
Insurance, Mutual Funds & Others
Insurance, asset managers and mutual funds, and other capital market intermediaries.
Where integrity risk sits in insurance.
Insurers and asset managers hold the public's savings on trust, and their regulators have raised the bar on how fraud and conduct risk must be governed. IRDAI's new fraud framework took effect in April 2026; SEBI's enforcement has reached the world's largest trading firms; the UAE's premiums are growing at double digits.
India and the UAE & Dubai, in numbers.
Statistics and regulatory developments from government, regulator and industry sources. Each figure links to its source.
Record savings flows into mutual funds and insurance, matched by a tougher fraud and conduct regime.
Regulatory and market updates
- IRDAI fraud framework
The Insurance Fraud Monitoring Framework Guidelines, 2025 took effect on 1 April 2026, requiring an independent fraud monitoring committee and unit and extending duties to brokers, banks, hospitals and agents.Source: IndiaLaw
- 100% FDI in insurance
The FDI limit in insurance has been raised from 74% to 100% under the Sabka Bima Sabki Suraksha Act, 2025.Source: IBEF
- SEBI market-abuse enforcement
SEBI's July 2025 interim order against the Jane Street group impounded about ₹4,843 crore of alleged unlawful gains.Source: Business Today
Double-digit premium growth and a strengthened AML regime for financial intermediaries.
Regulatory and market updates
- Tougher AML obligations
Federal Decree-Law No. 10 of 2025 strengthens regulator powers and penalties across financial institutions.Source: Hadef & Partners
The integrity risks we see most often.
Exposure ratings reflect BDI's casework and the current market and regulatory environment.
Claims fraud
Inflated or staged health, motor and property claims, often with provider collusion.
Mis-selling and distributor misconduct
Agents, banks and brokers selling unsuitable products or forging documents.
Front-running and insider trading
Dealers and fund managers trading ahead of client orders.
Vendor and third-party fraud
Hospitals, garages, surveyors and TPAs acting against the insurer.
Cyber and data breaches
Policyholder and investor data exposed or sold.
Other challenges
Regulatory expectations
Boards must evidence a working fraud and conduct framework.
Distribution sprawl
Thousands of agents, banks and digital partners to monitor.
Data silos
Claims, policy and trading data rarely meet in one view.
Each risk, matched to a response.
The practice that leads and the platform that keeps the record.
| Risk | How BDI responds | Practice | Platform |
|---|---|---|---|
| Claims fraud | Claims investigations, provider and surveyor verification, and analytics. | ||
| Mis-selling and distributor misconduct | Distributor due diligence, mystery shopping and conduct investigations. | ||
| Front-running and insider trading | Digital forensics, communications review and surveillance support. | ||
| Vendor and third-party fraud | Third-party risk programmes and contract governance. |
Go deeper.
Insurance
Fraud frameworks, claims investigations and distributor oversight built for the IRDAI era.
Explore 07.2AMCs & Mutual Funds
Protecting investor trust as SIP flows reach record highs.
Explore 07.3Other Capital Market Intermediaries
Brokers, depositories, registrars, advisers and fintech platforms.
ExploreRelated insight.
Sources
- Kotak Neo, citing AMFI data, SIP contributions hit record ₹32,490 crore in September 2026, Oct 2026.
- IBEF, Insurance Sector in India, Updated Sep 2026.
- IndiaLaw, Zero-tolerance 2025: IRDAI's new fraud rule-book for every insurer and intermediary, Oct 2025.
- Business Today, SEBI cracks down on Jane Street in landmark derivatives market case, Jul 2025.
- Khaleej Times, citing the CBUAE annual statistical report, UAE insurance premiums jump 15% to Dh74.8 billion, Aug 2026.
- Hadef & Partners, A new era for AML/CTF/PF in the UAE: Federal Decree-Law No. 10 of 2025, Oct 2025.
