TW201901581A - Life insurance risk assessment system for preventing money laundering and fighting against financing terrorism - Google Patents
Life insurance risk assessment system for preventing money laundering and fighting against financing terrorism Download PDFInfo
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Abstract
Description
本發明是關於一種風險評估系統,特別是關於一種防制洗錢及打擊資助恐怖主義風險評估系統。 The invention relates to a risk assessment system, in particular to a risk assessment system for preventing money laundering and combating the financing of terrorism.
近年來金融主管機關針對防制洗錢及打擊資助恐怖活動的控管益加重視,相關的法規亦已立法公佈,惟如何能有效過濾此類違法活動,是執行上的困難點。 In recent years, financial authorities have paid more attention to the prevention and control of money laundering and the financing of terrorist activities. The relevant laws and regulations have also been promulgated by legislation. However, how to effectively filter such illegal activities is a difficult point in implementation.
由於金融上的資訊及通訊技術的不斷提升,如何整合各種金融資訊技術及資源而滿足主管機關及法規的要求,並降低金融機構的營運風險,實為目前各金融機構亟欲解決的問題。 Due to the continuous improvement of financial information and communication technology, how to integrate various financial information technologies and resources to meet the requirements of the competent authorities and regulations, and reduce the operational risks of financial institutions, is currently a problem that financial institutions urgently want to solve.
本發明提出一種創新的人壽保險業之防制洗錢及打擊資助恐怖主義風險評估系統,解決先前技術的問題。 The present invention proposes an innovative risk assessment system for money laundering and anti-terrorism financing in the life insurance industry to solve the problems of the prior art.
於本發明的一實施例中,一種人壽保險業之防制 洗錢及打擊資助恐怖主義風險評估系統包含一地域關聯風險伺服器、一產品關聯風險伺服器、一保戶關聯風險伺服器以及一作業分析工作站。作業分析工作站串連至地域關聯風險伺服器、產品關聯風險伺服器以及保戶關聯風險伺服器,藉以獲取關聯風險資訊,以評估是否接受投保、金流交易或呈報主管機關。 In an embodiment of the present invention, a risk assessment system for the prevention of money laundering and the financing of terrorism in the life insurance industry includes a geographically-associated risk server, a product-associated risk server, a policyholder-associated risk server, and an operation Analysis workstation. The operation analysis workstation is serially connected to the geographical related risk server, product related risk server and policyholder related risk server, so as to obtain related risk information to evaluate whether to accept insurance, gold flow transactions or report to the competent authority.
於本發明的一實施例中,作業分析工作站包含一通訊介面,用以連接至地域關聯風險伺服器、產品關聯風險伺服器以及保戶關聯風險伺服器。 In an embodiment of the present invention, the operation analysis workstation includes a communication interface for connecting to the regional risk server, the product risk server, and the customer risk server.
於本發明的一實施例中,作業分析工作站更包含一處理器,連接至通訊介面,用以依據各種風險因子執行防制洗錢或打擊資助恐怖主義的風險評估。 In an embodiment of the invention, the job analysis workstation further includes a processor connected to the communication interface for performing risk assessments to prevent money laundering or combat terrorist financing based on various risk factors.
於本發明的一實施例中,作業分析工作站更包含一儲存裝置,連接至處理器,藉以儲存處理器的風險評估結果。 In an embodiment of the invention, the job analysis workstation further includes a storage device connected to the processor to store the risk assessment result of the processor.
於本發明的一實施例中,地域關聯風險伺服器包含一通訊介面,用以連接至作業分析工作站。 In an embodiment of the present invention, the geographically associated risk server includes a communication interface for connecting to the operation analysis workstation.
於本發明的一實施例中,地域關聯風險伺服器更包含一儲存裝置,連接至通訊介面,用以存放與地域關聯的風險資料。 In an embodiment of the present invention, the geographically associated risk server further includes a storage device connected to the communication interface for storing risk data associated with the geographic area.
於本發明的一實施例中,產品關聯風險伺服器包含一通訊介面,用以連接至作業分析工作站。 In an embodiment of the invention, the product-related risk server includes a communication interface for connecting to the operation analysis workstation.
