Insurance Fraud


CPE Credit: 2 
Course Level: Basic
Prerequisite: None


Description:

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.

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


Preview Course


ACFE Ordering and Return Policy

CPE Information:

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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System Requirements:

Internet access: High-speed connection recommended

Free Adobe Flash Player

Speakers required for video sound

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.

Solution: Your web browser must be configured to allow pop-ups in order to access ACFE Self-Study courses. Your browser may prompt you to allow pop-ups, or you may have to allow them manually. You may either allow them for all sites, or allow them just for the current site.

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Also note that many toolbars, such as the Google Toolbar and Yahoo! include pop-up blockers as well. If you have one or more toolbars installed on your browser with built-in pop-up blockers, you must configure them to allow pop-ups.

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Online SS Image Absorb Error

Do not click that link; instead, allow your browser to automatically open the eLearning window on its own, which should happen after a few seconds. This will log you in automatically so that you can access your online courses.



Problem: I receive the following error when I try to load a different lesson with a course:

SS Online API Error

Solution: This occurs in Internet Explorer when trying to load a different lesson without closing the current lesson. This error can be avoided two different ways:

Always close the current lesson before going to another one. Always click the Close Window button (usually the red “X” in the upper right corner) of the current lesson before clicking on another lesson.


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.


Mozilla Firefox can be downloaded here
Google Chrome can be downloaded here


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.