Regulations Governing Business Solicitation, Policy Underwriting and Claim Adjusting of Insurance Enterprises Article 15
A person with the qualifications of both underwriter and claim adjuster may work either as an underwriter or a claim adjuster, but not both at the same time.A claim adjuster may not work on claim cases that he/she reviewed or signed off in the past three years.An underwriter or claim adjuster may not underwrite or review/sign off claim cases that he/she once solicited.
中文原文 保險業招攬及核保理賠辦法第15條
同時具有核保及理賠人員資格者，僅得擇一擔任核保或理賠人員。
保險業理賠人員不得對其三年內核保簽署之案件執行理賠審核或簽署業務。
保險業核保或理賠人員不得對其招攬之案件執行核保或理賠審核或簽署業務。
保險業理賠人員不得對其三年內核保簽署之案件執行理賠審核或簽署業務。
保險業核保或理賠人員不得對其招攬之案件執行核保或理賠審核或簽署業務。