The sheer number of individuals involved in the insurance process, as well as the large global presence of this industry makes insurance organizations particularly susceptible to fraud. Although insurance policies are meant to offer financial protection for certain covered situations that might occur, fraudsters attempt to take advantage of this system for personal gain.
In this course, you will learn about the claims process, how to identify potential red flags of various schemes, and how technology can be implemented to better prevent and detect insurance fraud.
- Potential red flags within various insurance fraud schemes
- How technology can help to prevent and detect insurance fraud
- How policyholders can benefit from making fraudulent claims
- Ways insurance companies can safeguard themselves against insurance fraud
- Application of the claims process
ACFE Ordering and Return Policy
You Will Learn How To:
- Identify common methods used by external parties to commit fraud against insurance companies
- Recognize ways that insurance policyholders can benefit from making fraudulent claims
- Discern how insurance companies can help protect themselves against fraud
- Distinguish methods that can be used to detect various types of insurance fraud
ADVANCED PREPARATION: NONE
FIELD OF STUDY: SPECIALIZED KNOWLEDGE
LAST UPDATED: NOVEMBER 2020
DELIVERY METHOD: QAS SELF-STUDY
Table of Contents:
Part I: Introduction to Insurance Fraud
Lesson 1: What Is Insurance Fraud?
Lesson 2: Global Effects
Lesson 3: Insurance Claims Process
Part II: Automobile Insurance Fraud
Lesson 4: Automobile Insurance Fraud by Policyholders
Lesson 5: Car Insurers Committing Fraud
Lesson 6: Vendors and Vehicle Insurance Fraud
Lesson 7: Combating Automobile Insurance Fraud
Part III: Property Insurance Fraud
Lesson 8: Claimants Engaging in Property Insurance Fraud
Lesson 9: Fraudulent Property Insurers
Lesson 10: Third Parties and Property Insurance Fraud
Lesson 11: Battling Property Insurance Fraud
Part IV: Life Insurance Fraud
Lesson 12: Insured Parties Committing Life Insurance Fraud
Lesson 13: Occupational Fraud in the Life Insurance Industry
Lesson 14: Third Parties Attempting Life Insurance Fraud
Lesson 15: Fighting Life Insurance Fraud
Part V: Workers' Compensation Fraud
Lesson 16: Employers Engaging in Workers’ Compensation Fraud
Lesson 17: Covered Employees Committing Fraud
Lesson 18: Third Parties Participating in Workers’Compensation Fraud
Lesson 19: Combating Workers’ Compensation Fraud
Part VI: The Future of Fraud in Insurance
Lesson 20: Insurance Trends for the Future
Lesson 21: Anti Fraud Measures for Insurers
Lesson 22: Using Technology to Fight Insurance Fraud
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Online Self-Study Troubleshooting Guide:
Problem: When I attempt to access my courses from “My Online Learning,” the course never launches, or I receive an error message saying my pop-up blocker needs to be turned off.
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Use a different browser. This error seems to only occur in Internet Explorer, so using Mozilla Firefox or Google Chrome should resolve the issue (see below for links to download either of these browsers).
Other Troubleshooting Tips: If you encounter other errors, such as courses freezing or crashing, we recommend taking the following action:
Try a different browser. ACFE online self-study courses are designed to run on all modern web browsers, but if you encounter a problem that is not solved using one of the suggestions above, you can try using a different web browser to see if it eliminates the problem. We have most frequently seen where using Mozilla Firefox or Google Chrome has resolved an issue that was seen in Internet Explorer.
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Make sure you are running the latest version of Flash. Go to Adobe.com to see what version of Flash you are running, and then compare that to the table on that page to see what the latest version is for your operating system/browser combination. If you are not running the newest version, you should upgrade and see if that resolves the problem.