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Insurance Fraud Awareness New

Course Description

Course Approval Number :
ME 14956

Course Description

The insurance industry in the United States consists of more than 5,000 companies with over $1.8 trillion in assets. The insurance industry is one of the largest and most interdependent of the United States industries, making it a critical U.S. industry. Insurance fraud has become one of the most prevalent and costly white – collar crimes. According to a published study by the Coalition Against Insurance Fraud (CAIF), fraud is among the most prominent cost components escalating the costs of insurance. The CAIF has estimated the annual loss figures relative to insurance fraud (non health insurance) to be approximately $26 billion. F raud is costing companies, businesses, and individuals, who pay higher insurance premiums. Identifying, targeting, and dismantling those individuals, organized groups, and con artists committing fraud against the insurance industry will accomplish reducing the amount of economic loss to the insurance industry due to fraud.

This course provides an overview of insurance fraud, which will provide the student with an understanding of the nature, costs, results and methods of preventing insurance fraud. The ultimate goal of this course is to increase awareness of insurance fraud and demonstrate the importance of preventing insurance fraud. Topics covered include: Ethics, Fraud Detection and Prevention, Patterns and Indicators of Fraudulent Claims, Legal Issues, and Consumer Protection.

LEARNING OBJECTIVES:

  • Understand insurance fraud.
  • Understand the relationship between ethics and insurance fraud.
  • Understand and take the necessary steps to prevent insurance fraud.
  • Identify the fraudsters who commit insurance fraud.
  • Understand fraud within the insurance process.
  • Identify and spot patterns and indicators of fraudulent claims.
  • Understand the relationship between fraudulent claims and the insurance industry.
  • Understand the legal Issues associated with insurance fraud.
  • Understand consumer protection and insurance fraud.

    TOPICS COVERED:

  • LESSON 1: Introduction
  • LESSON 2: Preventing Insurance Fraud
  • LESSON 3: Identifying the Fraudsters
  • LESSON 4: Fraud Within the Insurance Process
  • LESSON 5: Patterns & Indicators of Fraudulent Claims
  • LESSON 6: Fraudulent Claims and the Insurance Industry
  • LESSON 7: The Legal Issues in Insurance Fraud
  • LESSON 8: Consumer Protection and Insurance Fraud
    .

    REGULATORY REQUIREMENT:
    Please see the state/regulatory requirement from the course catalog page.

    SEAT TIME:
    This course has been approved for 5 hours.

    COURSE PRE – REQUISITE:
    N/A.

    TESTING:
    Final Exam – You will be required to pass the final exam with a 70% in order to receive course credit.

    COURSE COMPLETION:
    Upon successful completion of this course you will be able to print your certificate online.

    ABOUT THE SUBJECT MATTER EXPERT:
    Published by:

    Pohs Institute – Westbury, New Yor.

    Pohs Institute, one of the oldest insurance schools in New York State, was founded in 1921 by Herbert Pohs. Pohs Institute is one of the largest providers of insurance education in New York State, as well as an approved provider in New Jersey, Pennsylvania, Connecticut, Massachusetts, New Hampshire, Maine and Rhode Island. More than 250,000 men and women, eager to pursue a career in the insurance industry, have enrolled in Pohs Institute schools. Pohs Institute provides insurance instruction to large insurance companies and brokerages, as well as banks and financial institutions. The instructors are professional adjunct teachers from the insurance industry with an average of 10 or more years of industry experience.

  • State Requirements

    Check Maine’s state requirements prior to enrolling (http://www.maine.gov/pfr/insurance/). Provider – 360training.com, Inc. #628. *General credit hours count for either property and casualty or life and health.

    PRICE:

    $25

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