Description

This course explains how insurers comply with state-mandated special investigation unit regulations, including such topics as the regulations themselves, what they impose on the insurer, and how the insurer will fulfill the regulations. 

The course covers the following:

1. All of the Special Investigation Unit Regulations imposed by – as an example – the California regulations.
2. The need to train integral anti-fraud personnel in how to recognize potential insurance fraud.
3. The need to create a special fraud investigation unit.
4. Training by the special investigation unit.
5. Training of all claims personnel in recognizing insurance fraud.
6. How to train claims personnel to recognize the red flags of fraud.
7. An explanation of the function of an SIU.
8. The statutes that require a fraud investigation unit or SIU.
9. An explanation of the Insurance Fraud Prevention Acts.
10. The immunities provided to fraud investigators.
11. The red flags of fraud.