於本發明的一實施例中,產品關聯風險伺服器更包含一儲存裝置,連接至通訊介面,用以存放與產品關聯的風險資料。 In an embodiment of the present invention, the product-related risk server further includes a storage device connected to the communication interface for storing risk data associated with the product.
於本發明的一實施例中,保戶關聯風險伺服器包含一通訊介面,用以連接至作業分析工作站。 In an embodiment of the invention, the policyholder associated risk server includes a communication interface for connecting to the operation analysis workstation.
於本發明的一實施例中,保戶關聯風險伺服器更包含一儲存裝置,連接至該通訊介面,用以存放與保戶關聯的風險資料。 In an embodiment of the present invention, the policyholder associated risk server further includes a storage device connected to the communication interface for storing risk data associated with the policyholder.
綜上所述,本發明的人壽保險業之防制洗錢及打擊資助恐怖主義風險評估系統整合各種風險因子的資料以事先評等其風險值,並藉預設條件事後定期過濾可疑的帳戶,使此系統發揮其最大綜效。 In summary, the life insurance industry's anti-money laundering and anti-terrorism financing risk assessment system integrates data of various risk factors to evaluate its risk value in advance, and regularly filters suspicious accounts afterwards by using preset conditions, so that This system exerts its maximum synergy.
以下將以實施方式對上述之說明作詳細的描述,並對本發明之技術方案提供更進一步的解釋。 The above description will be described in detail in the following embodiments, and the technical solutions of the present invention will be further explained.
為讓本發明之上述和其他目的、特徵、優點與實施例能更明顯易懂,所附符號之說明如下: In order to make the above and other objects, features, advantages and embodiments of the present invention more obvious and understandable, the attached symbols are described as follows:
100‧‧‧人壽保險業之防制洗錢及打擊資助恐怖主義風險評估系統 100‧‧‧ Risk assessment system for the prevention of money laundering and the financing of terrorism in the life insurance industry
110‧‧‧作業分析工作站 110‧‧‧Work Analysis Workstation
112‧‧‧通訊介面 112‧‧‧Communication interface
114‧‧‧處理器 114‧‧‧ processor
116‧‧‧輸出裝置 116‧‧‧Output device
118‧‧‧儲存裝置 118‧‧‧Storage device
120‧‧‧地域關聯風險伺服器 120‧‧‧ Geographically associated risk server
122‧‧‧通訊介面 122‧‧‧Communication interface
124‧‧‧儲存裝置 124‧‧‧Storage device
130‧‧‧產品關聯風險伺服器 130‧‧‧Product related risk server
132‧‧‧通訊介面 132‧‧‧Communication interface
134‧‧‧儲存裝置 134‧‧‧Storage device
140‧‧‧保戶關聯風險伺服器 140‧‧‧Insured Associated Risk Server
142‧‧‧通訊介面 142‧‧‧Communication interface
144‧‧‧儲存裝置 144‧‧‧Storage device
為讓本發明之上述和其他目的、特徵、優點與實施例能更明顯易懂,所附圖式之說明如下:第1圖係依照本發明一實施例之一種人壽保險業之防制洗錢及打擊資助恐怖主義風險評估系統的方塊圖;以及第2圖係依照本發明另一實施例之一種人壽保險業之防制洗錢及打擊資助恐怖主義風險評估系統的方塊圖。 In order to make the above and other objects, features, advantages and embodiments of the present invention more obvious and understandable, the drawings are described as follows: FIG. 1 is a kind of anti-money laundering and life insurance industry according to an embodiment of the present invention Block diagram of an anti-terrorism financing risk assessment system; and FIG. 2 is a block diagram of a life insurance industry's anti-money laundering and anti-terrorism financing risk assessment system according to another embodiment of the present invention.
為了使本發明之敘述更加詳盡與完備,可參照所附之圖式及以下所述各種實施例,圖式中相同之號碼代表相同或相似之元件。另一方面,眾所週知的元件與步驟並未描述於 實施例中,以避免對本發明造成不必要的限制。 In order to make the description of the present invention more detailed and complete, reference may be made to the accompanying drawings and various embodiments described below. The same numbers in the drawings represent the same or similar elements. On the other hand, well-known elements and steps have not been described in the embodiments to avoid unnecessary restrictions to the present invention.
