Fraud Detection and Prevention for the Insurance Industry Training Courses - | Meirc
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Banking, Insurance and Financial Services

Fraud Detection and Prevention for the Insurance Industry

Why Attend

This course covers how to prevent fraud from happening, how to detect fraud, the tools to investigate fraud, and how to gather a case for prosecution. This course gives professionals working in the insurance industry the ability to protect their organization from internal fraudulent activity such as Agent/Broker premium diversion, re-insurance fraud and rented asset schemes. It also covers external fraud activities such as fake insurance companies, offshore/unlicensed internet companies, staged auto accidents, viatical and senior settlement fraud.

Course Methodology

This course uses a mixture of presentations, discussions, case studies, videos, role-plays and interactive exercises to transform participants’ knowledge into hands-on practice.

Course Objectives

By the end of the course, participants will be able to:
  • Define the role of ethics in insurance fraud prevention
  • Distinguish the nature and types of insurance fraud
  • Set up fraud prevention methods for the organization
  • Identify and implement anti-fraud measures and manage fraud risks
  • Investigate and form a legal case to prosecute suspected fraudsters

Target Audience

This course is designed for all levels of auditors, investigators and prosecutors working in the insurance fraud arena. Any professional looking to expand their knowledge of insurance fraud detection and prevention would also benefit from this course. 

Target Competencies

  • Auditing
  • Preventing insurance fraud
  • Detecting insurance fraud
  • Implementing anti-fraud measures
  • Investigating fraud
  • Governance and ethics in insurance
    • Defining ethics
    • Ethics in the workplace
      • Conflicts of interest
      • Fraud
      • Racism
      • Other misconduct
    • Conducting ethics investigations
    • Skills and approaches of the ethics investigator
    • Moral hazard in insurance
    • Adverse selection


  • Fighting fraud types
    • Core foundation: basic concepts of fraud, anti-fraud mind set
    • Life insurance fraud
    • Health insurance fraud
    • Auto insurance fraud
    • Property insurance fraud
    • Reporting insurance fraud
    • The role of the fraud investigator
    • Internal audit’s role in preventing fraud


  • The broker’s perspective
    • Types of fraud
    • The broker’s role
    • Anti-fraud measures
      • In house anti-fraud units
      • Software alerts
      • Databases facilitating sharing of claims information (e.g., CUE, MIAFTR, MID, CIFAS)
      • Cognitive interviewing techniques
      • Lie detectors/voice stress analysis
      • Aerial photography and mapping
    • Managing broker fraud risks
    • Broker response to fraud


  • Fraud Investigations
    • Tasks of the fraud investigator
    • Setting the standards
    • Reviewing controls
    • Searching for corroborating evidence
    • Spotting fraudulent claims
    • Theoretical and legal issues pertaining to fraud investigations
    • Multi-disciplinary approach to fraud investigations
    • General legal issues


  • Criminal Investigations
    • Principles of criminal investigation
    • Collecting and systemizing of evidence
    • Forming statements
    • Interviewing and interrogation
    • Polygraph and statement analysis
    • Criminology/legal issues
    • Investigative techniques

Meirc Professional Certificate (MPC)

MPC certified courses by Meirc Training and Consulting are designed for those willing to challenge themselves and go the extra distance. Participants who fully attend an MPC course and successfully complete the test on the last day, will receive a Meirc Professional Certificate (MPC), in addition to the one they receive for attendance. MPC certificates are regionally recognized and can be quite valuable when applying for more senior roles within the organization or outside.

Per participant

USD 4,800

Fees + VAT as applicable

Tax Registration Number : 100239834300003

(including coffee breaks and a buffet lunch daily)

Attending this course will grant participants 30 CPE credits from the following associations: The Institute of Internal Auditors (The IIA), Information Systems Audit and Control Associations (ISACA) and the Association of Certified Fraud Examiners (ACFE).

2021 - Location & Date

4 Days Course

No Schedules!
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Meirc reserves the right to alter dates, content, venue and trainer.

This course is currently unscheduled in Virtual Learning.

Request this course as Virtual Learning