Program Information
Insurance fraud occurs when an insurance company, agent, adjuster or consumer commits a deliberate deception in order to obtain an illegitimate gain. It can occur during the process of buying, using, selling or underwriting insurance. Insurance fraud may fall into different categories from individuals committing fraud against consumers to individuals committing fraud against insurance companies. Insurance fraud, estimated at over a hundred billion dollars per year, not only imposes costs on insurance companies and threatens their competitiveness and future viability, but it is also financially damaging to consumers and detrimental to the economy and society as a whole.
As Fraud is constantly evolving, it is getting harder to control, manage and prevent it. This course explains how insurers, insurance adjusters, and insurance special investigators work to prevent insurance fraud. It explains staged losses, fake thefts, paper property, arson for profit, false documentation, and other efforts to defraud an insurer. The course also explains what is necessary to prove fraud as a defense to an insurance claim.
Program Objectives
By the end of this course the participants will be able to:
- Identify the nature and types of Insurance Fraud
- Implement Fraud Prevention Strategies in the Organization
- Measure and Manage Fraud risks
- Address the legal proceedings for suspected fraudsters
Program Attendees
- Insurer Claims Executives & Representatives
- Insurance agents and brokers
- Fraud Examiners
- Operational Risk Managers
- Insurance coverage & claims lawyers
- State or local police insurance fraud investigators
- Prosecutors