Claims Fraud - Intermediate - Searchlight Insurance Training

Claims Fraud – Intermediate

This intermediate level workshop provides delegates with a detailed analysis of the techniques and skills necessary to prevent and/or combat fraud.

The workshop will be a full day session featuring numerous exercises, with delegates working individually and in teams.

It is aimed at anyone (underwriters, claims staff etc) who is concerned at their firm’s potential exposure to fraud.

Level:

Duration: 1 day(s) CII CPD Hours: 6
     

WORKSHOP OBJECTIVES

  • Be aware of the current legal position regarding fraud and bribery.
  • Understand how a fraudster thinks, their motivations etc
  • Understand and apply the interviewing techniques necessary to evaluate the veracity of statements given by policyholders, witnesses etc
  • Analyse information to determine whether there is a possibility of fraud
  • Apply and develop fraud prevention and detection measures to reduce exposure.
  • Develop an understanding of how both verbal and non verbal deceptive behavior can be identified.
  • Identify and analyse the steps that can be taken to establish and verify misleading/false statements.

WORKSHOP CONTENT

  • What constitutes “fraud”?
  • The current legal position in the UK.
  • Steps taken by the UK Insurance industry taken to combat fraud ….and a few tricks they could be missing.
  • How can you identify a fraudster?
  • Criminal psychology: the basics
  • A step by step approach to the cognitive Interviewing and conversation management approaches, including
    – interview and questioning techniques
    – verbal and non-verbal behaviour
    techniques for the interviewer to assist remembrance
  • The alternatives to a face to face interview.
  • Tactical options to reduce exposure to fraud.