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E-Learning Course Catalog

Annual & New Hire Antifraud Refresher Training Courses

New Hire Anti-Fraud Training for Claims Personnel (ALL LINES OFFERED) — 2.0

 

(Customizable) This course will provide the newly hired insurance claims professionals with an overview of Insurance Fraud for the specific lines of business your company offers. You will learn what insurance fraud is, examples of insurance fraud and their consequences, the efforts to reduce insurance fraud and what role you play to combat insurance fraud. We will provide you with information as to who commits these crimes, how to identify fraud, what investigations are available to you and how to plan for it. You will be provided with the Guidelines explaining the function & purpose of an SIU and a review of the fraud divisions reporting and referral requirements. **

 

New Hire Anti-Fraud Training for Underwriters/Agents (ALL LINES OFFERED) — 2.0

 

(Customizable) This course will provide the newly hired insurance agent and underwriter professionals with an overview of Insurance Fraud. You will learn what insurance fraud is, examples of insurance fraud and their consequences, the efforts to reduce insurance fraud and what role you play to combat insurance fraud. We will provide you with information as to who commits these crimes, how to identify fraud, what investigations are available to you and how to plan for it. You will be provided with the Guidelines explaining the function & purpose of an SIU and a review of the fraud divisions reporting and referral requirements. **

 

Annual Anti-Fraud Training for Claims Personnel (ALL LINES OFFERED) — 2.0

 

(Customizable) This course will provide the insurance professional with an introduction to Insurance Fraud. They will learn what insurance fraud is, the effects of insurance fraud, the staggering statistics of insurance fraud, examples of insurance fraud and their consequences, the efforts to reduce insurance fraud and what role they play to combat insurance fraud. In addition to red flag indicators, you will learn other methods to reduce fraud such as the use of outside field investigators. They will learn what these investigators can do to assist your investigation. They will learn how to prepare for the investigation, learn what is needed for the investigation, and learn what investigations may be appropriate for their file and the different types of investigations. They will also learn the purpose of a Special Investigation Unit (SIU). We will also provide them with the requirements for insurance fraud reporting and what is required to make a referral to the states fraud unit.**

Annual Anti-Fraud Training for Underwriters/Agents (ALL LINES OFFERED) — 2.0

 

(Customizable) This course will provide the insurance professional with an introduction to Insurance Fraud. They will learn what insurance fraud is, the effects of insurance fraud, the staggering statistics of insurance fraud, examples of insurance fraud and their consequences, the efforts to reduce insurance fraud and what role they play to combat insurance fraud. In addition to red flag indicators, you will learn other methods to reduce fraud such as the use of outside field investigators. They will learn what these investigators can do to assist your investigation. They will learn how to prepare for the investigation, learn what is needed for the investigation, learn what investigations may be appropriate for their file and the different types of investigations there are. They will also learn the purpose of a Special Investigation Unit (SIU). We will also provide them with the requirements for insurance fraud reporting and what is required to make a referral to the states fraud unit.**

Annual & New Hire Antifraud Refresher Training

Fraud Courses

Introduction to Insurance Fraud — 3.0

 

This course will provide the insurance professional with an overview to Insurance Fraud, including the effects of insurance fraud, the growing statistics of insurance fraud, examples, and current fraud schemes as well as their consequences, the efforts to reduce insurance fraud and the role that you play to combat fraud. You will learn successful investigative techniques that can be used by you or the field investigators. We will provide you what outside field investigators can do, what they need to do it, how to plan for the investigation and learn the types of investigations that can be conducted. This course also includes fraud reduction tactics and red flag indicators for insurance fraud.

 

Introduction to Insurance — 1.0

 

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 during an investigation.

 

Fair Claims Settlement Practices Training — 1.0

 

This course will provide the student with certain minimum standards for the settlement of claims which, when violated knowingly on a single occasion or performed with such frequency as to indicate a general business practice shall constitute an unfair claims settlement practice within the meaning of Insurance Code.

