Insurance Fraud for Claims Professionals

Insurance Institute of East Africa
Online study mode
Brunei House, 3rd Floor I Witu Road off Lusaka Road P.O. Box 16481 - 00100 Nairobi, Kenya
3 weeks
Jun 17 - Jun 17 2020

Course Description

The insurance business, by its very nature, is susceptible to fraud. Insurance is a risk distribution system that requires the accumulation of liquid assets in the form of reserve funds that are, in turn, available to pay loss claims. Insurance companies generate a large steady flow of cash through insurance premiums. Steady cash flow is an important economic resource that is very attractive and easily diverted. Large accumulations of liquid assets make insurance companies attractive for take over and loot schemes. Insurance companies are under great pressure to maximize the return on investing the reserve funds, thus making them vulnerable to high yielding investment schemes. This courses talks directly to claims personnel on the importance detecting and preventing insurance fraud.

Course Intake: Ongoing!

Course Outline

Module 1:   Goals of the Claims Function 
Module 2:   Importance of Ethics and Professionalism for Claim Reps 
Module 3:   Recognizing the Ethical and Profane Concerns Claim Reps Face 
Module 4:   Importance of Detecting and Preventing Insurance Fraud 
Module 5:   Types of Insurance Fraud 
Module 6:   Motives for Insurance Fraud 
Module 7:   Indicators of Possible Insurance Fraud 
Module 8:   Anti-Fraud Efforts

Career Outcomes

At the end of this course you will be able to know:
  • Explain how an insurer’s claims function achieves each of its primary goals.
  • Explain why ethics and professionalism are important to a claim representative.
  • Recognize the ethical and professional concerns that claim representatives face
  • Describe the motives for insurance fraud.
  • Explain the importance of detecting and preventing insurance fraud

Price: USD 235

Similar Courses

Excel Global College
Offline study mode
6 months
Excel Global College
Offline study mode
6 months

Request a Call

Request a consultant to call you