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32 - INS - Insurance


INS 120 - Insurance Fraud Prevention

Code Start Date Duration Venue Fees
INS 120 20 December 2020 5 Days Istanbul $ 3950 Registration Form Link
INS 120 03 January 2021 5 Days Istanbul $ 3950 Registration Form Link
INS 120 28 February 2021 5 Days Istanbul $ 3950 Registration Form Link
INS 120 28 March 2021 5 Days Istanbul $ 3950 Registration Form Link
INS 120 25 April 2021 5 Days Istanbul $ 3950 Registration Form Link
INS 120 23 May 2021 5 Days Istanbul $ 3950 Registration Form Link
INS 120 20 June 2021 5 Days Istanbul $ 3950 Registration Form Link
INS 120 15 August 2021 5 Days Istanbul $ 3950 Registration Form Link
INS 120 12 September 2021 5 Days Istanbul $ 3950 Registration Form Link
INS 120 10 October 2021 5 Days Istanbul $ 3950 Registration Form Link
INS 120 07 November 2021 5 Days Istanbul $ 3950 Registration Form Link
INS 120 05 December 2021 5 Days Istanbul $ 3950 Registration Form Link
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Course Description

It provides an understanding of key points about how to prevent fraud from happening and how to detect fraud. It gives definition of nature and types of antifraud. This course gives professionals working in the insurance industry the ability to protect their organization from internal fraudulent activity such as Agent/Broker premium diversion, re-insurance fraud and rented asset schemes. It also covers external fraud activities such as fake insurance companies, offshore/unlicensed internet companies, staged auto accidents, viatical and senior settlement fraud. It gives samples about anti fraud technology in claims, underwriting and other areas. It gives idea about other  tools to investigate fraud, and how to gather a case for prosecution. 

Course Objectives

  • Definition of insurance fraud prevention 
  • Understanding of anti fraud regulation 
  • Defining the role of ethics in insurance fraud prevention
  • Distinguishing  the nature and types of insurance fraud
  • Desribing internal fraud activities 
  • Describing external fraud activities 
  • Identifying anti-fraud measures
  • Implementing anti-fraud measures
  • Understanding anti fraud technology in claims, underwriting and other areas 
  • Setting up fraud prevention employees  for the organization
  • Understanding gathering a case for prosecution

Who Should Attend?

  • Insurance Professionals
  • Actuaries 
  • Brokers 
  • Agents 
  • Internal Auditors 
  • Risk Managers 
  • Internal Control Officers 
  • Compliance Officer 
  • IT professionals 

Course Details/Schedule

Day 1

  • Defining insurance fraud and fraud prevention 
  • Describing insurance anti fraud regulation 
  • Understanding fraud warnings, fraud plans and 
  • Preparing mandatory reporting of suspected fraud.
  • Understanding  efficient and  cost-effective anti-fraud efforts  

Day 2

  • Defining ethics
  • Understanding conflicts of interest
  • Understanding  Racism and other misconduct 
  • Defining ethics investigations
  • Describing skills and approaches of the ethics investigator
  • Understanding moral hazard in insurance
  • Adverse selection

Day 3

  • Describing life insurance fraud
  • Describing health insurance fraud
  • Desribing auto insurance fraud
  • Describing property insurance fraud
  • Desribing internal fraud activities 
  • Describing external fraud activities 

Day 4

  • Identifying anti fraud measures 
  • Implementing anti fraud measures 
  • Understanding anti fraud technology in: 
    • claims
    • underwriting 
    • other areas 

Day 5

  • Defining tasks of the fraud investigator
  • Understanding reviewing controls
  • Understanding multi-disciplinary approach to fraud investigations
  • Explaining principles of criminal investigation