本發明之技術態樣是一種人壽保險業之防制洗錢及打擊資助恐怖主義風險評估系統,其主要應用於評等人壽保險業之客戶於洗錢或資助恐怖主義上的風險分數,從而判斷是否能核保、接受金流交易或申報給主管機關。以下將搭配第1、2圖來說明防制洗錢及打擊資助恐怖主義風險評估系統之具體實施方式。 The technical aspect of the present invention is a risk assessment system for the prevention of money laundering and combating terrorism financing of the life insurance industry, which is mainly used to evaluate the risk scores of customers of the life insurance industry on money laundering or terrorist financing, so as to judge whether they can Underwriting, accepting gold flow transactions or reporting to the competent authority. The following will illustrate the specific implementation of the risk assessment system for preventing money laundering and combating the financing of terrorism with figures 1 and 2.
請參照第1圖,其係依照本發明一實施例之一種人壽保險業之防制洗錢及打擊資助恐怖主義風險評估系統的方塊圖。 Please refer to FIG. 1, which is a block diagram of a risk assessment system for preventing money laundering and combating the financing of terrorism in the life insurance industry according to an embodiment of the present invention.
本系統的設計係能符合目前國內的相關法令規範,例如「保險業防制洗錢及打擊資恐注意事項」、「人壽保險業防制洗錢及打擊資助恐怖主義注意事項範本」以及「保險業評估洗錢及資助恐怖主義風險及訂定相關防制計畫指引」等。 This system is designed to meet current domestic laws and regulations, such as "Precautions for Anti-money Laundering and Fighting Terrorism in the Insurance Industry", "Model Precautions for Anti-Money Laundering and Fighting Terrorism in the Insurance Industry" and "Insurance Industry Assessment" "Money laundering and financing of terrorism risks, and the formulation of relevant prevention plan guidelines", etc.
人壽保險業之防制洗錢及打擊資助恐怖主義風險評估系統100係以「優先法」、「客戶類型」、「地域因素」、「往來業務」、「交易行為」以及「產品屬性」等六個方面評等其風險分數,再加總成總風險分數。 The life insurance industry's anti-money laundering and anti-terrorism financing risk assessment system 100 is based on the "priority method", "customer type", "regional factor", "trading business", "transaction behavior" and "product attributes". Evaluate its risk score and add the total risk score of the assembly.
本系統包含一作業分析工作站110作為執行上述六個方面評等運算的電腦裝置。本系統另包含地域關聯風險伺服器120、產品關聯風險伺服器130以及保戶關聯風險伺服器140,用以儲存評估上述六個方面所需的資訊。作業分析工作站110串連至地域關聯風險伺服器120、產品關聯風險伺服器 130以及保戶關聯風險伺服器140,藉以獲取關聯風險資訊,以評估是否接受投保或呈報主管機關。 The system includes a job analysis workstation 110 as a computer device that performs the above-mentioned evaluation operations in the six aspects. The system also includes a geographic associated risk server 120, a product associated risk server 130, and a policyholder associated risk server 140, which are used to store the information required to evaluate the above six aspects. The operation analysis workstation 110 is serially connected to the geographical related risk server 120, the product related risk server 130, and the insured related risk server 140 to obtain related risk information to evaluate whether to accept insurance or report to the competent authority.
所謂「優先法」是指「只要符合優先法的條件,不論客戶於其他因子狀況為何,直接列入高風險」。金融機構向外部廠商採購全球黑名單資料庫,資料庫從世界各地蒐集公開資訊,儲存於保戶關聯風險伺服器140內,例如是「是否為政治人物」、「是否有媒體負面報導」、「是否為制裁名單」或「是否涉及犯罪活動」等。當作業分析工作站110執行評等時,只要客戶的「姓名」、「生日」、「性別」等資訊經比對符合黑名單的至少其中之一時,即列入高風險。 The so-called "priority method" refers to "as long as the conditions of the priority method are met, regardless of the status of the customer's other factors, it is directly included in the high risk." Financial institutions purchase a global blacklist database from external vendors. The database collects public information from all over the world and stores it in the policyholder ’s associated risk server 140, such as “whether it is a politician”, “whether there are negative media reports”, or “whether It is a sanction list "or" whether criminal activities are involved ", etc. When the operation analysis workstation 110 performs the rating, as long as the customer's "name", "birthday", "gender" and other information are matched to at least one of the blacklists, it is included in the high risk.
