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Understanding and Combatting Insurance Fraud

LEARNING GOALS

Understanding and Combatting Insurance Fraud is an in-depth training course aimed at equipping insurance professionals with the knowledge and strategies needed to tackle fraud effectively. In partnership with Clearspeed,ÿthe marketÿleaderÿfor assessing risk inÿspeech,ÿthe course begins by defining insurance fraud and exploring its impact on the industry, followed by a historical overview that highlights the evolution […]

Understanding and Combatting Insurance Fraud is an in-depth training course aimed at equipping insurance professionals with the knowledge and strategies needed to tackle fraud effectively. In partnership with Clearspeed,ÿthe marketÿleaderÿfor assessing risk inÿspeech,ÿthe course begins by defining insurance fraud and exploring its impact on the industry, followed by a historical overview that highlights the evolution of fraudulent activities and the psychological factors driving them. Participants will gain insights into the quantification of fraud levels within the industry, the impact on consumers, and the role of external factors such as economic changes and technological advancements. The course also delves into modern challenges and solutions, focusing on the rise of AI in both committing and detecting fraud, the integration of fraud detection with digital claims management, and the importance of aligning these practices with customer experience. Through a series of modules, industry experts share best practices in investigative techniques, preventative measures, and the implementation of robust internal controls, all aimed at reducing fraud risk while maintaining operational efficiency.ÿ

Historical Overview of Insurance Fraud

External Factors Currently Influencing Fraud Trends

Impact of AI on Volume and Sophistication of Insurance Fraud

Alignment with Digital Claims Management

Preventative Measures and Best Practices

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