 

Psychology of Fraud — 2.0

 

This course is designed to explore the mind of the fraudster, diving into the psychological aspects that make this type of criminal unique. Criminological theory will be explored by focusing on psychological, biological, and sociological theories and how they apply in a fraud setting. Developing a keen understanding of these theories will assist with understanding the fraudster, which will be extremely useful at developing strong, highly focused strategies that get right to the core of the fraudsters mind.

Corporate and Internal Fraud — 2.0

 

This course is designed to explore all areas of corporate, internal and employee fraud. Internal employees are often overlooked as a source of fraud; however, the statistics reveal that this is not the case. Companies should make internal fraud a part of their counter-fraud strategy in order to create a highly effective, efficient, and profitable organization. In this course, we will explore all of the intricate areas of internal and employee fraud in order to gain a deeper understanding of how these threats emerge. Furthermore, specific strategies will be presented for companies to apply in their respective organizations.

Financial Frauds — 1.0

 

The main objective of this course is to empower professionals with in-depth knowledge and understanding of financial fraud and economic frauds. Providing awareness and knowledge to pre-empt instances of risks or fraud and take necessary precautionary measures against these frauds. This course discusses Anti-Money Laundering (AML), Anti-Bribery, Identity Theft and Forgery.

 

Information Technology Privacy and Security — 1.0

 

Security awareness training is a strategy used by IT and security professionals to prevent and mitigate user risk. This training is designed to help users and employees understand the role they play in helping to combat information security breaches as well as to educate users on their responsibility to protect the confidentiality, availability and integrity of their organization's information.

 

Cyber Crimes — 1.0

 

This course will provide the consumer with the knowledge needed to develop a keen understanding of cyberfraud threats. Some of the topics covered will include phishing and spear-phishing, ransomware and malware, credit card and payment fraud, password attacks, denial of service, man in the middle, identity theft, advanced persistent threats, and much more. Developing a deep understanding of these threats will assist with reducing the opportunity for fraud occurrences and vulnerabilities in the cyberworld.

 

Imposter, Email, and Robocall Scams — 1.0

 

This course will provide the learner with deep knowledge into the world of imposter scams, exploring the various tactics that scammers use to try and trick a consumer into engaging in a fake email or robocall. We are going to delve into the many forms of imposter scams performed via email and phone and also analyze the psychological structure of these scams in order to develop super strong preventative methods!

 

Product False Advertising, Food Fraud, and Prescription Medication — 1.0

 

This course will provide the learner with the knowledge needed to develop a keen understanding of the false advertising of products, various forms of food fraud, and prescription and medical device misrepresentation. Consumers are at increased risk in these areas as studies reveal that a significant number of ads misrepresent products, prescriptions, and medical devices; withholding dangerous side effects and ingredients, which can cause dramatic illness and even death. This course will provide a summary of these threats to help the consumer avoid becoming a victim!

Fraud Courses

Life & Disability and Health Care Insurance Fraud Courses

Annuities & Fraud — 2.0

 

This course will provide the student with the understanding of an annuity, the different annuity products sold by insurance agents, how fraud and misrepresentation can be applied when selling this type of insurance product. Agents selling annuities can commit a misrepresentation either intentionally or not which could end up classified as insurance fraud. We identify the areas of this type of fraud within this course and provide you with red flags.

 

Health Care Fraud — 2.0

 

This course will provide the student with thorough knowledge of medical and healthcare fraud in both the private and government sectors, the laws that are designed to protect consumers and taxpayers from losses suffered as a result of such fraud, and techniques both the public and insurance/investigative professionals can utilize to combat fraud.

 

Life and Disability & Insurance Fraud — 2.0

 

This course will provide the student with a thorough knowledge of the various disability and life insurance products available today, the laws that affect them, the benefits, and options available with each, and the vulnerabilities and opportunities for fraud. By laying a foundation of product understanding, the course prepares the student for recognizing, combating, and even deterring insurance fraud in these lines.

