Fraud Detection and Prevention for the Insurance Industry
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1- Online Training...with international accreditation.
The value of participation per person is €1,450
2- Requirement : specifying the course, number of participants,
implementation date, and joint coordination.
Group contracting ... 20% Discount For Each Participant
In Any Group Of Five Person Or More
Other Places To Hold The Course :
KualaLumpur.. Istanbul.. Dubai.. Cairo.. Riyadh.. Jeddah.. Abu Dhabi.. Doha.. Muscat.. Sharm El Sheikh.. Kuwait.. Tripoli.. Amman.. Beirut.. Damascus.. Tunisia.. Casablanca.. London.. Paris.. Barcelona.. Amsterdam.. Brussels
Fraud Detection and Prevention for the Insurance Industry
Introduction :
This course covers how to prevent fraud from happening, how to detect fraud, the tools to investigate fraud, and how to gather a case for prosecution. 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.
Course Objectives :
At the end of this course, the participants will be able to :
- Define the role of ethics in insurance fraud prevention
- Distinguish the nature and types of insurance fraud
- Set up fraud prevention methods for the organization
- Identify and implement anti-fraud measures and manage fraud risks
- Investigate and form a legal case to prosecute suspected fraudsters
Targeted Audience :
This course is designed for all levels of auditors, investigators and prosecutors working in the insurance fraud arena. Any professional looking to expand their knowledge of insurance fraud detection and prevention would also benefit from this course.
Course Outlines :
- Governance and ethics in insurance
- Defining ethics
- Ethics in the workplace
- Conflicts of interest
- Fraud
- Racism
- Other misconduct
- Conducting ethics investigations
- Skills and approaches of the ethics investigator
- Moral hazard in insurance
- Adverse selection
- Fighting fraud types
- Core foundation: basic concepts of fraud, anti-fraud mind set
- Life insurance fraud
- Health insurance fraud
- Auto insurance fraud
- Property insurance fraud
- Reporting insurance fraud
- The role of the fraud investigator
- Internal audit’s role in preventing fraud
- The broker’s perspective
- Types of fraud
- The broker’s role
- Anti-fraud measures
- In house anti-fraud units
- Software alerts
- Databases facilitating sharing of claims information (e.g., CUE, MIAFTR, MID, CIFAS)
- Cognitive interviewing techniques
- Lie detectors/voice stress analysis
- Aerial photography and mapping
- Managing broker fraud risks
- Broker response to fraud
- Fraud Investigations
- Tasks of the fraud investigator
- Setting the standards
- Reviewing controls
- Searching for corroborating evidence
- Spotting fraudulent claims
- Theoretical and legal issues pertaining to fraud investigations
- Multi-disciplinary approach to fraud investigations
- General legal issues
- Criminal Investigations
- Principles of criminal investigation
- Collecting and systemizing of evidence
- Forming statements
- Interviewing and interrogation
- Polygraph and statement analysis
- Criminology/legal issues
- Investigative techniques
EuroMax Training Methodology :
Our training work is presented in a professional and attractive manner.. Interspersed with interceptive information to renew attention throughout the training period… We aim with this method to train the listener and interact… In addition to practical applications that target the direct skills and knowledge required to be achieved.. It is presented to the trainees in more than one way.. Practical exercises and applications.. Surveys and questions.. A training strategy has been adopted based on pairing between the theoretical and the professional and between the local and the global.
What Does The Participant Get From The Course?
Each participant obtains an internationally accredited training certificate from the EuroMax Center for Training and Development … which has the ISO certificate in quality No. 900/2015 from the English international company UCAS .. and receives a training bag containing the scientific material via an electronic flash … in addition to an enjoyable and useful training that is reflected Positive and developmental for individuals and the institution
Note :
We can implement the training course in any of the cities referred to in this course..at the appropriate and required time for the trainees..through joint coordination with the training department at the center..the training is implemented in a distinctive manner according to the best quality standards so that we meet all training requirements and needs.
International Accreditations
The EuroMax Center for Training and Consulting has obtained international and official accreditations with the highest and best international levels scientifically and technically, which reflect the level of outstanding performance in our training work.. so that it achieves what each participant aspires to by obtaining the best certificates with officially approved scientific and technical standards.
