Insights into Insurance Fraud Prevention and Management

Insights into Insurance Fraud Prevention and Management

BACKGROUND

An article in one of the daily newspapers in Kenya contained this statement, “In spite of the moral standards many Kenyans put to the fore, most of them would get involved in a fraudulent activity if an opportunity presented itself.” The Insurance Regulations, 2015 defines Insurance Fraud to mean a deceptive act or omission intended to gain advantage for a party committing the fraud (the fraudster) or for other parties and may include an exaggeration of an otherwise legitimate claim, premeditated fabrication of a claim or fraudulent misrepresentation of material information with a possibility of a potential loss. The effects of insurance fraud are far reaching and insurers then must understand how to detect, where it thrives and prevention mechanisms. This course is intended to give insurers insights into insurance fraud and what can be done to manage by coming up with strategies aimed at minimizing/alleviating the same.

COURSE OBJECTIVES

  • Deal with technical, legal, social aspects of frauds
  • Identifying the areas of concern in respective portfolios of Non-Life insurance
  • To understand the modern and advanced techniques available in countering Insurance Fraud
  • To draw action plans to counter insurance fraud
  • To inculcate ethical values of work place 

COURSE CONTENTS

  • The cost of insurance fraud
  • How to counter Insurance Fraud
    • Role of Forensic Science in Insurance Fraud
    • Insurance Fraud and various legal Regulations
    • Money Laundering in Insurance
    • Transfer Pricing, Insider trading,
    • Misuse of double taxation avoidance agreement
    • Intelligence and Investigating tools & techniques in insurance Frauds
    • Principles of Insurance & analysis of Claims Processing Procedure and Insurance Fraud
    • Internal audit & vigilance role in dealing with fraudulent claims
    • Ethical values – work place
    • Insurance Fraud case studies in:-
  • Property
  • Maritime
  • Motor Insurance
  • Healthcare
  • Cyber / IT Frauds
  • Miscellaneous and Rural insurance frauds

TARGET GROUP

  • Staff involved in underwriting and claims management / Bank Staff

Cost: 45,000.00


 

How to apply

All candidates must follow the application steps where they provide their details and select units. An invoice will be sent to the email address of the applicant with payment instructions.


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