 

Viatical Fraud 101 — 3.0

 

This course will provide the student with a thorough knowledge of viatical and fraud. First there were viatical settlements. Then there were senior settlements. Then there were life settlements. Throughout the years, there always was fraud. As the industry grew, viatical fraud grew—in numbers of victims, in dollar amount, and in the variety of fraud. Today it is more complex than ever.

Life & Disability and Health Care Insurance Fraud

Auto Insurance Fraud Courses

Auto Body & Repair Shop Fraud — 2.0

 

This course will provide the insurance professional with knowledge of how a body or repair shop defrauds the insured and insurance company from the onset of an automobile accident or comprehensive loss.

 

It will familiarize the insurance professional with the types of scams that are common in luring the insured to a particular shop after a loss, as well as the scams performed on a vehicle prior to an adjuster’s review and scams performed on the vehicle once the repair process begins. It will also provide techniques to use against the shops committing the fraud and to provide information on how to prevent and deter shops from committing fraud.

 

Auto Premium Fraud — 1.0

 

This course will provide you with the knowledge of what premium fraud is within the automobile. You will learn how the fraud can be initiated by agents and brokers, business owners, corporations and insured's. You will learn who it affects, how it is conducted and what measures can be taken to combat it.

 

Auto Premium and Application Fraud — 1.0

 

This course will provide you with the knowledge of what premium fraud is within the automobile lines of insurance. You will learn how the fraud can be initiated by agents and brokers, business owners, corporations and insured's. You will learn who it affects, how it is conducted and what measures can be taken to combat it.

 

Auto Theft 101 — 2.0

 

This course will teach you what auto theft is, how to investigate it, the current trends in theft schemes, and examples of true theft claims. We will also teach what investigation tools are available, and bring you up to speed on all of the anti-theft measures out there today.

 

Staged Automobile Accidents — 3.0

 

This course will provide you with an overview of how a staged accident occurs and who is involved. We will provide you with key components for detecting a staged accident as well as ways to investigate and combat these types of losses.

 

Premium & Application Fraud for Workers Comp & Auto Insurance — 2.0

 

This course will provide you with the knowledge of what premium fraud is within the automobile and workers' compensation lines of insurance. You will learn how the fraud can be initiated by agents and brokers, business owners, corporations and insured's. You will learn who it affects, how it is conducted and what measures can be taken to combat it.

 

Vehicle Damage Assessments — 2.0

 

This course will highlight potentially suspicious issues that may arise when reviewing photographs, or an actual vehicle, that has been damaged. Consistency between loss facts and vehicle damage will be addressed, including red flags for suspicion. This course will also cover damage patterns and specific accident fact scenarios, the physics of accidents and resulting damage, and vehicle damage indicators. The goal of this course is to increase awareness of vehicle damage specifics and accident scenarios that may arise during an adjuster or investigator’s role handling claims.

Auto Insurance Fraud

Workers' Compensation Insurance Fraud Courses

Workers’ Compensation Fraud 101 — 2.0

 

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 workers’ 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.

 

Workers’ Compensation Premium Fraud — 1.0

 

This course will provide you with the knowledge of what premium fraud is within the automobile and workers' compensation lines of insurance. You will learn how the fraud can be initiated by agents and brokers, business owners, corporations and insured's. You will learn who it affects, how it is conducted and what measures can be taken to combat it.

Workers' Compensation Insurance Fraud

General Insurance Fraud & Investigation Courses

Arson for Profit — 2.0

 

This course will provide a review of the most violent and dangerous form of insurance fraud, arson-for-profit as a crime and as a defense to an insurance claim. The course explains the methods of investigation of arson fires, the use of experts and the red flags that indicate arson-for-profit.

Catastrophes & Fraud — 3.0

 

This course will provide you with what catastrophes are in the eyes of an insurance company. You will learn how catastrophes affect insurance companies, as well as the types of catastrophes that are costly to the insurance companies. We will discuss the issues of fraud in and around the time of catastrophes. We will provide details of how insurance companies as well as the government are reducing catastrophe losses.

