Program Brief

It is no surprise that fraud has accompanied insurance since its inception, but the origins of this practice and the method by which it operates have evolved over time, and numbers of insurance fraud incidents have recently increased. This program is designed to provide candidates with a proper understanding of; fraud, its types, its indicators, methods of Fraud detection, investigation and prevention, different tools available to counter fraud in different lines of business in insurance.

Program Goals

At the end of the training program, the participant should be able to:

  • Understand the meaning of fraud in general & specifically in insurance and the related risks to ensure due diligence
  • Comprehend the main indicators of potential fraud in underwriting risks or dealing with claims to limit the fraud cases
  • Understand Anti-Fraud Rules and Regulation in Insurance in KSA to ensure continuous monitoring and spotting and reporting the suspicious transactions that may contain fraud in insurance
  • Get to know the various strategies of fraud control & prevention to limit the phenomenon
Program Agenda
Module 1: The meaning of fraud and its indicators and types
  • 1 The meaning of frau, in general

    • 2 The meaning of fraud in insurance, in particular

      • 3 The main indicators of potential fraud

        • 4 Types of insurance fraud

          • Internal Fraud

            • Insurance Service Provider Fraud

              • Policyholder Fraud

              Module 2: Different forms of fraud in insurance
              • 1 The different forms of fraud in different lines of insurance business

                • 2 The various strategies of fraud control

                  • 3 Anti-Fraud Regulation in Insurance Strategy: Responsibilities of Management

                    Module 3: The regulatory framework for Anti-Fraud in Insurance in KSA
                    • 1 Anti-Fraud Regulation in Insurance: Purpose and Definitions

                      • 2 Scope and Exemptions, Compliance Measures, Non-Compliance

                        • 3 Anti-Fraud Regulation in Insurance Strategy: Responsibilities of Management

                          • 4 Policies and Control Systems: Contingency Plan, Documentation and Review, information exchange, Reporting

                            Program Requirements

                            Not Available

                            Program Path

                            Names of the training programs that are integrated (enriched) with the training program:

                            • Not Available

                            Names of the training programs that after the training program:

                            • Not Available
                            Program Method
                            • Lecture
                            • Case Studies
                            • Brainstroming
                            • Practical Implementation
                            • Dialogue Teams
                            • Exercises and assignments
                            Evaluation Method
                            • Pre Exam
                            • Post Exam
                            Training Type
                            • In Class Training
                            • Online Training
                            Partners
                            • fa

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