Insurance Fraud for Claims Professionals

Description

The insurance business, by its very nature, is susceptible to fraud. Insurance is a risk distribution system that requires the accumulation of liquid assets in the form of reserve funds that are, in turn, available to pay loss claims. Insurance companies generate a large steady flow of cash through insurance premiums. Steady cash flow is an important economic resource that is very attractive and easily diverted.

Large accumulations of liquid assets make insurance companies attractive for take over and loot schemes. Insurance companies are under great pressure to maximize the return on investing the reserve funds, thus making them vulnerable to high yielding investment schemes. This course talks directly to claims personnel on the importance of detecting and preventing insurance fraud.

Learning Outcomes

• Insurance fraud overview
• Importance of detecting and preventing insurance fraud
• Types of insurance fraud
• Motives for insurance fraud
• Indicators for possible insurance fraud
• Insurance fraud investigation tips

Programme Outline