Concepts of Product Liability & Investigations — 3.0

 

This course will provide the student with an overview of product liability and pertinent laws.   Issues of product liability are discussed from all points of view, including possible complainants, manufacturers, and sellers. Students will learn on whom the burden of proof lies, when negligence is applicable, what evidence is required, and the legal and implied duties of all parties. Each concept is reinforced and demonstrated in true case studies. Lastly, students will learn effective methods for identification and investigation of possible proof and defense of such claims.

Ethics for Investigators — 2.0

 

Students will learn various concepts concerning the definitions and applications of ethics and ethical studies. Upon this foundation, the more specific ethical concerns, and guidelines as they apply to insurance and insurance investigations will be discussed and illustrated with examples. Broader ideas such as professionalism and decision making are funneled into ethical practices for the private investigator. Laws and acts that help to define these ideas are introduced and explored as contributing factors affecting investigator actions.

 

Homeland Security & Terrorism — 2.0

 

The purpose of this course is to provide you with the ability to recognize report and react to potential terrorist threats in and around the workplace and community.   Upon completion, you will be able to effectively: – Define terrorism and weapons of mass destruction – Recognize suspicious activity, vehicles, and objects – Identify the steps necessary to report potential acts of terrorism – Identify the steps necessary to react to terrorist incidents.

Mold: A Growing Concern — 2.0

 

This course is an introduction to mold as it relates to insurance and claims. It defines what mold is, how the problem is growing, where the problems exist and what causes it. We explain coverages and exclusions typically found in the basic insurance policies.   We look at the industry’s response to this problem as well as what is needed to combat mold claims and what we need to do to investigate them.

 

Neighborhood Investigations — 1.0

 

This course will discuss how to use a neighborhood canvass during an insurance investigation. We will review how the investigator can obtain valuable information with regards to the subject of the investigation. We will review the reasons for utilizing the neighborhood canvass as well as how to plan and conduct the canvass without breaking any laws or jeopardizing the insurance company you are working for. Finally, we will review what to do at the completion of the canvass. Keep in mind that many insurance claims have to do with injury, which this course emphasizes on. However, many other types of claims can still utilize the same methods and questioning.

 

Pretext & Privacy During an Investigation — 1.0

 

This course will provide you with the definition and use of pretexting as it applies ONLY to insurance investigations. You will learn about the Federal and State Laws that protect sensitive and confidential information, as well as case law examples that find pretexting to be invasive, case law examples that find pretexting to be allowable, and examples of company policies regarding pretexting and Ethical Concerns.

 

Recorded Statements for a Claims Investigation — 2.0

 

This course will provide the insurance professional on how to take a quality recorded statement.   Doing so will provide you with the best opportunity to obtain all of the facts surround the loss, as well as evaluating the answers and resolving the claim under its own merits.

 

Recorded Statements and Interviews for Agents — 2.0

 

This course will provide the insurance professional on how to take a quality recorded statement.   Doing so will provide you with the best opportunity to obtain all of the facts surround the loss, as well as evaluating the answers and resolving the claim under its own merits.

 

Social Media Investigations — 2.0

 

Social media investigations will introduce research and investigative professionals to a variety of essential tools and techniques necessary to locate, collect, and utilize social platform-sourced information and introduce investigators to the considerations and implications of leveraging this type of information safely and appropriately.

 

Surveillance Challenges — 2.0

 

This course will provide you with the knowledge about the challenges that an investigator on surveillance may experience during their day. This course will explain the types of surveillance that are utilized in certain situations and how the investigator needs to prepare and set up properly on these situations. It will show you that the investigators must make numerous split-second decisions throughout the course of the investigation which could affect the outcome in a positive or negative outcome.

 

The Use of Surveillance in an Insurance Investigation — 2.0

 

This course will provide the insurance professional with the knowledge of what surveillance is, as well as when and how to utilize surveillance during an insurance investigation. This course will also show 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.

