Detecting and Preventing Insurance Fraud

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This comprehensive course offers an in-depth exploration of insurance fraud, aimed at equipping participants with the essential knowledge and skills needed to tackle this pervasive issue. By the end of this course, participants will have a robust understanding of insurance fraud, from detection and investigation to prevention and legal considerations, preparing them to efficiently combat and mitigate fraudulent activities within the insurance industry.

Credits: 4 | Category: Fraud | Difficulty Level: Intermediate | Instruction Method: Self-Study | Course #88907033

Course Content

Introduction to Insurance Fraud
Definition and Overview of Insurance Fraud 3 Topics
The Insurance Fraud Impact Perspective
Historical Perspective and Evolution of Insurance Fraud
Summary 1 Quiz
Types of Insurance Fraud
Fraud in Health Insurance
Fraud in Property and Casualty Insurance
Fraud in Life Insurance
Case Study
Summary 1 Quiz
Fraud Detection and Investigation Methods
Red Flags and Warning Signs of Fraud
Role of Risk Managers in Detecting Insurance Fraud
Data Analytics and Technology in Fraud Detection
Investigative Techniques and Procedures 2 Topics
Collaborating with Law Enforcement and Regulatory Bodies
Case Study #1
Case Study #2
Summary 1 Quiz
Legal and Ethical Considerations
Legal Framework Governing Insurance Fraud 3 Topics
Ethical Considerations in Handling Fraud Cases
Role of Regulatory Agencies and Compliance Requirements
1 of 2

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Pre Final Exam Affidavit

Before attempting the final exam for any course, students are required to thoroughly review the course material. As per your State requirements, the self-study exam is closed-book and must be monitored. To pass the self-study final exam, students must achieve a minimum score of 70%.

The monitor must be a disinterested third party, at least 18 years old, with no family or financial connection to the student. A disinterested third party is someone who has no financial stake in the outcome of the exam and is not related to the student.

Please provide the first and last name of the disinterested third party.

Please provide the first and last name of the disinterested third party(Required)
Please type your first and last name to verify that you have met the above requirements(Required)

Pre Final Exam Affidavit

Before attempting the final exam for any course, students are required to thoroughly review the course material. As per your State requirements, the self-study exam is open-book and does not require a monitor. To pass the self-study final exam, students must achieve a minimum score of 70%.

Please type your first and last name to verify that you have met the above requirements.

Please type your first and last name to verify that you have met the above requirements(Required)