Insurance fraud, may be defined as, act committed with an intent to obtain a fraudulent result from an insurance process. This may occur when a claimant attempts to obtain some benefit to which they are not otherwise entitled, or when an insurer knowingly denies some benefit that is due. According to the United States Federal Bureau of Investigation the most common schemes include: Premium Diversion, Fee Churning, Asset Diversion, and Workers Compensation Fraud. The perpetrators in these schemes can be both insurance company employees and claimants. False insurance claims are insurance claims filed with an intent to deceive an insurance provider.
Insurance fraud has existed since the beginning of insurance as a commercial enterprise. Fraudulent claims account for a significant portion of all claims received by insurers, and cost billions of dollars annually. Types of insurance fraud are diverse, and occur in all areas of insurance. Insurance crimes also range in severity, from slightly exaggerating claims to deliberately causing accidents or damage. Fraudulent activities affect the lives of innocent people, both directly through accidental or intentional injury or damage, and indirectly as these crimes cause insurance premiums to be higher. Insurance fraud poses a significant problem, and governments and other organizations make efforts to deter such activities.
Module- 1 An introduction to insurance fraud investigation
Insurance fraud investigation is a fraud examination that centers around fraudulent efforts to collect based on excessive or fake claims. Module will be introduce you to the introduction of insurance fraud investigation, insurance fraud investigation as a career, the profession of an insurance fraud investigator and the code of ethics.
Module- 2 Duties of insurance fraud investigator
Generally insurance investigator tries to define whether someone has filed a fake insurance claim. Duties of insurance fraud investigator module will define you the introduction of the basic identifiers, investigative theories, methodology, principles of investigative methodology, locating sources of information, public records and semi restricted records and the public semi-restricted records.
Module- 3 Insurance investigations
Today’s world, fraud is an actual and costly issue. This module insurance investigations would be introduce you to the introduction, fraudulent disability investigations, motor vehicle accident investigations, premise accidents investigations, railroad crossing investigations, suicide investigations, accident reconstruction experts and basics, fires and explosions and the importance of forensic photography.
Module - 4 Interviewing and interrogation
This module is framed to make the students understand the basic principles of interviewing, interview objectives, the interviewee’s attitude manage, different types of interview, the art of questioning, suggestions and tips, dealing with deceptive responses, client interviews, third party interviews, witness interviews, expert interviews and the fundamentals of interrogation.
Module - 5 Note taking and report writing
Note taking and report writing are the primary concerns of the investigation. It is comprising the note taking guidelines and suggestions, guidelines for good report writing and its methods and techniques.
Module - 6 Using pretexts
Usually, pretexting is using pretentious lettering to obtain information from someone, often playing on people’s normal desire to conversation. It might pretend to be somebody else, tell a white lie, or create some other dishonesty to obtain any information. Module will introduce you to the guidelines for investigation like pretexting introduction, illegal pretexts, and the guidelines for using pretexts.
Module - 7 Civil investigations
Civil matters are very crucial to open every important part of information and accurate findings. Module will introduce you to the definition of civil law, defenses against tort actions, an introduction to civil investigations, liquor liability investigations, professional malpractice investigations and the product liability investigations.
Module - 8 Surveillance
Term surveillance, is basically the monitoring of the activities of any person, or other altering information, usually of people for the purpose of manipulating, dealing, directing, or caring them. It will define you the introduction of the surveillance, principles, surveillance by foot, fixed surveillance, common carrier surveillance, vehicle surveillance, single vehicle surveillance, moving surveillance, tips for better surveillance, surveillance at night, two vehicle surveillance and video surveillance.
Module - 9 Criminal investigations
Criminal investigation looks intended for traces and evidence to define whether a crime has taken place. Whenever a crime has been committed investigator may look into the background of the suspect and may try to disclose who committed the criminality. Module comprises the general principles of criminal investigation, the burden of proof, criminal defense investigations, fundamental principles of evidence, presumptions and the burden of proof, evidence preservation and forensics and fundamentals of undercover investigations.
Module - 10 Background investigations
Background Investigation has become demanding need in the corporate sectors of today. In the current period, because of the day by day growing duplicitous tendencies and treachery, corporate sectors have started hiring investigators. Module dealing with the assets background checks, business partners background checks, pre - employment background checks, mate checks, self-defense background checks and witnesses and jury background checks.
