A Brief Overview of Insurance Investigation
- Interest in insurance investigation
Welcome and thank you for joining me this free talk! I provide you with an understanding of the field of insurance investigation by sharing some of the cases I have dealt with in the past and these include examples of individuals who abuse insurance products or commit fraud as well as how both new and sophisticated syndicates operate and what weaknesses they exploit for the purpose of fraud. These examples included examples of medical or health related fraud as well as those related to motor vehicle accident or theft claims.
We discuss what qualifications are required of investigator and while having studied into the field of forensics and/or criminology is beneficial, it is not the only way to get into the field. Experience and being willing to learn as you go are also ways to get into this exciting line of work.
I share with you the day to day work of an insurance investigator and this includes verification and validation of information as well as gathering of evidence to prove or disprove a specific rea of concern.
The talk is presented in a conversational way, so please grab a cup of coffee or tea and sit back and have a listen. It is my passion to teach all I have learnt and to share my findings and insights from actual investigations I have worked on. I know you will enjoy the talk and hope that if you are an assessor or investigator and want to broaden your knowledge base, you will check out the courses I have developed to help you grow professionally.
Who this course is for:
- Loss adjustors
- Insurance investigators
South African based Medical & Healthcare Fraud & Syndicate Investigator and student of the law and psychology. I have expertise in the performing of expert assessments on medical claims for the insurance industry as well as leading and assisting in ad hoc syndicate investigations for insurers and parastatal entities.
I have worked in many areas including risk mitigation, policy review, ombudsman matters, public adjusting and claim adjusting.
I have a passion for teaching the craft of forensics and am excited to be sharing my expertise with those who want to upskill and broaden their own knowledge in claims processing and investigations.