PREVENTION OF INSURANCE FRAUDS (NON-LIFE)

Background
It is generally accepted that at least 10-15% of all claims paid by General Insurance Industry are afflicted by fraud. Employing the best practices in the control and deterrence of Insurance Frauds, one can definitely reduce the exposure of this menace and can favourably impact the profitability of the companies. This programme is designed to deal with all the regulatory and preventive aspects of insurance frauds in an integrated way to counter Insurance Fraud.

Objectives
This programme aims to enable the participants to –

• 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

Contents
• 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, Dhaba 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