Introduction of the ombudsman institute in the insurance market of Ukraine

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Abstract

The insurance industry plays an important role in the economy, contributing to the intermediation and risk-bearing mechanism. At the same time, the insurance industry contributes to socio-economic growth due to accumulated long-term financial resources that can be directly used in the economy. The purpose of the article is to develop recommendations on the possibility of creating an insurance ombudsman institute in Ukraine based on international experience. The set goal determined the solution of the following tasks: to investigate the legal aspects of the activity of the financial ombudsman in different countries and provide their comparative characteristics; to determine the specifics of the implementation in Ukraine of the alternative dispute resolution mechanism on the insurance market; justify the benefits of activating the activity of the insurance ombudsman institute in Ukraine. In the process of carrying out a scientific search, such general scientific methods as: abstract-logical; monographic; comparative; graphic; dialectical method; comparative legal method; structural-functional method. The peculiarities of the functioning of the relevant alternative mechanisms for resolving insurance disputes in different countries, the mechanisms for dealing with customer complaints, and the resolution of disputes with the participation of a professional mediator were studied. It was determined that in world practice, two main models of financial ombudsmen are usually distinguished: British and German. It is substantiated that the introduction of the insurance ombudsman institute in Ukraine as an alternative platform for considering complaints will have advantages for all participants of the insurance market.It has been proven that the activities of such an institution can consider disputes related to settlement of claims, wrongful sale, payment of insurance premiums, legal registration of the policy, delay of settlements, failure to issue insurance documents, etc. Such an insurance ombudsman institution will be responsible for protecting the interests and handling policyholder complaints, and the main purpose of the ombudsman’s activities is to handle policyholder complaints outside the court system in a cost-effective and impartial manner
乌克兰保险市场申诉专员机构介绍
保险业在经济中发挥着重要的中介和风险承担机制作用。与此同时,由于长期积累的金融资源可以直接用于经济,保险业对社会经济增长做出了贡献。本文的目的是根据国际经验,就在乌克兰建立保险监察员研究所的可能性提出建议。既定目标确定了下列任务的解决办法:调查不同国家财政监察员活动的法律方面,并提供它们的比较特点;确定在乌克兰实施保险市场替代性争端解决机制的具体情况;说明在乌克兰启动保险监察员协会活动的好处。在进行科学检索的过程中,一般的科学方法有:抽象-逻辑;专题;比较;图形;辩证的方法;比较法;structural-functional方法。研究了不同国家解决保险纠纷的相关替代机制的功能特点,处理客户投诉的机制,以及在专业调解员的参与下解决纠纷。确定的是,在世界实践中,通常区分出两种主要的金融监察员模式:英国和德国。事实证明,在乌克兰设立保险监察员研究所作为审议申诉的替代平台,将对保险市场的所有参与者都有好处。事实证明,此类机构的活动可以考虑与理赔、错误销售、保险费支付、保单法律登记、延迟理赔、未能签发保险单据等有关的纠纷。这样一个保险申诉机构将负责保护投保人的利益和处理投保人的投诉,而申诉专员活动的主要目的是以符合成本效益和公正的方式处理投保人在法院系统之外的投诉
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