by the ISSA focus on topics related to the priorities as defined in the programme and budget of the Association. The good practices are from member institutions of the ISSA and are primarily collected through the work of the  ISSA Technical Commissions and the ISSA Good Practice Awards.

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Fraud risk management

Fraud risk management

Social Insurance Institution | Poland
Fraud risk management

The Social Insurance Institution (Zaklad Ubezpieczen Spolecznych – ZUS) strives to maintain the highest standards in public fund management and fund security. The challenge in this area is fraud which is among the types of risks affecting the ZUS. We analyse actions in this risk category which, through intentional concealment of truth, may result in obtaining a benefit or in avoiding the payment of contributions. These activities are often carried out in apparent compliance with the law but are in fact in contradiction of the law. Such phenomena distort the essence of social insurance and the principle of social coexistence, and therefore require strong reactions. By streamlining these activities, we aim to create a comprehensive approach and structured framework for fraud risk management, maintain a balance between the advantages and costs of control mechanisms, tighten the social insurance system, equalize the opportunities of entrepreneurs and protect the person insured.

The described activities are proof of responsible management which also signal to potential fraudsters that the ZUS does not tolerate dishonest practices. ZUS recognizes the importance of these activities and builds a system approach to combat the risk of fraud.

Implementation year2018
Topics: Administration / Management, Compliance and contribution collection, Governance
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