Resolution insurance company is on the spotlight following shocking exposure how a web of inside cartel swindles millions of shillings from the sick through fictitious charges under their medical cover.
Players in the scam appear to be crook officials based at the company’s headquarter in Nairobi, working in cahoots with corrupt branch officials and similar elements in respective hospitals, where they are accredited as medical cover provider.
It has emerged the cartels have perfected the art of frustrating efforts to settle bills of their clients, painfully after accessing crucial hospital details that they would later alter to wire the payment into their pockets at the expense of the unsuspecting clients.
Executors of the racket seems to be heavily relying on their field brokers to identify potential clients and most targeted are those perceived to be financially sound with ability to settle the bill on their own, should the insurance reject such payments.
The dubious deal involves outright intentional disapproval payment on a myriad of technicalities, only for the crooks to claim the medical cover cash later using the hospital details of their victims.
But recently, there was drama when a senior medic in Kisumu unearthed the racket where many people seem tohave been unknowingly conned millions of shillings.
Trouble started when the insurance company rejected the doctor’s medical recommendation on the patient’s status in view of having the bill settled.
In this particular case, two members of the staff from Kisumu branch identified as Joram Akong’o and Pirose Ouma had attempted to arm-twist the medic into their dirty deal.
This prompted a heated phone call debate before a lady from the insurance company headquarter in Nairobi only identified as Lucy, was roped in through a conference call that saw the medic offering a scathing lecture on dangers of stealing from the sick.
A local publication has however established that doctors are on high alert following increasing cases where crooks from the resolution insurance company have been accused of stealing millions of shillings from unsuspecting patients.