An Overview of Insurance Fraud

and

What is Insurance?

Two Video Courses available at https://www.simpliv.com/finance/what-is-insurance and https://www.simpliv.com/finance/an-overview-of-insurance-fraud

An Overview of Insurance Fraud

Fraud is estimated to take between $80 and $300 billion a year from the property and casualty insurance industry, raising the prices each person pays for insurance by more than $300 Billion a year.

This course explains what insurance fraud is and discusses various methods by which insurance fraud is perpetrated. It also covers the various weapons provided by statutory law, legal precedent and professional claims handling that enable companies to reduce the amount stolen by fraud perpetrators. Furthermore, it explains the use of red flags or indicators of insurance fraud and the use of an insurance company Special Investigation Unit (SIU) to gather the evidence necessary to assist in the defeat of insurance fraud.

Who this course is for:

  • Anyone interested in Risk Management, Insurance, Ethics or related fields

Basic knowledge
  • No advanced preparation or prerequisites are needed for this course but experience with insurance policies and the business of insurance is helpful

What will you learn
  • Recognize what insurance fraud is
  • Explore the methods needed to investigate and defeat insurance fraud attempts
  • Identify legal bases available to defeat insurance fraud
  • Explore the reason why it is in the best interest of insurance companies to actively work to defeat attempts at insurance fraud

All of the books are available at http://zalma.com/blog/insurance-claims-library/

The material is adapted for Barry Zalma’s book, “Zalma on Insurance Claims” in ten volumes available as a kindle book or paperback. https://amzn.to/30yYRUg

What is Insurance?

Insurance claims professional and expert witness Kevin Quinley said about the following ten volumes: “Zalma’s series of books is a terrific blend of both the legal underpinnings and the practical implications for the claim practitioner.

Insurance Maven Bill Willson said: “Zalma On Insurance Claims” is a tour de force, an indispensable tool that should be a part of every claims training program in America and in the library of every claims professional for quick and frequent reference. This comprehensive guide belongs in the library of every insurance defense AND policyholder law firm. It should be a part of every claims training program of carriers, independent adjusting firms, and public adjusters. Many of these parts should be part of the training or reference programs for non-claims personnel, from agents to underwriters to risk managers.”

This series of books is the latest addition to Barry Zalma’s insurance claims series of books and articles that will form the most thorough, up-to-date, expert-authored insurance claims guide available today. Thorough, yet practical, this series of books form the ideal guide for any professional who works in or frequently interacts with the insurance industry. Claims professionals, risk managers, producers, underwriters, attorneys (both plaintiff and defense), and business owners will benefit greatly from the ten volume guide. It is also the perfect resource for insurance educators, trainers, and students whose role requires an understanding of insurance law. A Comprehensive Review of insurance, insurance claims, the law of insurance policy interpretations, the practicalities of Property, Casualty and Liability Insurance Claims.

A series of presentations that will allow the student to understand the basics of insurance and insurance claims. The student will learn how to define and understand insurance, understand why and how insurers interpret the term “actual cash value” and how it is applied in the presentation of a claim; what is insured by a first party property insurance policy; the need for an adjuster and why claims must be dealt with in good faith and ethically. You learn about conditions and how they are enforced in insurance contracts. You will also learn about liability insurance and the difference between property and liability insurance and the application of the covenant of good faith and fair dealing.

All of the books are available at http://zalma.com/blog/insurance-claims-library/

The material is adapted for Barry Zalma’s book, “Zalma on Insurance Claims” in ten volumes available as a kindle book or paperback. https://amzn.to/30yYRUg