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Arkansas Insurance Fraud

NATG is committed to providing quality insurance fraud training to all Integral Anti-Fraud personnel as required under the Arkansas Insurance Fraud Regulation 66.
It is convenient!  NATG offers every course you need for compliance.  You choose the method of delivery: on-line through our secure web site or in-person at your facility.  We take care of the rest, from administration, to record keeping, to providing certificates of completion and administrative access to account holders or SIU.

Online students have the additional convenience of taking courses whenever they want. Our program allows users to start and stop without losing their place or data.  Administrators can see at the click of a mouse which personnel have completed the required courses. Compliance has never been so easy!

ANTI FRAUD EDUCATION INITIATIVE REQUIREMENTS
SECTION 7. Fraud Investigators and Independent Contractors

A. Fraud investigators who are employees of an insurer:

1. shall be qualified by education, experience or training in the detection, investigation and proper reporting of suspected fraudulent insurance acts, and may be employees whose principal responsibilities are the processing and disposition of claims, if they meet the qualification requirements herein stated; and
2. shall complete a minimum of three (3) hours of continuing education annually in the detection, investigation and proper reporting of suspected fraudulent insurance acts. The specific curriculum, location and certification of said continuing education courses are not mandated but shall be consistent with industry standards for continuing education for insurance fraud prevention, detection, or investigation.

B. Independent contractors hired by an insurer as fraud investigators shall be investigation companies licensed by the State of Arkansas under the provisions of Arkansas Code Annotated §17-40-201, et seq., or duly exempted from licensure by the Arkansas Board of Private Investigators and Private Security Agencies.

SECTION 8. Anti-Fraud Plans

A. Antifraud plans shall be submitted to the commissioner for approval and shall outline specific procedures to:

1. prevent, detect, and investigate suspected fraudulent insurance acts;
2. educate and train appropriate employees in the insurer's antifraud plan, as well as in the identification of suspected fraudulent insurance acts;
3. comply with the mandatory reporting requirements of Arkansas Code Annotated §23-66-505 and §11-9- 106(d)(6) regarding suspected fraudulent insurance acts;
4. increase awareness of the impact of fraudulent insurance acts and the methods of preventing insurance fraud;
5. pursue civil remedies for financial loss caused by fraudulent insurance acts, where appropriate; and
6. facilitate assistance and communication with the Insurance Fraud Investigation Division of the Arkansas Insurance Department by identifying a representative within the employ of the insurer to act as a liaison on insurance fraud matters. B. Each antifraud plan shall state a specific implementation date and a mechanism for review of the plan for effectiveness, which review shall be undertaken no less than every twenty-four (24) months. C. Amendments to an approved plan shall be submitted to the commissioner within thirty (30) days after their implementation.