Insurance Fraud

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Course Level
Delivered via
2 Credits


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.

This course will help you to better understand 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

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

CPE Information

CPE Credit: 2
NASBA Information: Auditing
Advanced Preparation: None
Last Updated: May 2024
Delivery Method: QAS Self-Study


CPE Credit

Please note: To be eligible for CPE credit, you must complete the final exam within one year of purchase date. You may only claim CPE credit for a course once.

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System Requirements:

  • Internet access: High-speed connection recommended
  • Speakers required for video sound

The Association of Certified Fraud Examiners, Inc. is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website:


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