「優先法」的其他一種評等方式可例如是「是否出現在本公司自建高風險黑名單」、「是否為高風險行業」等,此類資訊存放於保戶關聯風險伺服器140,且上述評等的因子僅為列舉,並不限於此。 The other priority methods of "Priority Method" may be, for example, "Whether it appears in the company's self-built high-risk blacklist", "Whether it is a high-risk industry", etc. Such information is stored in the policyholder's associated risk server 140, and the above The rating factors are only listed and not limited to this.
所謂「客戶類型」的評等方式包含「客戶是否配合客戶資料收集程序」,「不配合」是一個選項,「配合度高」亦是另一個選項,均會給予風險分數。針對「非自然人」的客戶,其設立的期間亦是評等的項目之一。設立期間的會依年份區間設立選項,每一選項給予一風險分數。查無資料亦為選項之一。評等時符合選項就會獲得一相對風險分數。上述評等的因子僅為列舉,並不限於此。 The so-called "customer type" rating method includes "whether the customer cooperates with the customer data collection process", "non-cooperation" is an option, and "high cooperation" is also another option, which will give a risk score. For the "non-natural person" customers, the period of their establishment is also one of the rated projects. During the establishment period, options will be set according to the year range, and each option will be given a risk score. Checking no data is also one of the options. A relative risk score will be obtained when the options are met during the rating. The above-mentioned rating factors are only for enumeration and are not limited thereto.
「地域因素」的評等方式包含客戶的居住地、註冊地以及國籍等之評等。某些高風險的地區或國家,當客戶的居住地、註冊地或國籍的選項符合時,就會獲得一較高的風險 分數,而符合低風險的地區或國家,就會獲得一較低的風險分數。上述評等的因子僅為列舉,並不限於此。 The "regional factor" rating method includes the customer's residence, registration, and nationality. In some high-risk areas or countries, when the customer's residence, registration or nationality options are met, a higher risk score will be obtained, while in areas or countries that meet low risk, a lower risk score will be obtained Risk score. The above-mentioned rating factors are only for enumeration and are not limited thereto.
「往來業務」的評等方式包含「建立業務之管道」以及「往來時間長度」等。「建立業務之管道」之選項例如可以是「本人透過非面對面管道建立」以及「透過中間機構建立」等,兩選項均會給予一風險分數。「往來時間長度」會依年份區間設立選項,每一選項給予一風險分數。上述評等的因子僅為列舉,並不限於此。 The evaluation methods of "travel business" include "establishing business channels" and "travel time length". The options for "establishing business channels" can be, for example, "I create through non-face-to-face channels" and "create through intermediaries", and both options will be given a risk score. "Long Time" will set up options according to the year range, and each option will be given a risk score. The above-mentioned rating factors are only for enumeration and are not limited thereto.
「交易行為」的評等方式包含「非面對面交易」以及「過往退保紀錄」。「非面對面交易」的評等選項可例如是「客戶近X年透過非面對面交易次數達X次」或「客戶非經常性透過非面對面交易」。「過往退保紀錄」評等選項可例如是「客戶近X年契約撤銷達X次」。上述評等的因子僅為列舉,並不限於此。 The evaluation methods of "transactions" include "non-face-to-face transactions" and "past surrender records". The rating options for "non-face-to-face transactions" may be, for example, "customers have reached X times through non-face-to-face transactions in the last X years" or "customers frequently through non-face-to-face transactions". The rating option for "Past Surrender Records" may be, for example, "Clients have withdrawn their contract up to X times in the last X years". The above-mentioned rating factors are only for enumeration and are not limited thereto.
「產品屬性」的評等方式包含「允許高額保費」、「允許現金交易」、「目標客戶群是否為潛在高風險客戶群」、「此產品是否為特定客戶群所設計」、「產品特性」以及「產品存續時間」等。上述評等的因子均可設計其評等選項及給予一風險分數,且上述評等的因子僅為列舉,並不限於此。 "Product attributes" rating methods include "allow high premiums", "allow cash transactions", "whether the target customer group is a potential high-risk customer group", "whether this product is designed for a specific customer group", "product characteristics" And "product lifetime". The above-mentioned rating factors can design their rating options and give a risk score, and the above-mentioned rating factors are only listed, not limited to this.
