An Overview of Insurance Fraud
What you'll learn
- 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.
Requirements
- No advanced preparation or prerequisites are needed for this course but experience with insurance policies and the business of insurance is helpful.
Description
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.
Who this course is for:
- Anyone interested in Risk Management, Insurance, Ethics or related fields
Course content
Introduction9 lectures • 1hr 32min
- Introduction to Insurance FraudPreview06:03
- Types of Insurance FraudPreview11:43
- Types of Insurance Fraud Cont.14:30
- Liability Insurance Claims Handling07:39
- Good Faith and Fair Dealings11:43
- Suspected Fraud in a 3rd Party Liability Claim11:15
- The First Party Property Claim13:35
- The First Party Property Claim Cont.09:54
- Philosophy of Denial of a Fraudulent Claim06:02
Supporting Materials2 lectures • 1min
Review and Test0 lectures • 0min
Instructors
![Illumeo Learning](data:image/svg+xml,%3Csvg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 64 64"%3E%3C/svg%3E){kind=avatar}
- 4.1 Instructor Rating
- 18,289 Reviews
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- 300 Courses
Illumeo, incorporated in 2009, is revolutionizing the hide-bound world of corporate learning. Illumeo works with corporate professionals and organizations of all sizes to build the skills and capabilities that help everyone be an expert at their job.
Based in Silicon Valley, CA, Illumeo serves thousands of corporations and corporate professionals across Finance, Accounting, Human Resources, Sales and Marketing. The platform offers assessments, industry-benchmarked competency analyses, hundreds of expert-developed courses, collaborative tools, and the ability for companies to self-publish internal courses that promote institutional knowledge retention and dissemination.
Illumeo is the place for expertise management and we are dedicated to the proposition that everyone can be an expert at their job.
- 4.0 Instructor Rating
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- 19 Courses
Barry Zalma, Esq., CFE, has practiced law in California for more than 42 years as an insurance coverage and claims handling lawyer. He now limits his practice to service as an insurance consultant and expert witness specializing in insurance coverage, insurance claims handling, insurance bad faith and insurance fraud almost equally for insurers and policyholders. He also serves as an arbitrator or mediator for insurance related dispute
He founded Zalma Insurance Consultants in 2001 and serves as its only consultant.
Experience
Consultant/Expert Witness : Zalma Insurance Consultants - [2009-07 to Current]
Consult with policy holders and insurers about claims handling and bad faith issues.
Attorney : Barry Zalma, Inc. - [1979-10 to Current]
Represent clients involved in litigation dealing with insurance, insurance coverage and insurance claims handling and insurance bad faith.
Senior Claims Representative : Fireman's Fund American Insurance Compan - [1967-09 to 1972-02]
Investigate and adjust claims presented to the Fireman's Fund insurance company by its insureds or by claimants seeking damages from the persons insured.
Special Agent, Intelligence : US Army Intelligence School - [1964-01 to 1964-12]
Became a US Army Intelligence Special Agent and Special Agent, US Army Intelligence Corps, Peoria, Illinois, residence office.
Education
JD, Law : The University of West Los Angeles - [1967 to 1971]
AB, Philosophy : Claremont Men's College (Now Claremont McKenna College) - [1960 to 1963]