Insurance Fraud Identity and Application Integrity

Результаты обучения

Recognize common application and identity fraud patterns

Путь курса

7 модулей. Один практический план действий.

1. 1

   Fraud patterns across insurance

   Fraud risk can involve stolen identity, false applicants, premium diversion, staged information, application omissions, altered documents or unauthorized changes.

   17 мин.
2. 2

   Identity and authority checks

   Identity verification does not by itself establish ownership, consent or authority to make a policy change.

   17 мин.
3. 3

   Document and payment integrity

   Altered statements, third-party premium payments and changed banking instructions can signal impersonation, coercion, money laundering or diversion.

   17 мин.
4. 4

   Escalation and reporting

   A sound response protects evidence, avoids tipping off where reporting restrictions apply and routes decisions to authorized compliance staff.

   17 мин.
5. 5

   Applied decision practice

   Apply Fraud and Applications to a complete client or file scenario before acting.

   17 мин.
6. 6

   Documentation and escalation

   Record the basis for Fraud and Applications, the uncertainty that remains and the person accountable for the next decision.

   17 мин.
7. 7

   Practice transfer and review

   Turn Fraud and Applications learning into a controlled practice change and a deliberate review point.

   18 мин.