 

Subrogation & the Investigation — 2.0

 

This course will provide the insurance professional with knowledge of what Subrogation is and how it is utilized within the insurance industry. They will learn the rights of the insurer and insured regarding subrogation within a claim. We will provide knowledge of how to investigate the common subrogation claim and provide investigation checklists for those investigations.

 

Third Party Claims Investigations — 1.0

 

A basic training course for third party liability claims adjusters with detailed coverage of the methods of investigation of third-party claims and the adjustment of third-party claims.

 

Transient Criminals Committing Insurance Fraud — 2.0

 

This course will provide the insurance professional with information and knowledge as to the scams and inner workings of the Transient Criminals also known as “gypsies” within the insurance industry.   You will learn their culture and modus operandi. You will be provided with methods of identification, the impact of their crimes on America and the Insurance Industry, and techniques used to deter and investigate their behavior.

 

Understanding Your Client’s Objectives — 1.0

 

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 in the life of the claim.

 

Vendor Management of an Investigation Firm — 2.0

 

This course will provide you with knowledge and the information to select and manage your outside insurance investigative vendor. We will familiarize you on how to select, utilize and manage the investigative vendor effectively and efficiently. We will provide you with red flag indicators which can detect mishandled investigations or recognize a deceitful or dishonest vendor.

 

Observing and Understanding Body Language — 2.0

 

No matter what type of business you own or are employed by, or what your specific role is within that organization, being able to read body language can not only help boost your overall communication skills, but also assist with identifying those individuals that may be deceptive. The course starts by exploring the different communication and learning styles (which one are you??), and then dives into both verbal and non-verbal techniques. Let’s get started on your deception detection capabilities!

General Insurance Fraud & Investigation Courses

Human Resources and Workplace General Training

Workplace Safety and Active Shooter Training — 1.0

 

Workplace safety training is a process that aims to provide your workforce with knowledge and skills to perform their work in a way that is safe for them and their co-workers. In addition, an effective workplace safety plan includes instructions and guidelines to identify hazards, report them, and deal with incidents such as a workplace shooter incident.

 

Mitigating Workplace Safety and Violence — 1.0

 

In this robust course, learners will develop a deep understanding of the threat of workplace violence. Current trends and statistics will be explored to create a strong foundation for preventing this disturbing threat. Learners will develop a keen understanding of personal and organizational level risk factors to assist with the development of highly focused and effective preventative strategies. The psychological elements of violent offenders will be examined, furthering an understanding of key motivational factors behind the behavior of workplace violent offenders. Learners will also develop an understanding on how to successfully perform a risk/vulnerability assessment which will assist with identifying key gaps and threats. Upon exiting this course, the leaner will be able to implement immediate strategies to reduce the risk of workplace violence in their respective organizations.

 

Diversity and Inclusion Training — 1.0

 

This training will provide a clear understanding of what diversity is and what it isn't. To raise a greater awareness and sensitivity to Diversity issues that go well beyond the assumed categories. To recommend behavioral tools for fostering a more cohesive workplace.

 

Sexual Harassment — 1.0

 

This training will provide the employee with the definition of sexual harassment, identify the types of sexual harassment and behaviors that constitute sexual harassment. You will recognize that policies prohibit sexual harassment and describe what to do about sexual harassment and how to prevent sexual harassment.

 

Workplace Ethics — 1.0

 

This training will provide various concepts concerning the definitions and applications of ethics and ethical studies. Upon this foundation, the more specific ethical concerns, and guidelines as they apply to insurance and insurance investigations will be discussed and illustrated with examples. Broader ideas such as professionalism and decision making are funneled into ethical practices for the insurance professional.

 

Travel Safety — 2.0

 

Traveling is one of the most amazing activities that one can embark on. It opens us up to new cultures, people, food, and activities that expand our horizons. After we return, it also helps us to add a new perspective on our homes and our environment. No matter whether you are taking an adventurous jaunt to a bordering state, or going abroad for months, this course is designed for you. The purpose of this course is to provide an overview of the threats that one can face while traveling and outline the proper precautions to help make your journey safe and enjoyable.

Human Resources and Workplace General Training
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