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Last updated:

September 21, 2023

Duration:

6 months

This course includes:

6 months

Badge on Completion

Certificate of completion

6 months

Description

Aside from tax fraud, insurance fraud is the most practised fraud in the world. 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 attractive and easily diverted.

To conquer insurance fraud, one must first know what insurance is. In basic terms, it is a contract between an insurer and an insured. In a contract, the insurer indemnifies the insured against losses, damages, or liability from an unknown event. A preexisting condition must not exist for insurance to be valid. For example, obtaining automobile insurance after an accident is not insurance and does not indemnify the insured for any injuries suffered. Insurance fraud exists when individuals attempt to profit by failing to comply with the terms of the insurance agreement. Perpetrators of insurance fraud try to create losses or damage rather than joining others who have no losses but wish to keep themselves protected in case an unknown event should occur. Insurance fraud has existed since the beginning of insurance as a commercial enterprise.  Fraudulent claims account for a significant portion of all claims received by insurers and cost billions of dollars annually. Types of insurance fraud are diverse and occur in all areas of insurance. Insurance crimes also range in severity, from slightly exaggerating claims to deliberately causing accidents or damage. Fraudulent activities affect the lives of innocent people, both directly through accidental or intentional injury or damage, and indirectly as these crimes cause insurance premiums to be higher. Insurance fraud poses a significant problem, and governments and other organizations make efforts to deter such activities. Course Content
  • Insurance Fraud Overview
  • Establishing and Measuring A New Special Investigation Unit
  • The Policy and the Contract
  • Conducting Examination Under the Oath
  • The Insurance Interview Process
  • Information Gathering and Legal way of Sharing
  • Conducting Surveillance
  • Expert Selection Process
Who is this training suitable for: This program is suitable for individuals and professionals who wish to start and seek employment in insurance firms and companies or financial sectors. It is one of high demand area of understanding which allows you to boost your career and get high earning in return.

Course Curriculum

    • Insurance Fraud Overview 03:00:00
    • Establishing and Measuring A New Special Investigation Unit 04:00:00
    • The Policy and the Contract 04:00:00
    • Conducting Examination Under the Oath 03:00:00
    • The Insurance Interview Process 03:00:00
    • Information Gathering and Legal way of Sharing 03:00:00
    • Conducting Surveillance 02:00:00
    • Expert Selection Process 04:00:00
    • Assignments and Presentation 6 months
    • Insurance Fraud Assignment 28, 00:00
    • Insurance Fraud02 Test 01:00:00

About the instructor

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OpenCoursa
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