Course

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Insurance fraud costs the industry billions annually and affects honest policyholders through increased premiums. This advanced course equips claims professionals with the tools to identify, investigate, and document suspected fraud effectively and compliantly.

Course Content

Understanding Insurance Fraud
3 Topics
Types of Insurance Fraud
Statistical Overview and Impact
Reading: Fraud Case Studies
Detection Techniques
3 Topics
Red Flag Indicators in BI Claims
Data Analytics and Pattern Recognition
Open Source Intelligence (OSINT)
Investigation Process
3 Topics
Establishing the Investigation Scope
Interview Techniques for Fraud Cases
Case Documentation and Reporting
Final Quiz
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