計算總風險分數時,可依重要性而給於各風險因子選項權重,或給予分類風險因子分類權重。因此,風險因子選項得分x權重=每項得分。接著,每項得分加總x分類權重=分類得分。總風險分數=各類分類得分之總合(例如上述「客戶類型」、「地域因素」、「往來業務」、「交易行為」、「產 品屬性」等分類得分之總合)。「優先法」可不納入權重計分的風險評等方式。 When calculating the total risk score, each risk factor option weight can be given according to importance, or a classification risk factor classification weight can be given. Therefore, the risk factor option score x weight = each item score. Next, each score is added to the x classification weight = classification score. Total risk score = the sum of the scores of various categories (for example, the sum of the above-mentioned "customer types", "geographical factors", "traffic business", "transaction behavior", "product attributes", etc.). The "Priority Method" may not include the risk assessment method of weight scoring.
本系統將客戶風險等級分為四種,即「低風險」、「一般風險」、「高風險」以及「制裁」。系統可為「低風險」、「一般風險」以及「高風險」設定「總風險分數」的區間範圍,例如「低風險」是總風險分數低於某分數等或「一般風險」之總風險分數介於於某二個分數之間。「高風險」除了用總風險分數方式評估外,亦可用上述的「優先法」判定。「制裁」則是完全以「優先法」評定,即客戶是否為制裁名單中之一。 This system divides customer risk levels into four types, namely "low risk", "general risk", "high risk" and "sanction". The system can set the range of "total risk score" for "low risk", "general risk" and "high risk". For example, "low risk" means that the total risk score is lower than a certain score or the total risk score of "general risk" Between a certain two scores. "High risk" can be judged by the above-mentioned "priority method" in addition to the total risk score method. "Sanctions" are completely assessed by the "Priority Act", that is, whether the customer is one of the sanctions lists.
當本系統的上述風險因子確定後,便可將相關的計算方式可程式化後,藉作業分析工作站110執行評等。相關的資訊可分類存入地域關聯風險伺服器120、產品關聯風險伺服器130以及保戶關聯風險伺服器140內。當保險契約需核保、辦理金流交易、定期檢核時,可藉輸入保戶的身份證字號或統一編號方式查詢客戶風險等級、以險別代號查詢產品風險等級、以姓名查尋客戶是否在黑名單內(例如向道瓊購買的名單)或以保戶的身份證字號或統一編號輸入、修改、刪除、查詢風險檢核的結果。 After the above-mentioned risk factors of the system are determined, the relevant calculation methods can be programmed, and the evaluation can be performed by the operation analysis workstation 110. The relevant information can be classified and stored in the geographically related risk server 120, the product related risk server 130, and the policyholder related risk server 140. When the insurance contract needs to be verified, handle gold flow transactions, and conduct regular inspections, you can query the customer's risk level by entering the insurer's ID number or unified numbering method, query the product risk level by the insurance type code, and check whether the customer is in The blacklist (such as the list purchased from Dow Jones) or the ID number or unified number of the insured's ID card can be used to enter, modify, delete, and query the results of the risk check.
除上述方式外,本系統亦可採事後監控的檢核方式,例如以預設的條件每日藉作業分析工作站110自動過濾,並輸出報表供檢核(例如以第2圖之輸出裝置116產出報表)。預設的條件可例如是「大額保費非由保險契約之當事人或利害關係人付款」、「保戶於短期內密集辦理解除契約或終止契約,要求以現金方式支領,達一定金額以上」或「客戶短期內密集 投保具高保單價值準備金之保險商品」。 In addition to the above methods, the system can also use post-monitoring inspection methods, such as automatic filtering by the job analysis workstation 110 on a daily basis under preset conditions, and outputting reports for inspection (for example, using the output device 116 in FIG. 2 to produce Report). The preset conditions may be, for example, "large amounts of premiums are not paid by the parties or stakeholders of the insurance contract", "the policyholders intensively handle the cancellation of the contract or the termination of the contract within a short period of time, requiring payment in cash to reach a certain amount. Or "Customers intensively insure insurance products with high policy value reserves in the short term."
