Instructor for this course
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Insurance Fraud is estimated to take between $80 and $300 billion a year from the property and casualty insurance industry, raising the prices each person pays for insurance by more than $300 a year.

This course explains what insurance fraud is and discusses various methods by which insurance fraud is perpetrated. It also covers the various weapons provided by statutory law, legal precedent and professional claims handling that enable companies to reduce the amount stolen by fraud perpetrators. Furthermore, it explains the use of red flags or indicators of insurance fraud and the use of an insurance company Special Investigation Unit (SIU) to gather the evidence necessary to assist in the defeat of insurance fraud.

Learning Objectives

  • Recognize what insurance fraud is
  • Explore the methods needed to investigate and defeat insurance fraud attempts.
  • Identify legal bases available to defeat insurance fraud.
  • Explore the reason why it is in the best interest of insurance companies to actively work to defeat attempts at insurance fraud.

7 Reviews (19 ratings)Reviews

4
Member's Profile
Good discussion of types of insurance frauds. Slow, but good.
3
Member's Profile
Barry needs more energy. What he says is really interesting. But his monotone presentation even had him yawning (I actually heard him yawn twice). The exam (CPE for me) was unpleasant as well. Maybe that was the intent.
3
Member's Profile
The course material was great. The instructor seemed to have low energy and I think he yawned a couple times during the presentation.
5
Member's Profile
Like a Law and Order episode with CPE credits.
1
Anonymous Author
Painfully slow paced.
5
Member's Profile
Interesting topic.
4
Anonymous Author
Good course.

Prerequisites

Course Complexity: Intermediate

Prerequisite: Exposure to insurance policies

 

Advanced Preparation: None

 

Education Provider Information

Company:
Illumeo, Inc., 75 East Santa Clara St., Suite 1215, San Jose, CA 95113
Contact:
For more information regarding this course, including complaint and cancellation policies, please contact our offices at (408) 400- 3993 ext. 106, or send an e-mail to .
Course Syllabus
INTRODUCTION AND OVERVIEW
Types of Insurance Fraud
  11:44Types of Insurance Fraud
  14:30Types of Insurance Fraud Cont.
Liability Claims
  7:40Liability Insurance Claims Handling
  11:44Good Faith and Fair Dealings
  11:16Suspected Fraud in a 3rd Party Liability Claim
First Party Property Claim
  13:36The First Party Property Claim
  9:54The First Party Property Claim Cont.
CONCLUSION
  6:02Philosophy of Denial of a Fraudulent Claim
Continuous Play
  1:32:24Insurance Fraud: An Overview
SUPPORTING MATERIALS
  PDFSlides: Insurance Fraud
  PDFInsurance Fraud Glossary/Index
REVIEW & TEST
  quizREVIEW QUESTIONS
 examFINAL EXAM