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Insurers and agencies

Insurance OFAC Screening Before Policies and Claim Payments

Insurance OFAC screening checks policyholders, insured parties, beneficiaries, claim payees and vendors against the OFAC lists before a policy is issued and before any payment goes out. OfacScanner runs each check in seconds, screens your book in bulk and keeps evidence for every decision.

OFAC SDN list, published , checked
Claims handler reviewing a payment approval screen in an insurance office

What is insurance OFAC screening

Insurers, agents, brokers and claims administrators that are U.S. persons may not provide coverage to, or make payments for the benefit of, a blocked person. That covers more than the person who buys the policy. A claim can be paid to a third party, a life policy can name a beneficiary years after it was issued, and a repair shop or law firm can receive money as a vendor.

Insurance OFAC screening is the process of checking each of these parties against the SDN list and the OFAC consolidated non-SDN lists at the points where risk appears. The main points are quote and bind, renewal, any change of insured or beneficiary, and every claim payment.

Because OFAC liability is strict, a payment to a listed party can lead to a penalty even when nobody knew. A record of each check shows that your company had a working control in place when the payment was approved.

Who to screen and when

A simple map most insurance compliance teams use to set their screening points.

Party When to screen Best way in OfacScanner
Applicant and policyholder Quote or bind, then renewal Single check, then monitoring
Additional insureds When added to the policy Single check
Beneficiaries When named or changed, and before payout Single check before payment
Claimants and claim payees Before every claim payment Single check or daily batch
Vendors and repair shops At onboarding, then ongoing Batch file, then monitoring
Whole policy book After every list update Ongoing monitoring

How to screen a claim payee before payment

The check takes seconds and fits into the normal payment approval.

  1. 01

    Enter the payee

    Type the payee name and choose individual or organization. Add a country or date of birth from the claim file when you have it.

  2. 02

    Read the rating

    Clear means no candidate above your threshold. Review or Likely match shows the listed entry, the matched alias and the score breakdown.

  3. 03

    Resolve possible matches

    Compare the details with the claim file. Clear a false positive with a reason, or stop the payment and escalate.

  4. 04

    Attach the evidence

    Download the PDF certificate and store it with the claim, or link to it from your claims system.

Built for policy books and claim volumes

Bulk screening of the book

Upload policyholders, beneficiaries or vendors as a CSV file with batch sanctions screening, up to 100,000 rows per file.

Re-checks after list updates

Policies stay open for years. Ongoing sanctions monitoring re-screens monitored records after every update.

Payment screening by API

On Scale, the claims system can screen payee, bank and free text fields before a payment is released, with payment screening.

Roles for claims and compliance

Analysts review, Reviewers decide and Admins set thresholds, so each decision is made by the right person.

Evidence an auditor can read

List version, time, user and score breakdown for every check, kept for up to 5 years on Growth.

Where a match leaves your team

OfacScanner tells you what the lists say and how close a name is. If a match is confirmed, the next steps come from your sanctions program and OFAC rules. A payment owed to a blocked person generally must be blocked, for example held in a blocked account, and reported to OFAC within 10 business days. Blocked property is also reported annually. OfacScanner is not affiliated with OFAC or the U.S. Department of the Treasury.

Plans for agencies and insurers

An independent agency that binds a few policies a day can use Starter at $49 a month, or $24 a month billed yearly. It covers 1,000 checks a month against the OFAC lists, a PDF for every check and 12 months of audit history.

Insurers and claims administrators usually choose Growth at $499 a month, or $249 a month billed yearly, for 50,000 checks, batch files, monitoring of up to 50,000 records, cases, global lists and 5 users. Scale at $1,999 a month, or $999 a month billed yearly, adds the API, payment screening and SSO. Every plan is on the pricing page.

Insurance OFAC screening questions

Another question? Write to [email protected].

Do insurance agents need to run OFAC checks?

Agents and brokers that are U.S. persons are covered by OFAC rules just like insurers. Many carriers also require their agents to screen applicants before binding.

When should a beneficiary be screened?

When the beneficiary is named or changed, and again before any payout, since the lists may have changed in the meantime.

Can we screen every claim payee automatically?

Yes. On Scale the claims system can call the API before each payment, or you can upload a daily payment file as a batch on Growth.

How long is screening evidence kept?

Starter keeps 12 months of audit history and Growth keeps 5 years. You can download evidence PDFs at any time and store them with your own records, which OFAC expects to be kept for 10 years.

Screen your first name in seconds

Type a person or company name, see the risk rating and top candidates from the current OFAC list, and keep the evidence when you sign up.

Results support your compliance decisions, and the final decision stays with your team. OfacScanner is not affiliated with OFAC or the U.S. Department of the Treasury.