請參照第2圖,其係依照本發明另一實施例之一種人壽保險業之防制洗錢及打擊資助恐怖主義風險評估系統的方塊圖。在硬體上,作業分析工作站110包含通訊介面112、處理器114、輸出裝置116以及儲存裝置118等元件。 Please refer to FIG. 2, which is a block diagram of a risk assessment system for preventing money laundering and combating terrorist financing in the life insurance industry according to another embodiment of the present invention. On the hardware, the job analysis workstation 110 includes components such as a communication interface 112, a processor 114, an output device 116, and a storage device 118.
通訊介面112用以連接至地域關聯風險伺服器120、產品關聯風險伺服器130以及保戶關聯風險伺服器140。處理器114連接至通訊介面112,用以依據各種風險因子執行防制洗錢或打擊資助恐怖主義的風險評估。輸出裝置116連接至處理器114,藉以輸出所需的報表。儲存裝置118連接至處理器114,藉以儲存經輸入、修改、刪除或查詢的檢核結果或儲存處理器的風險評估結果。 The communication interface 112 is used to connect to the regional associated risk server 120, the product associated risk server 130, and the insured associated risk server 140. The processor 114 is connected to the communication interface 112 and is used to perform a risk assessment for preventing money laundering or combating the financing of terrorism according to various risk factors. The output device 116 is connected to the processor 114 to output the required report. The storage device 118 is connected to the processor 114, so as to store the verification result input, modified, deleted, or queried or store the risk assessment result of the processor.
地域關聯風險伺服器120包含一通訊介面122,用以連接至作業分析工作站110。地域關聯風險伺服器120更包含一儲存裝置124,連接至通訊介面122,用以存放與地域關聯的風險資料,例如高風險的地區或國家的清單。 The regional associated risk server 120 includes a communication interface 122 for connecting to the operation analysis workstation 110. The geographically associated risk server 120 further includes a storage device 124 connected to the communication interface 122 for storing risk data associated with the geographic area, such as a list of high-risk regions or countries.
產品關聯風險伺服器130包含一通訊介面132,用以連接至作業分析工作站110。產品關聯風險伺服器130更包含一儲存裝置134,連接至通訊介面132,用以存放與產品關聯的風險資料,例如險別代號以及產品風險等級等。 The product-related risk server 130 includes a communication interface 132 for connecting to the operation analysis workstation 110. The product-related risk server 130 further includes a storage device 134 connected to the communication interface 132 for storing risk data associated with the product, such as the risk code and product risk level.
保戶關聯風險伺服器140包含一通訊介面142,用以連接至作業分析工作站110。保戶關聯風險伺服器140更包含一儲存裝置144,連接至該通訊介面142,用以存放與保戶關聯的風險資料,例如從客戶端收集的個資或道瓊黑名單等。 The policyholder associated risk server 140 includes a communication interface 142 for connecting to the operation analysis workstation 110. The policyholder associated risk server 140 further includes a storage device 144 connected to the communication interface 142 for storing risk data associated with the policyholder, such as personal data collected from the client or the Dow Jones blacklist.
綜上所述,本發明的人壽保險業之防制洗錢及打擊資助恐怖主義風險評估系統整合各種風險因子的資料以事先評等其風險值,並藉預設條件事後定期過濾可疑的帳戶,使此系統發揮其最大綜效。 In summary, the life insurance industry's anti-money laundering and anti-terrorism financing risk assessment system integrates data of various risk factors to evaluate its risk value in advance, and regularly filters suspicious accounts afterwards by using preset conditions, so that This system exerts its maximum synergy.
雖然本發明已以實施方式揭露如上,然其並非用以限定本發明,任何熟習此技藝者,於不脫離本發明之精神和範圍內,當可作各種之更動與潤飾,因此本發明之保護範圍當視後附之申請專利範圍所界定者為準。 Although the present invention has been disclosed as above in an embodiment, it is not intended to limit the present invention. Anyone who is familiar with this skill can make various modifications and retouching without departing from the spirit and scope of the present invention, so the protection of the present invention The scope shall be as defined in the appended patent application scope.
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