Module - 11 Finding missing persons
Investigation agencies frequently focus on runaway children, finding kidnapped, missing, background check etc. They can also locate missing adult or old person. Missing person’s investigators are hired by ones when mysteries need solved. Module will be introduce you to the types of missing persons, the preliminary interview with your client, finding young missing persons, finding indigent and homeless missing persons and finding other types of missing persons and case studies.
Module - 12 Commercial theft investigations
Crime insurance is broadly used to define a selection of person, coverage relating to illegal activities. Every type of association is susceptible to criminal activities. Module would be introduce you to the retail theft investigations, the general principles of retail theft investigations, classification of shoplifters, recognizing a shoplifter, the methods of shoplifting and the types of employee theft.
Module - 13 Domestic investigations and court testimony
Introduction of domestic investigation, Child custody investigation, fidelity investigation and the court testimony are comprises in this module.
ONLINE EXAMINATION AND EVALUATION PROCESS
The mode of examination will be online for the students enrolled in online courses. After the completion of the respective course duration, you would have access to your examination portal on the allotted date and time, and accordingly you would be notify by the concerned authorities to check mails, so that you must give your examination in allocated date and time on our online examination portal.
TYPES OF QUESTIONS
You will have combination of Multiple Choice Questions, in the form of multiple option, True & False, Fill in the Blanks, Match the Following, Sequences Questions, Multiple Response Questions, Passage and Image Description form.
The complete correction and evaluation takes about two weeks. After the evaluation process is finally done, the mark sheets and certificates are posted on to the given postal address by address confirmation. If any change in postal address student must notify after completion of Examination.
Note: Every student must have to check email for examination notifications and other updates. Also you have update your recent postal address and so on.
SIFS INDIA, provides online education for certificate, Diploma, and PG Diploma courses in the Forensic Science discipline. The Forensic Science programmes are appropriate for all students of any discipline. The course is ideal for those who, whim to secure a stand-alone certification in Forensic Science and whose first degree is in an unrelated field. We aims to provide a thorough education in Forensic Science from a variety of perspectives with multiple dimensions.
After completion of the enrollment processes, a username and password would be generate and provide you through email to access e-books and study materials allied to your programme code within five working days.
Complete Learning of Statement (LOS)
In online education, lectures might be conducted online via Learning Management System (LMS) and instant chatting or messaging. Some course have ‘virtual’ classes; where the enrolled students participate through webcams sources. Through your unique username and password, students can access their profile, study materials, instructor guidance, assignments, quizzes, examination, scores, and so on.
Make important bookmark for future access
In Every LOS, we are constantly reviewing the latest study materials being the very finest course material now available for your programme code. We provides the modified technology inside the portal likewise; the bookmark option to build a specified learning process. Bookmark is also an advantageous for future access. Your learning methods would be helpful to choose objectives. Bookmark giving you the chance to study exactly; what you need in directive to improvement.
Make your own notes
Go Paperless! Online database are much easier than searching through paper files. LOS giving you the note preparation option at the time of study. It would be great method to create and deploy your own written notes for future admittance.
Take multiple quizzes for practice exam
LMS is the best virtual learning systems; to use their own login portal. Multiple quizzes are the most of the latest questions and updates related to the LOS. It would be flexible to practice for examination preparation.
Interact with your instructor for your queries.
Online learning system also provides a forum for discussion with instructor, where you can post and quickly ask your quarries, enhance and collaborate your learning experiences. It would be hard to mature a relationship with your online instructor, you may never meet, but it is worth the exertion to keep communicating and contacting through the online support system.
The assignment submission process diverges depending upon the course you enrolled. Assignment is definitely the indispensable thing in order to complete your programme. It comprises 5 questions with 1000 word limit. Assignment carries a 100% weightage for evaluation of examination. Some key instructions to get good grade in your assignment such as-
1. Read the study materials in depth from portal LOS.
2. Understand the assignment questions and keep within the word limit.
3. Write the assignments yourself which should be plagiarism free.
4. Complete the assignments in given duration and submit after date you will not able to access the assignment.
5. Write your answers in the appropriate format and add the references at the end of your assignment etc.
Online examination system is designed to offer you with an education wherever you are. There are a wide range multiple options. After the completion of the respective course duration, you would have access to your examination portal on the allotted date and time. In LMS examination procedure, you will allocated for examination in a particular time, so that you must give your examination in allocated date and time on your online examination portal.
Note: 1.You must have to complete your examination in given time period accordingly to your course instructor. You cannot attempt your examination twice.
2. If you are not able to attempt your examination, you must to inform your instructor prior the time period and give specific reason to conduct re-schedule examination date*.