Insurance Fraud Certification Level 1

The Level I Basic Certification includes the following 10 credit hour course curriculum for $250.00

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Insurance Overview (1 Credit Hour)

This course will provide you with an understanding of what insurance is, the different lines of insurance and what each line covers.  You will learn what an insurance policy is and what is typically included in each policy. We will discuss the claims process,  and learn important and common definitions used in the insurance industry. You will learn what bad faith is and how to avoid it in the course of an investigation.

Introduction to Insurance Fraud (3 Credit Hours)

You will learn what Insurance Fraud is, who and what insurance fraud effects, the cost  and widespread of fraud,  examples and consequences and well as efforts to reduce fraud and who might commit this crime. You will learn how an adjuster may handle a suspect claim, how to identify a suspected claim, investigation techniques used by the adjusters and investigators, as well as learning the indicators of insurance fraud.

The Use of Surveillance in an Insurance Investigation (2 Credit Hours)

This course will provide the private investigator who conducts insurance investigations with knowledge of the insurance professional's intention for surveillance. You will also learn what a claims professional should provide the investigator as well as when and how they utilize surveillance in the course of an insurance investigation. This course also shows what is required from the claims professional to initiate the surveillance, what is needed from the investigator, what can occur during the investigation and what should be expected from the surveillance.
 

Understanding Your Client's Objectives (1 Credit Hour)

This course speaks directly to the private investigator who serves the insurance industry.  The student will learn to identify client objectives using a basic understanding of the various lines of insurance and functions of insurance professionals and entities, combined with communication and organizational skills that will enhance the client-vendor relationship to zero in on the real purpose behind every referral. ?This course will show where referrals originate, why, and how the final product can be used later on in the life of the claim.

Workers' Compensation Fraud (3 Credit Hours)

This course will provide you with the knowledge about the types of fraud committed by claimants, employers and businesses, as well as medical providers in the worker's compensation field. •It will also provide you with red flag indicators and methods of detection to identify possible fraudulent activity, as well as methods to investigate and combat workers' compensation fraud.