Course Introduction

MODULE 1 – INSURANCE AND INSURANCE FRAUD

The module covers an overview of insurance fraud, its historical roots, the role of insurance fraud investigators, both as carriers and professionals, and a comprehensive understanding of the Code of Ethics. You will also learn about the Insurance Fraud Prevention Model Act and the steps involved in the expert selection process, a crucial component in the insurance fraud investigation domain.

MODULE 2 – TYPES OF FRAUDS

This module introduces you to the various types of insurance fraud, providing a comprehensive overview that includes health insurance fraud, car insurance fraud, home insurance fraud, life insurance fraud, worker compensation fraud, and instances of fraud perpetrated by insurance companies. This categorization will help you gain an in-depth understanding of the techniques employed across different sectors of the insurance industry, highlighting the multifaceted nature of fraudulent activities within the insurance domain.

MODULE 3 – ROLE AND DUTIES OF INSURANCE FRAUD INVESTIGATOR

In this module, you will gain insights about the role and duties of an insurance fraud investigator, including locating information sources, gathering and examining records, and conducting insightful witness interviews. The module also covers the significance of meticulous witness preparation using a systematic approach. This module provides a step-by-step guide for insurance fraud investigators to help them build a robust case against fraudulent activities.

MODULE 4 – POLICY: THE CONTRACT

This module covers the intricacies of insurance policies for fraud investigations and begins with an introduction to the language and contractual nature of policies. It then explores first- and third-party policies, focusing on distinctions that mold the dynamics of coverage and claims. Additionally, the concept of the innocent co-insured is introduced, highlighting the complexities that may arise in insurance scenarios.

MODULE 5 – INTERVIEW PROCESS DURING INSURANCE FRAUD INVESTIGATION

In this module, you will learn about the process of extracting crucial information through a well-structured approach. It begins with the importance of the preliminary statement of the insured or claimant in understanding the context of the claim, various statement methods, including preparation, active listening, and maintaining control for extracting accurate and detailed information, and the methods to obtain witness statements.

MODULE 6 – INFORMATION GATHERING AND LEGAL ISSUES OF SHARING

In this module, you will learn about various methods of information gathering and analysis, including the Immunity Reporting Act (incentivizing individuals to come forward with information related to fraud), the Public Records Act (facilitating investigators to access essential data for in-depth scrutiny), and reciprocal information exchange (exchange of insurance contracts between individuals and businesses).

The module also covers several information gathering methods like historical website information searches, newspaper investigations, and scrutiny of city/country business and professional licensing. This adds depth to the investigative process and increases its reliability in exposing potential fraudulent activities.

MODULE 1 - INSURANCE AND INSURANCE FRAUD

The module covers an overview of insurance fraud, its historical roots, the role of insurance fraud investigators, both as carriers and professionals, and a comprehensive understanding of the Code of Ethics. You will also learn about the Insurance Fraud Prevention Model Act and the steps involved in the expert selection process, a crucial component in the insurance fraud investigation domain.

MODULE 2 - TYPES OF FRAUDS

This module introduces you to the various types of insurance fraud, providing a comprehensive overview that includes health insurance fraud, car insurance fraud, home insurance fraud, life insurance fraud, worker compensation fraud, and instances of fraud perpetrated by insurance companies. This categorization will help you gain an in-depth understanding of the techniques employed across different sectors of the insurance industry, highlighting the multifaceted nature of fraudulent activities within the insurance domain.

MODULE 3 - ROLE AND DUTIES OF INSURANCE FRAUD INVESTIGATOR

In this module, you will gain insights about the role and duties of an insurance fraud investigator, including locating information sources, gathering and examining records, and conducting insightful witness interviews. The module also covers the significance of meticulous witness preparation using a systematic approach. This module provides a step-by-step guide for insurance fraud investigators to help them build a robust case against fraudulent activities.

MODULE 4 - POLICY: THE CONTRACT

This module covers the intricacies of insurance policies for fraud investigations and begins with an introduction to the language and contractual nature of policies. It then explores first- and third-party policies, focusing on distinctions that mold the dynamics of coverage and claims. Additionally, the concept of the innocent co-insured is introduced, highlighting the complexities that may arise in insurance scenarios.

MODULE 5 - INTERVIEW PROCESS DURING INSURANCE FRAUD INVESTIGATION

In this module, you will learn about the process of extracting crucial information through a well-structured approach. It begins with the importance of the preliminary statement of the insured or claimant in understanding the context of the claim, various statement methods, including preparation, active listening, and maintaining control for extracting accurate and detailed information, and the methods to obtain witness statements.

MODULE 6 - INFORMATION GATHERING AND LEGAL ISSUES OF SHARING

In this module, you will learn about various methods of information gathering and analysis, including the Immunity Reporting Act (incentivizing individuals to come forward with information related to fraud), the Public Records Act (facilitating investigators to access essential data for in-depth scrutiny), and reciprocal information exchange (exchange of insurance contracts between individuals and businesses).

The module also covers several information gathering methods like historical website information searches, newspaper investigations, and scrutiny of city/country business and professional licensing. This adds depth to the investigative process and increases its reliability in exposing potential fraudulent activities.

MODULE 7 - CONDUCTING SURVEILLANCE

Surveillance means the careful monitoring of the activities of a person or a place by law enforcement officials because of a crime that has taken place or when there is a possibility of the occurrence of a crime. This module covers surveillance methodologies in insurance fraud investigations, including steps involved in their preparation, along with foot and vehicle surveillance techniques.

The module also explores fixed and moving surveillance, night surveillance, satellite surveillance, single vehicle and two vehicle surveillance, video surveillance, tips for conducting robust surveillance, and the role of vendor management, highlighting its significance in insurance fraud surveillance operations.

MODULE 8 - CASE-ORIENTED INSURANCE INVESTIGATION

This module explores situation-specific insurance investigations like fraudulent disability investigations, motor vehicle accident investigations, premise accident investigations, railroad crossing investigations, and suicide investigations. You will also learn about accident reconstruction experts and the basics of fire and explosion investigations, highlighting the significance of specialized knowledge in handling such cases. The module concludes by focusing on the need for photography in insurance investigations to capture evidence and document the investigative process.

Yes, you have the option to make a direct payment to the bank account of SIFS India;, all you have to do is write an email at education@sifs.in requesting the bank details. 

Academic Qualification Documents, Professional Qualification Certificates, and National ID Proof or Passport Copy are required at the time of enrollment.  

Kindly send your necessary documents with proof of payment to admission@sifs.in.

An Admission Confirmation email will be sent with your portal credentials once the proof of payment and application form with all the necessary documents are received at admission@sifs.in.

To login, visit the portal at the given link: https://www.sifs.in/student and enter your login credentials, i.e., your username and password shared via email. 

After logging into the portal, you will have access to reading material, reference eBooks, and e-research papers.

Yes, all your assignments, projects, case studies and practice tests will be assigned to you through your portal as per the level you will be enrolled in.

You can easily access our online course on mobile / tablet devices. We highly recommend that you use your desktop or laptop and a reliable internet connection for a better view.

Yes, there will be an online exam after completing the course.

Yes, upon successful completion of the course, you will receive a certificate and marksheet, which can be a valuable addition to your resume and may enhance your career prospects in the field.

Write to us at admission@sifs.in, call: +91-1147074263, or WhatsApp: +91-7303913002.